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铁死亡与高血压相关性研究进展OA北大核心

Research Progress on the Association Between Ferroptosis and Hypertension

中文摘要英文摘要

铁与高血压的关系近年来已成为心血管领域的重要前沿方向.铁死亡(ferroptosis)作为近年发现的一种铁依赖性细胞死亡形式,已被证实在多数心血管疾病及其相关疾病的发生发展中扮演着十分重要的角色.铁死亡的核心机制涉及铁代谢紊乱、脂质过氧化反应以及抗氧化系统的损伤,这些机制在高血压的病理进程中起着重要作用.铁死亡中铁代谢失衡和脂质过氧化这两者是导致高血压疾病相关血管损伤、血管重构以及高血压靶器官损害的关键因素.本文系统梳理了铁死亡与高血压之间的分子关联及其病理生理机制网络,重点探讨了铁死亡中铁代谢紊乱、脂质过氧化双重机制及其在高血压中的潜在作用.并针对铁死亡在高血压中的生理学和病理学协同作用进行了分析.从铁死亡的调控出发,为高血压的早期诊断和治疗提供了新的思路和方向,同时为临床应用提供了理论依据.本文还就铁死亡的治疗策略展开讨论,涵盖了铁螯合剂、抗氧化剂和铁死亡抑制剂等靶向治疗方法.旨在通过归纳总结铁死亡与高血压之间的联系,为后续研究工作提供翔实可靠、具有借鉴价值的理论依据,并为高血压的早期诊断及干预治疗提供新的思路.

The relationship between iron and hypertension has emerged as a significant frontier in cardiovascular research in recent years.Ferroptosis,a newly identified iron-dependent form of regulated cell death,has been demonstrated to play a critical role in the onset and progression of numerous cardiovascular diseases and their related conditions.The core mechanisms of ferroptosis involve dysregulated iron metabolism,lipid peroxidation,and impairment of antioxidant systems,all of which contribute importantly to the pathophysiology of hypertension.Among these,imbalance in iron metabolism and lipid peroxidation are the key drivers of hypertension associated vascular injury,vascular remodeling,and target organ damage.This review systematically summarizes the molecular correlation between ferroptosis and hypertension,focusing on the pathological and physiological mechanisms of iron metabolism disorders and lipid peroxidation,and explores their potential roles in hypertensive pathology.Furthermore,it also analyzes the synergistic physiological and pathological effects for ferroptosis in hypertension.By elucidating the regulatory mechanisms ferroptosis,this work proposes novel perspectives and directions for the early diagnosis and treatment of hypertension,offering a theoretical basis for clinical application.Additionally,therapeutic strategies targeting ferroptosis including iron chelators,antioxidants,and ferroptosis inhibitors are discussed.The aim is to provide a comprehensive and reliable theoretical foundation for future research and to offer innovative ideas for the early diagnosis and intervention of hypertension.

刘琪悦;刘丽军

西藏民族大学医学部高原相关疾病分子遗传机制研究与干预省级重点实验室,陕西 咸阳 712082西藏民族大学医学部环境与疾病相关基因研究高校重点实验室,陕西 咸阳 712082

医药卫生

高血压铁死亡铁代谢脂质过氧化铁超载

hypertensionferroptosisiron metabolism disorderslipid peroxidationiron overload

《中山大学学报(医学科学版)》 2025 (5)

747-755,9

国家自然科学基金(U20A20395)西藏自治区基地与人才基金(XZ202401JD0031)

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