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Global Translational Medicine                                         Mitochondria and ferroptotic cell death































            Figure 5. Overview of the mitochondrial metabolic regulation during ferroptotic cell death. Modified from Wang et al., 2020 4


            upstream regulators such as Bax and Bim proteins play   ferroptosis and both degenerative illnesses and organ
            crucial roles  in  AC-induced ferroptosis and  apoptosis.   damage in humans. Moreover, specifically promoting
            In conclusion, AC exerts its anticancer activity primarily   ferroptosis  shows  promise  as a  therapeutic  approach
            through ferroptosis and apoptosis, regulated by the   for malignancies resistant to existing treatments.
            mitochondrial pathways involving Bax and Bim. 23   Mitochondria, the cellular powerhouse, are essential for
              Furthermore, along with the increase of endoplasmic   regulating several forms of cell death, including ferroptosis.
            reticulum stress and the inhibition of certain transporters,   Recent research indicates a connection between ferroptosis
            the process entails the activation of particular channels and   and impaired mitochondrial morphology and function.
            kinases. Ferroptosis is associated with the accumulation of   Current paradigms in this field suggest that a significant
            ROS and lipid peroxidation products resulting from iron   amount of research is required to critically assess the
            metabolism. Pharmacological inhibition of ferroptosis can   complex control of ferroptosis by mitochondria, which will
            be achieved through lipid peroxidation inhibitors and iron   shed light on its potential molecular processes. In addition,
            chelators. The process of ferroptosis is regulated by a number   the  exploration  of  therapies  targeting  mitochondria
            of proteins that can either promote or inhibit it. Dysregulated   holds potential as cutting-edge biomedical strategies for
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            ferroptosis has been implicated in numerous physiological   addressing ferroptosis-related disorders.
            and pathological processes, including neurotoxicity, cancer   3. Conclusion
            cell death, and damage to the kidneys and liver. 24
                                                               Mitochondria are crucial  organelles  for regulating  cell
              Ferroptosis regulation is influenced by various metabolic   death pathways. Ferroptosis, a relatively newly discovered
            factors, including organelle crosstalk. In human pancreatic   form of programmed cell death, has garnered significant
            cancer cells, the endoplasmic reticulum protein STING1 plays   attention in contemporary biomedical research, with
            a pivotal role in facilitating ferroptosis. STING1 promotes   researchers worldwide working to elucidate the pathways
            mitochondrial fusion, a process dependent on MFN1/2,   related to  the pathophysiology of  this  iron-dependent
            leading to the generation of ROS and lipid peroxidation.   cell death. To gain a comprehensive understanding of
            Depletion of STING1 or MFN1/2 reduces the likelihood of   the cellular pathophysiological aspects of ferroptosis,
            ferroptosis in pancreatic cancer cells. This biological process   it is necessary to concentrate on the involvements of
            exemplifies the significance of mitochondrial fusion and   subcellular organelles, precisely mitochondria. Our article
            carries important therapeutic implications. 25     explores the potential role of mitochondrial connections in
              Different features are present in ferroptosis at the   this regard, and we anticipate that further research will be
            morphological, genetic, and biochemical levels. Robust   necessary to unravel the intricate pathways associated with
            correlations  have  been  observed  between  dysregulated   mitochondria in relation to ferroptosis (Figure 5).


            Volume 3 Issue 2 (2024)                         8                        https://doi.org/10.36922/gtm.2208
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