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Implications of ferritinophagy in cardiovascular diseases and its pharmacological modulation: underlying mechanisms and clinical translation strategies - PubMed

2 hours ago
  • #NCOA4
  • #Ferritinophagy
  • #Cardiovascular Diseases
  • Ferritinophagy is a process mediated by NCOA4 that regulates ferritin degradation and iron homeostasis.
  • It plays a dual role in cardiovascular diseases, being essential for iron supply but harmful when excessive, leading to oxidative stress and ferroptosis.
  • Excessive ferritinophagy contributes to conditions like myocardial ischemia-reperfusion injury, atherosclerosis, and diabetic cardiomyopathy.
  • Pharmacological strategies to modulate ferritinophagy include direct inhibition via NCOA4 siRNA and lysosomal inhibitors, and indirect methods like ferroptosis inhibitors.
  • Clinical translation faces challenges in tissue specificity, drug delivery efficiency, and long-term safety, with future directions focusing on organ-specific targeting and combination therapies.