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Inhibition of Ferroptosis Attenuates Glutamate Excitotoxicity and Nuclear Autophagy in a CLP Septic Mouse Model

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg,Trauma Ctr, 1095,Jiefang Ave, Wuhan, Hubei, Peoples R China [2]Xiamen Univ, Zhongshan Hosp, Dept Vasc Surg, Xiamen, Fujian, Peoples R China
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关键词: Behavior ferroptosis glutamate excitotoxicity pyroptosis sepsis-associated encephalopathy

摘要:
Sepsis-associated encephalopathy (SAE) often manifests in severe diffuse cerebral dysfunction due to an aberrant systemic immune response to infection. The underlying pathophysiology of SAE is not entirely understood but is likely a multifactorial process that involves disruption in cell death mechanism. Ferroptosis is a novel form of programmed cell death characterized by iron accumulation and lipid peroxidation, leading to inflammatory cascade and glutamate release. We hypothesized that ferroptosis is involved in the glutamate-mediated excitotoxic neuron injury during the uncontrolled neural inflammatory process of SAE. Inhibiting ferroptosis with ferrostatin-1 (Fer-1) could alleviate glutamate excitotoxicity and reduce neuron death of SAE, potentially improving prognosis. We found that in the cecal ligation and puncture (CLP) sepsis model, ferroptosis occurred increasingly in the cerebrum, characterized by glutathione-dependent antioxidant enzyme glutathione peroxidase 4 (GPX4) inactivation, transferrin upregulation, mitochondria shrink and malondialdehyde (MDA) increased. Fer-1 treatment downregulated cerebral ferroptosis and alleviated glutamate excitotoxicity via dampening system xc-(SXC) and glutamate receptor N-methyl-D-asperate receptor subunit 2. Combined with an observed reduction in calcium transporter PLCG and PLCB activation, these processes ultimately protected the integrities of synapses and neurons during SAE. Fer-1 treatment also rescued sepsis-induced nuclear autophagy and improved the behaviors of tail suspension test and novel object recognition test in septic mice. Conclusively, our results suggested that inhibition of ferroptosis could attenuate glutamate excitotoxicity and SAE outcomes.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 外科 3 区 危重病医学 3 区 血液学 3 区 外周血管病
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 血液学 3 区 外周血管病 3 区 外科 4 区 危重病医学
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出版当年[2020]版:
Q2 HEMATOLOGY Q2 PERIPHERAL VASCULAR DISEASE Q2 CRITICAL CARE MEDICINE Q2 SURGERY
最新[2023]版:
Q1 SURGERY Q2 CRITICAL CARE MEDICINE Q2 HEMATOLOGY Q2 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg,Trauma Ctr, 1095,Jiefang Ave, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg,Trauma Ctr, 1095,Jiefang Ave, Wuhan, Hubei, Peoples R China [*1]HUST, Tongji Med Coll, Tongji Hosp, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China [*2]HUST, Tongji Med Coll, Tongji Hosp, Dept Emergency & Trauma Surg, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
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