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Ferrostatin-1 attenuates inflammatory response to hypoxic lung injury at plateau by inhibiting ferroptosis in lung epithelial cells
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Haoran GUO1, 2, Ting LIU1, 2, Liye WANG1, 2, Zhiyun HAO1, 2, Chengbin WANG1, Chi WANG1, Mianyang LI1
Journal of Army Medical University | 2025, 47(12) : 1261 - 1275
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Journal of Army Medical University | 2025, 47(12): 1261-1275
• Military Medicine •
Ferrostatin-1 attenuates inflammatory response to hypoxic lung injury at plateau by inhibiting ferroptosis in lung epithelial cells
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Haoran GUO1, 2, Ting LIU1, 2, Liye WANG1, 2, Zhiyun HAO1, 2, Chengbin WANG1, Chi WANG1, Mianyang LI1
Affiliations
  • 1Department of Laboratory Medicine,First Medical Center of Chinese PLA General Hospital,Beijing
  • 2Medical School of Chinese PLA,Beijing,China
Published: 2025-06-30 doi: 10.16016/j.2097-0927.202502011
Outline
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Objective‍

To investigate the protective effects of ferroptosis inhibitor ferrostatin-1 (Fer-1) on high-altitude hypoxic lung injury and explore novel preventive strategies for high-altitude hypoxia-induced lung injury.

Methods‍

①Eighteen SPF male Wistar rats (5~6 weeks old, 210~230 g) were randomly divided into 3 groups (n=6): normoxic control, hypoxic lung injury, and Fer-1 pretreatment groups. A hypobaric chamber was used to establish a rat model of high-altitude hypoxic lung injury. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) was employed to compare pulmonary protein profiles between normoxic and hypoxic groups, followed by bioinformatics analysis of pathways enriched with differentially expressed proteins (DEPs). Histopathological changes and lung injury scores were assessed with HE staining. ELISA was used to quantify the inflammatory cytokines, flow cytometry and immunofluorescence assay were employed to measure the production of reactive oxygen species (ROS), and spectrophotometry was utilized to determine the contents of Fe²⁺, glutathione (GSH), malondialdehyde (MDA), and superoxide dismutase (SOD) to evaluate oxidative stress and detect ferroptosis-related markers. ② Human bronchial epithelial cells (bronchial epithelium transformed with Ad12-SV40, BEAS-2B) and macrophages induced by tumor human peripheral blood monocytes-1 (THP-1) cells were placed in a low oxygen conditions for 48 h to establish a cellular model of hypoxic lung injury, on which Fer-1 was administered as a preventive group. Ferroptosis markers in BEAS-2B cells and inflammatory cytokine secretion in macrophages were analyzed.

Results‍

①Proteomics identified 2 962 proteins, with 357 DEPs (199 up-regulated, 158 down-regulated). Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis showed ferroptosis as the most enriched pathway. Hypoxic lung injury resulted in elevated ROS, MDA, Fe²⁺, and inflammatory cytokines (P<0.05), reduced SOD, GSH, solute carrier family 7 member 11 (SLC7A11), glutathione peroxidase 4 (GPX4), and ferritin heavy chain 1 (FTH1), and increased acyl-coa synthetase long chain family member 4 (ACSL4) (P<0.05). Fer-1 pretreatment significantly mitigated oxidative stress (ROS, MDA, SOD, GSH; P<0.05), up-regulated SLC7A11 and FTH1, down-regulated ACSL4 (P<0.05), and reduced inflammation (P<0.05). ②In cellular models, Fer-1 increased SLC7A11, GPX4, FTH1, GSH, and SOD (P<0.05), declined ROS (P<0.05), and suppressed macrophage inflammatory cytokines (P<0.05).

Conclusion‍

Fer-1 alleviates high-altitude hypoxic lung injury by inhibiting ferroptosis in pulmonary epithelial cells and attenuating macrophage-driven inflammation, providing experimental evidence for novel therapeutic strategies.

high-altitude hypoxia  /  lung injury  /  ferroptosis  /  inflammatory response  /  macrophages
郭浩然, 刘亭, 王立烨, 郝治云, 王成彬, 王驰, 李绵洋. 铁抑素-1通过抑制肺上皮细胞铁死亡减轻高原低氧肺损伤炎症反应. 陆军军医大学学报, 2025 , 47 (12) : 1261 -1275 . DOI: 10.16016/j.2097-0927.202502011
Haoran GUO, Ting LIU, Liye WANG, Zhiyun HAO, Chengbin WANG, Chi WANG, Mianyang LI. Ferrostatin-1 attenuates inflammatory response to hypoxic lung injury at plateau by inhibiting ferroptosis in lung epithelial cells[J]. Journal of Army Medical University, 2025 , 47 (12) : 1261 -1275 . DOI: 10.16016/j.2097-0927.202502011
Year 2025 volume 47 Issue 12
21
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doi: 10.16016/j.2097-0927.202502011
  • Receive Date:2025-02-06
  • Online Date:2026-10-28
  • Published:2025-06-30
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  • Received:2025-02-06
  • Revised:2025-04-30
Affiliations
    1Department of Laboratory Medicine,First Medical Center of Chinese PLA General Hospital,Beijing
    2Medical School of Chinese PLA,Beijing,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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