Ferroptosis contributes to multiple sclerosis and its pharmacological targeting suppresses experimental disease progression.
Ferroptosis contributes to multiple sclerosis and its pharmacological targeting suppresses experimental disease progression.
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DOI:
10.1038/s41418-023-01195-0
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发表时间:
2023-09
影响因子:
12.4
通讯作者:
Vanden Berghe, Tom
中科院分区:
文献类型:
--
作者:
Van San, Emily;Debruyne, Angela C. C.;Veeckmans, Geraldine;Tyurina, Yulia Y. Y.;Tyurin, Vladimir A. A.;Zheng, Hao;Choi, Sze Men;Augustyns, Koen;van Loo, Geert;Michalke, Bernhard;Venkataramani, Vivek;Toyokuni, Shinya;Bayir, Huelya;Vandenabeele, Peter;Hassannia, Behrouz;Vanden Berghe, Tom
Multiple sclerosis (MS) is a chronic autoimmune disorder characterized by central nervous (CNS) demyelination resulting in axonal injury and neurological deficits. Essentially, MS is driven by an auto-amplifying mechanism of inflammation and cell death. Current therapies mainly focus on disease modification by immunosuppression, while no treatment specifically focuses on controlling cell death injury. Here, we report that ferroptosis, an iron-catalyzed mode of regulated cell death (RCD), contributes to MS disease progression. Active and chronic MS lesions and cerebrospinal fluid (CSF) of MS patients revealed several signs of ferroptosis, reflected by the presence of elevated levels of (labile) iron, peroxidized phospholipids and lipid degradation products. Treatment with our candidate lead ferroptosis inhibitor, UAMC-3203, strongly delays relapse and ameliorates disease progression in a preclinical model of relapsing-remitting MS. In conclusion, the results identify ferroptosis as a detrimental and targetable factor in MS. These findings create novel treatment options for MS patients, along with current immunosuppressive strategies.
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