Iron metabolism and ferroptosis: A pathway for understanding preeclampsia

Preeclampsia (PE) is a serious medical condition that poses a significant health risk to women and children worldwide, particularly in the middle- and low-income countries. It is a complex syndrome that occurs as a result of abnormal pregnancy. Hypertension is the most common symptom of PE, with pro...

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Main Authors: Khanisyah Erza Gumilar, Bayu Priangga, Chien-Hsing Lu, Erry Gumilar Dachlan, Ming Tan
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S075333222301363X
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author Khanisyah Erza Gumilar
Bayu Priangga
Chien-Hsing Lu
Erry Gumilar Dachlan
Ming Tan
author_facet Khanisyah Erza Gumilar
Bayu Priangga
Chien-Hsing Lu
Erry Gumilar Dachlan
Ming Tan
author_sort Khanisyah Erza Gumilar
collection DOAJ
description Preeclampsia (PE) is a serious medical condition that poses a significant health risk to women and children worldwide, particularly in the middle- and low-income countries. It is a complex syndrome that occurs as a result of abnormal pregnancy. Hypertension is the most common symptom of PE, with proteinuria and specific organ systems as detrimental targets. PE’s pathogenesis is diverse, and its symptoms can overlap with other diseases. In early pregnancy, when the placenta takes over control, oxidative stress may be closely associated with ferroptosis, a type of cell death caused by intracellular iron accumulation. Ferroptosis in the placenta is defined by redox-active iron availability, loss of antioxidant capacity and phospholipids containing polyunsaturated fatty acids (PUFA) oxidation. Recent studies suggest a compelling potential link between ferroptosis and PE. In this article, we comprehensively review the current understanding of PE and discuss one of its emerging underlying mechanisms, the ferroptosis pathway. We also provide perspective and analysis on the implications of this process in the diagnosis, prevention, and treatment of preeclampsia. We aim to bridge the gap between clinicians and basic scientists in understanding this harmful disease and challenge the research community to put more effort into this exciting new area.
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spelling doaj.art-82cf7a416bc2469496d903df5526c1ce2023-10-13T11:03:08ZengElsevierBiomedicine & Pharmacotherapy0753-33222023-11-01167115565Iron metabolism and ferroptosis: A pathway for understanding preeclampsiaKhanisyah Erza Gumilar0Bayu Priangga1Chien-Hsing Lu2Erry Gumilar Dachlan3Ming Tan4Graduate Institute of Biomedical Science, China Medical University, Taichung 406040, Taiwan, ROC; Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung 40705, Taiwan, ROCDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Surabaya 60115, IndonesiaGraduate Institute of Biomedical Science, China Medical University, Taichung 406040, Taiwan, ROC; Institute of Biochemistry & Molecular Biology, and Research Center for Cancer Biology, China Medical University, Taichung 406040, Taiwan, ROC; Corresponding author at: Graduate Institute of Biomedical Science, China Medical University, Taichung 406040, Taiwan, ROC.Preeclampsia (PE) is a serious medical condition that poses a significant health risk to women and children worldwide, particularly in the middle- and low-income countries. It is a complex syndrome that occurs as a result of abnormal pregnancy. Hypertension is the most common symptom of PE, with proteinuria and specific organ systems as detrimental targets. PE’s pathogenesis is diverse, and its symptoms can overlap with other diseases. In early pregnancy, when the placenta takes over control, oxidative stress may be closely associated with ferroptosis, a type of cell death caused by intracellular iron accumulation. Ferroptosis in the placenta is defined by redox-active iron availability, loss of antioxidant capacity and phospholipids containing polyunsaturated fatty acids (PUFA) oxidation. Recent studies suggest a compelling potential link between ferroptosis and PE. In this article, we comprehensively review the current understanding of PE and discuss one of its emerging underlying mechanisms, the ferroptosis pathway. We also provide perspective and analysis on the implications of this process in the diagnosis, prevention, and treatment of preeclampsia. We aim to bridge the gap between clinicians and basic scientists in understanding this harmful disease and challenge the research community to put more effort into this exciting new area.http://www.sciencedirect.com/science/article/pii/S075333222301363XAbnormal pregnancyCell deathPreeclampsiaFerroptosisOxidative stressIron Metabolism
spellingShingle Khanisyah Erza Gumilar
Bayu Priangga
Chien-Hsing Lu
Erry Gumilar Dachlan
Ming Tan
Iron metabolism and ferroptosis: A pathway for understanding preeclampsia
Biomedicine & Pharmacotherapy
Abnormal pregnancy
Cell death
Preeclampsia
Ferroptosis
Oxidative stress
Iron Metabolism
title Iron metabolism and ferroptosis: A pathway for understanding preeclampsia
title_full Iron metabolism and ferroptosis: A pathway for understanding preeclampsia
title_fullStr Iron metabolism and ferroptosis: A pathway for understanding preeclampsia
title_full_unstemmed Iron metabolism and ferroptosis: A pathway for understanding preeclampsia
title_short Iron metabolism and ferroptosis: A pathway for understanding preeclampsia
title_sort iron metabolism and ferroptosis a pathway for understanding preeclampsia
topic Abnormal pregnancy
Cell death
Preeclampsia
Ferroptosis
Oxidative stress
Iron Metabolism
url http://www.sciencedirect.com/science/article/pii/S075333222301363X
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AT chienhsinglu ironmetabolismandferroptosisapathwayforunderstandingpreeclampsia
AT errygumilardachlan ironmetabolismandferroptosisapathwayforunderstandingpreeclampsia
AT mingtan ironmetabolismandferroptosisapathwayforunderstandingpreeclampsia