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REVIEW article

Front. Immunol.

Sec. Systems Immunology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1647931

Immunometabolic Regulation of Disulfidptosis in Orthopedic Diseases: Mechanistic Heterogeneity and Therapeutic Targets

Provisionally accepted
Xiaoming  ZhaoXiaoming ZhaoShaobo  WuShaobo WuXiaochen  SuXiaochen SuJun  GaoJun GaoLian  QuLian QuYingang  ZhangYingang Zhang*Yilei  ZhangYilei Zhang*
  • School of Medicine, Xi'an Jiaotong University, Xian, China

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

Disulfidptosis is a novel form of programmed cell death triggered by cystine metabolic disorders and disulfide stress, initially studied primarily in the context of tumors. In recent years, its role in the occurrence and development of orthopedic diseases has gained increasing attention. This review systematically explores the dual regulatory mechanisms of disulfidptosis in degenerative orthopedic diseases, such as intervertebral disc degeneration, osteoporosis, and osteoarthritis, as well as in malignant bone tumors like osteosarcoma, along with their immunometabolic basis. The research findings indicate that in degenerative lesions, microenvironmental stresses such as ischemia and hypoxia exacerbate tissue degeneration by promoting abnormal accumulation of disulfide bonds and damaging the cytoskeleton. In osteosarcoma, tumor-associated oxidative stress can induce metabolism-dependent cell death, providing new opportunities for targeted therapy. The article further summarizes key signaling pathways and molecular regulatory networks, discussing the potential value of targeted intervention strategies in slowing disease progression and achieving precision treatment.

Keywords: disulfidptosis, Bone Diseases, Oxidative Stress, Immunometabolism, targeted therapy

Received: 16 Jun 2025; Accepted: 06 Oct 2025.

Copyright: © 2025 Zhao, Wu, Su, Gao, Qu, Zhang and Zhang. 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:
Yingang Zhang, zyingang@mail.xjtu.edu.cn
Yilei Zhang, zhangyilei@xjtu.edu.cn

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