Review Article

Insight into Crosstalk between Ferroptosis and Necroptosis: Novel Therapeutics in Ischemic Stroke

Table 2

Pharmacotherapies targeting ferroptosis and necroptosis against cerebral ischemia or ischemic stroke. BCAS: bilateral common carotid artery stenosis.

PharmacotherapySubjectEffectsReferences

Ferroptosis
DFOMCAO ratsDecreases infarct volume[24]
StatinAcute ischemic stroke patientsReduces cholesterol and enhances early reperfusion[173, 175]
Vitamin B12Lacunar stroke patients
MCAO model; one patient
Protects the BBB; improves neurological function; endothelial cell protection[25, 176, 177]
PromethazineHT1080 cell ferroptosis model; MCAO modelSuppresses ferroptosis; an excellent therapeutic effect; a good ability to permeate the BBB[178]
NaotaifangMCAO ratsReduces ROS, MDA, and iron accumulation[27]
CarvacrolIschemic stroke gerbilsReduces lipid peroxidation levels and increases GPX4 expression[26]
Ferroptosis; necroptosis
17-DMAGMCAO mice; OGD-subjected bEnd.3 cellsProtects the BBB; inhibits HSP90 expression; suppresses inflammation[186]
Necroptosis
Nec-1BCAS miceInhibits RIP1 and RIP3 to reduce inflammation and improve cognitive function[30]
Nec-1MCAO ratsDecreases phosphorylated RIP1, RIP3, MLKL, and phosphorylated MLKL levels and the numbers of phosphorylated RIP1+ neurons[188]
NecrosulfonamideMCAO miceReduces MLKL expression and infarct volume and improves neurological function[189]
DabrafenibFocal ischemic brain injury model miceReduces TNF-α mRNA levels and infarct size[31]
InfliximabtMCAO ratsReduces mitochondrial damage, cytoplasm transparency, and BBB permeability[7]
Gsk872+RIP3 siRNAMCAO mice; OGD-subjected HT-22 cellsReduces RIP1, RIP3, MLKL, and phosphorylated MLKL levels to protect the neurological system[171]
LigustroflavoneMCAO ratsReduces RIP3, MLKL, and phosphorylated MLKL levels to improve neurological function[190]