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Ferroptosis promotes aortic stenosis through 5-lipoxygenase - PubMed

4 hours ago
  • #5-lipoxygenase
  • #ferroptosis
  • #aortic stenosis
  • Intra-leaflet hemorrhage in calcified aortic valves contributes to iron overload and ferroptosis, promoting aortic stenosis.
  • The arachidonate 5-lipoxygenase (ALOX5)-ACSL4 axis is identified as a central pathway in valvular ferroptosis, driving lipid peroxidation and calcification.
  • Inhibition of ALOX5 reduces valve thickness and improves hemodynamic function in experimental models, suggesting a druggable target for treating calcific aortic valve disease.
  • Elevated arachidonic acid levels, linked to ferroptosis, independently predict aortic valve calcification and incident aortic stenosis in large population cohorts (SCAPIS and UK Biobank).