Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications

Iron dysregulation has emerged as a pivotal factor in neurodegenerative pathologies, especially through its capacity to promote ferroptosis, a unique form of regulated cell death driven by iron-catalyzed lipid peroxidation. This review synthesizes current evidence on the molecular underpinnings of f...

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Main Authors: Nurzhan Abdukarimov, Kamilya Kokabi, Jeannette Kunz
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/14/5/527
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author Nurzhan Abdukarimov
Kamilya Kokabi
Jeannette Kunz
author_facet Nurzhan Abdukarimov
Kamilya Kokabi
Jeannette Kunz
author_sort Nurzhan Abdukarimov
collection DOAJ
description Iron dysregulation has emerged as a pivotal factor in neurodegenerative pathologies, especially through its capacity to promote ferroptosis, a unique form of regulated cell death driven by iron-catalyzed lipid peroxidation. This review synthesizes current evidence on the molecular underpinnings of ferroptosis, focusing on how disruptions in iron homeostasis interact with key antioxidant defenses, such as the system Xc<sup>−</sup>-glutathione-GPX4 axis, to tip neurons toward lethal oxidative damage. Building on these mechanistic foundations, we explore how ferroptosis intersects with hallmark pathologies in Alzheimer’s disease (AD) and Parkinson’s disease (PD) and examine how iron accumulation in vulnerable brain regions may fuel disease-specific protein aggregation and neurodegeneration. We further surveyed the distinct components of ferroptosis, highlighting the role of lipid peroxidation enzymes, mitochondrial dysfunction, and recently discovered parallel pathways that either exacerbate or mitigate neuronal death. Finally, we discuss how these insights open new avenues for neuroprotective strategies, including iron chelation and lipid peroxidation inhibitors. By highlighting open questions, this review seeks to clarify the current state of knowledge and proposes directions to harness ferroptosis modulation for disease intervention.
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spelling doaj-art-0ec058bf8d5648c1965e0f0741d9a0932025-08-20T03:14:29ZengMDPI AGAntioxidants2076-39212025-04-0114552710.3390/antiox14050527Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease ImplicationsNurzhan Abdukarimov0Kamilya Kokabi1Jeannette Kunz2Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana 010000, KazakhstanDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana 010000, KazakhstanDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana 010000, KazakhstanIron dysregulation has emerged as a pivotal factor in neurodegenerative pathologies, especially through its capacity to promote ferroptosis, a unique form of regulated cell death driven by iron-catalyzed lipid peroxidation. This review synthesizes current evidence on the molecular underpinnings of ferroptosis, focusing on how disruptions in iron homeostasis interact with key antioxidant defenses, such as the system Xc<sup>−</sup>-glutathione-GPX4 axis, to tip neurons toward lethal oxidative damage. Building on these mechanistic foundations, we explore how ferroptosis intersects with hallmark pathologies in Alzheimer’s disease (AD) and Parkinson’s disease (PD) and examine how iron accumulation in vulnerable brain regions may fuel disease-specific protein aggregation and neurodegeneration. We further surveyed the distinct components of ferroptosis, highlighting the role of lipid peroxidation enzymes, mitochondrial dysfunction, and recently discovered parallel pathways that either exacerbate or mitigate neuronal death. Finally, we discuss how these insights open new avenues for neuroprotective strategies, including iron chelation and lipid peroxidation inhibitors. By highlighting open questions, this review seeks to clarify the current state of knowledge and proposes directions to harness ferroptosis modulation for disease intervention.https://www.mdpi.com/2076-3921/14/5/527ferroptosisiron homeostasiscell deathAlzheimer’s diseaseParkinson’s disease
spellingShingle Nurzhan Abdukarimov
Kamilya Kokabi
Jeannette Kunz
Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
Antioxidants
ferroptosis
iron homeostasis
cell death
Alzheimer’s disease
Parkinson’s disease
title Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
title_full Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
title_fullStr Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
title_full_unstemmed Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
title_short Ferroptosis and Iron Homeostasis: Molecular Mechanisms and Neurodegenerative Disease Implications
title_sort ferroptosis and iron homeostasis molecular mechanisms and neurodegenerative disease implications
topic ferroptosis
iron homeostasis
cell death
Alzheimer’s disease
Parkinson’s disease
url https://www.mdpi.com/2076-3921/14/5/527
work_keys_str_mv AT nurzhanabdukarimov ferroptosisandironhomeostasismolecularmechanismsandneurodegenerativediseaseimplications
AT kamilyakokabi ferroptosisandironhomeostasismolecularmechanismsandneurodegenerativediseaseimplications
AT jeannettekunz ferroptosisandironhomeostasismolecularmechanismsandneurodegenerativediseaseimplications