Review Article

Emerging Potential Therapeutic Targets of Ferroptosis in Skeletal Diseases

Table 2

Overview of inducers of ferroptosis.

TargetInducerMechanisms associated with ferroptosis

System Xc-ErastinInhibit system Xc- activity
Erastin2Inhibition of system Xc- cystine/glutamate transporter
Imidazole ketone ErastinMetabolic stabilization inhibitor of system X-
GlutamateInhibit system Xc- activity
GPX4RSL3GPX4 bound to selenocysteine sites
DPI7 (ML162)Covalently bind GPX4 (same binding site as RSL3)
DPI10 (ML210)Indirectly inhibit GPX4 activity or bind to sites different from RSL3
AltretamineInhibit GPX4 activity
GSHButhionine sulfoximineReduce GSH synthesis
N-Acetyl-4-benzoquinone imineToxic doses deplete glutathione reserves in the liver
CisplatinBinding to GSH inactivates GXP4
DPl2Excessive consumption of GSH
PiperlongumineConsume GSH and inhibit GPX4 activity
ROS and iron ionsHemeIncrease of intracellular unstable iron
Withaferin AMedium dose upregulated HMOX1 expression and increased intracellular unstable iron. High dose inhibited GPX4 activity
BAY 11-7085Upregulation of HMOX1 expression and increase of intracellular unstable iron
FINO2Oxidation of Fe2+ promotes ROS accumulation in cells
ArtesunateInduce ferritin autophagy and release unstable iron
DihydroartemisininInduce ferritin autophagy and release unstable iron; binding to free iron inhibits ferritin translation
SiramesineDecrease the expression of FPN, increased the expression of transferrin, increased the intracellular unstable iron
BAY 87-2243Inhibit mitochondrial respiratory chain complex 1 and increase ROS
iFSP1Inhibition of FSP1 inhibits ferroptosis unrelated to glutathione activity
ROSAuranofinInhibit thioredoxin reductase activity
StatinsInhibits HMG-COA reductase, which catalyzes rate-limiting steps of the MVA pathway
ROS and GSHQD-394Induce lipid peroxidation and decrease GSH/GSSH ratio
ROS and SQSFIN56Induce GPX4 degradation. Bind and activate SQS to reduce CoQ10