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REVIEW article

Front. Physiol.

Sec. Renal Physiology and Pathophysiology

Volume 16 - 2025 | doi: 10.3389/fphys.2025.1633468

The Potential Functions of Ferroptosis in Urinary Stone Formation: Mechanisms and Therapeutic Implications

Provisionally accepted
  • 1Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, China
  • 2First Clinic School, Union Hospital, Tongji Medical College, Wuhan, China
  • 3Department of Urology,, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, China

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

Ferroptosis is a new type of cell death driven by iron-dependent phospholipid peroxidation, which is regulated by a variety of factors including redox homeostasis, iron metabolism, lipid metabolism, cellular metabolism, and mitochondrial function, and plays an important driving role in the development of various tissues and organ damage and diseases. Kidney stones are a common urological disease characterized by high morbidity and high recurrence rate. Currently available preventive or therapeutic treatments for kidney stones are inadequate to cope with the growing clinical demand, suffering from poor efficacy and a higher risk of postoperative complications. Accumulating experimental evidence has established mechanistic links between ferroptosis and nephrolithiasis pathogenesis, highlighting the promising potential of ferroptosis-based therapeutic strategies in kidney stone treatment. This review delves into the latest advances in ferroptosis research associated with kidney stone formation. We review the latest molecular regulatory mechanisms of ferroptosis associated with kidney stone formation from five aspects and elucidate the physiological functions and pathological roles of these pathways. In the conclusion, we critically analyze the therapeutic potential of targeting key molecular mediators within these pathways, providing strategic insights for developing novel therapeutic interventions that may overcome the limitations of conventional approaches in the future.

Keywords: ferroptosis, Nephrolithiasis, Lipid Peroxidation, Oxidative Stress, Autophagy

Received: 22 May 2025; Accepted: 05 Aug 2025.

Copyright: © 2025 Ran, 马, Luo and Ruan. 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: Yajun Ruan, Department of Urology,, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, China

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