Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis

Iron overload and oxidative stress have been reported to contribute to ferroptosis in endometriotic lesions. However, the possible roles of iron overload on macrophages in endometriosis (EMs) remain unknown. Based on recent reports by single-cell sequencing data of endometriosis, here we found signi...

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Main Authors: Zhi-Hui Yi, Shu-Qing Li, Jun-Ya Ke, Yun Wang, Ming-Zhi Zhao, Jing Li, Ming-Qing Li, Zhi-Ling Zhu
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Current Issues in Molecular Biology
Subjects:
Online Access:https://www.mdpi.com/1467-3045/44/12/422
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author Zhi-Hui Yi
Shu-Qing Li
Jun-Ya Ke
Yun Wang
Ming-Zhi Zhao
Jing Li
Ming-Qing Li
Zhi-Ling Zhu
author_facet Zhi-Hui Yi
Shu-Qing Li
Jun-Ya Ke
Yun Wang
Ming-Zhi Zhao
Jing Li
Ming-Qing Li
Zhi-Ling Zhu
author_sort Zhi-Hui Yi
collection DOAJ
description Iron overload and oxidative stress have been reported to contribute to ferroptosis in endometriotic lesions. However, the possible roles of iron overload on macrophages in endometriosis (EMs) remain unknown. Based on recent reports by single-cell sequencing data of endometriosis, here we found significant upregulations of ferroptosis-associated genes in the macrophage of the endometriotic lesion. Additionally, there was an elevated expression of <i>HMOX1</i>, <i>FTH1</i>, and <i>FTL</i> in macrophages of peritoneal fluid in EMs, as well as iron accumulation in the endometriotic lesions. Notably, cyst fluid significantly up-regulated levels of intracellular iron and ferroptosis in Phorbol-12-myristate-13-acetate (PMA)-stimulated THP-1 cells. Additionally, high iron-induced ferroptosis obviously reduced PMA-stimulated THP-1 cells’ phagocytosis and increased the expression of angiogenic cytokines, such as vascular endothelial growth factor A (VEGFA) and interleukin 8 (IL8). Baicalein, a potential anti-ferroptosis compound, increased GPX4 expression, significantly inhibited ferroptosis, and restored phagocytosis of THP-1 cells in vitro. Collectively, our study reveals that ferroptosis triggered by high iron in cyst fluid promotes the development of EMs by impairing macrophage phagocytosis and producing more angiogenic cytokines (e.g., IL8 and VEGFA). Baicalein displays the potential for the treatment of EMs, especially in patients with high ferroptosis and low phagocytosis of macrophages.
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spelling doaj.art-f859d65b075243f8b53c796daf905b962023-11-24T14:03:47ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452022-12-0144126189620410.3390/cimb44120422Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian EndometriosisZhi-Hui Yi0Shu-Qing Li1Jun-Ya Ke2Yun Wang3Ming-Zhi Zhao4Jing Li5Ming-Qing Li6Zhi-Ling Zhu7Department of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaDepartment of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaInstitute of Obstetrics and Gynecology, Hospital of Obstetrics and Gynecology, Fudan University, Shanghai 200080, ChinaDepartment of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaDepartment of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaDepartment of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaDepartment of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaDepartment of Obstetrics and Gynecology, Shanghai Medical College of Fudan University, Shanghai 200011, ChinaIron overload and oxidative stress have been reported to contribute to ferroptosis in endometriotic lesions. However, the possible roles of iron overload on macrophages in endometriosis (EMs) remain unknown. Based on recent reports by single-cell sequencing data of endometriosis, here we found significant upregulations of ferroptosis-associated genes in the macrophage of the endometriotic lesion. Additionally, there was an elevated expression of <i>HMOX1</i>, <i>FTH1</i>, and <i>FTL</i> in macrophages of peritoneal fluid in EMs, as well as iron accumulation in the endometriotic lesions. Notably, cyst fluid significantly up-regulated levels of intracellular iron and ferroptosis in Phorbol-12-myristate-13-acetate (PMA)-stimulated THP-1 cells. Additionally, high iron-induced ferroptosis obviously reduced PMA-stimulated THP-1 cells’ phagocytosis and increased the expression of angiogenic cytokines, such as vascular endothelial growth factor A (VEGFA) and interleukin 8 (IL8). Baicalein, a potential anti-ferroptosis compound, increased GPX4 expression, significantly inhibited ferroptosis, and restored phagocytosis of THP-1 cells in vitro. Collectively, our study reveals that ferroptosis triggered by high iron in cyst fluid promotes the development of EMs by impairing macrophage phagocytosis and producing more angiogenic cytokines (e.g., IL8 and VEGFA). Baicalein displays the potential for the treatment of EMs, especially in patients with high ferroptosis and low phagocytosis of macrophages.https://www.mdpi.com/1467-3045/44/12/422macrophagephagocytosisferroptosisbaicaleinendometriosis
spellingShingle Zhi-Hui Yi
Shu-Qing Li
Jun-Ya Ke
Yun Wang
Ming-Zhi Zhao
Jing Li
Ming-Qing Li
Zhi-Ling Zhu
Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis
Current Issues in Molecular Biology
macrophage
phagocytosis
ferroptosis
baicalein
endometriosis
title Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis
title_full Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis
title_fullStr Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis
title_full_unstemmed Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis
title_short Baicalein Relieves Ferroptosis-Mediated Phagocytosis Inhibition of Macrophages in Ovarian Endometriosis
title_sort baicalein relieves ferroptosis mediated phagocytosis inhibition of macrophages in ovarian endometriosis
topic macrophage
phagocytosis
ferroptosis
baicalein
endometriosis
url https://www.mdpi.com/1467-3045/44/12/422
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