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亚低温通过影响ACSL4调节铁死亡改善脑缺血再灌注损伤的研究进展

谭璐璐 方鑫富 陈兴华

广东医学2024,Vol.45Issue(5):656-660,5.
广东医学2024,Vol.45Issue(5):656-660,5.DOI:10.13820/j.cnki.gdyx.20233125

亚低温通过影响ACSL4调节铁死亡改善脑缺血再灌注损伤的研究进展

Progress in the study of mild hypothermia improving brain ischemia-reperfusion injury by regulating iron death via ACSL4

谭璐璐 1方鑫富 2陈兴华1

作者信息

  • 1. 广西中医药大学第一附属医院神经内科(广西南宁 530023)
  • 2. 广西中医药大学研究生院(广西南宁 530023)
  • 折叠

摘要

Abstract

Brain ischemia-reperfusion injury represents a more severe phase occurring after cerebral ischemia.Currently,clinical treatments mainly focus on pharmacotherapy and surgical thrombolysis.Iron death,as a unique form of cell death,has been demonstrated to play a distinct role in cerebral ischemia and reperfusion injury,which is related to the accumulation of lipid peroxides mediated by acyl-CoA synthetase long-chain family member 4(ACSL4).Recent studies have found that mild hypothermia,as a clinically accepted physical therapy,may exert therapeutic effects on brain ischemia-reperfusion injury by preventing lipid oxidation,improving cerebral ischemia hypoxia,regulating coagulation enzyme function and iron metabolism,inhibiting excitotoxicity,reducing inflammation and edema,and decreasing blood-brain barrier permeability,ultimately silencing iron death.This review aims to analyze how mild hypothermia regulates iron death by affecting ACSL4,thereby providing new pathways and methods for mechanistic research and clinical treat-ment of brain ischemia-reperfusion injury.

关键词

亚低温/ACSL4/脑缺血再灌注损伤/铁死亡

Key words

mild low temperature/ACSL4/cerebral ischemia-reperfusion injury/ferroptosis

分类

医药卫生

引用本文复制引用

谭璐璐,方鑫富,陈兴华..亚低温通过影响ACSL4调节铁死亡改善脑缺血再灌注损伤的研究进展[J].广东医学,2024,45(5):656-660,5.

基金项目

广西中医脑病临床研究中心项目(桂科AD20238028) (桂科AD20238028)

广西高等学校高水平创新团队及卓越学者计划(桂教人才[2020]6号) (桂教人才[2020]6号)

广西中医药大学第一附属医院学术团队建设项目(院字[2018]146号) (院字[2018]146号)

广西中医药重点学科建设项目(GZXK-Z-20-13) (GZXK-Z-20-13)

广东医学

OACSTPCD

1001-9448

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