REVIEW article

Front. Cell. Neurosci.

Sec. Cellular Neuropathology

Volume 19 - 2025 | doi: 10.3389/fncel.2025.1593963

This article is part of the Research TopicReviews in Cellular NeuropathologyView all 6 articles

Ferroptosis in Central Nervous System Injuries: Molecular Mechanisms, Diagnostic Approaches, and Therapeutic Strategies

Provisionally accepted
Qiuhu  HuangQiuhu HuangHaowen  ZhangHaowen ZhangShenbo  ChenShenbo ChenYao  WangYao WangJian  ZhouJian Zhou*
  • First Affiliated Hospital of Hainan Medical University, Haikou, China

The final, formatted version of the article will be published soon.

Ferroptosis, an iron-dependent form of cell death, has emerged as a critical factor in the pathogenesis of central nervous system (CNS) injuries, including neurodegenerative diseases, stroke, and traumatic brain injury. This review highlights disrupted iron metabolism, glutathione depletion, and antioxidant system impairment as core mechanisms, alongside polyunsaturated fatty acid oxidation contributing to neuronal damage. Diagnostic advancements, such as MRI-based iron quantification and lipid ROS detection, offer clinical potential but require validation. Therapeutic strategies, including iron chelators, antioxidants, and lipid metabolism modulators, demonstrate efficacy in preclinical models by attenuating ferroptosis. Translational challenges persist due to incomplete mechanistic insights, tissuespecific iron dynamics, and delivery limitations. The dual role of iron in CNS physiology and pathology underscores the need for interdisciplinary research to refine diagnostics and therapies.Emphasizing ferroptosis as a therapeutic target, this work advocates for a deeper exploration of immune interactions and combinatorial approaches to improve outcomes in CNS injuries.

Keywords: Neurological Injuries, ferroptosis, Iron, Lipid Peroxidation, Central Nervous System

Received: 15 Mar 2025; Accepted: 27 Jun 2025.

Copyright: © 2025 Huang, Zhang, Chen, Wang and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Jian Zhou, First Affiliated Hospital of Hainan Medical University, Haikou, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.