Iron overload disrupts bone homeostasis via TfR1-dependent ferroptosis and cGAS/STING-driven pyroptosis in pyogenic spondylitis - Report - MDSpire

Iron overload disrupts bone homeostasis via TfR1-dependent ferroptosis and cGAS/STING-driven pyroptosis in pyogenic spondylitis

  • By

  • Wenchao Xu

  • Qinpeng Xu

  • Hongdong Tan

  • Xiaodong Liu

  • Jiaju Ma

  • Fei Jia

  • Heng Yang

  • Meimei Zheng

  • Jianlong Li

  • Xingang Cui

  • Xingzhi Jing

  • Xiaoyang Liu

  • June 30, 2026

  • 0 min

Share

Iron Excess Impairs Bone Homeostasis through TfR1-Mediated Ferroptosis

Overview

This study reveals that iron overload in pyogenic spondylitis (PS) leads to bone destruction through mechanisms involving ferroptosis and pyroptosis.

Background

Pyogenic spondylitis (PS) is characterized by infections of spinal structures, leading to significant bone destruction and neurological complications. Understanding the mechanisms behind bone loss in PS is crucial for developing effective treatments. This study investigates the role of iron overload and its associated cellular processes in PS-induced bone loss.

Data Highlights

FindingDetails
Iron OverloadDetected in infected vertebral specimens from PS patients.
TfR1 ExpressionIncreased in both PS patients and S. aureus-infected cells.
Osteoblast FerroptosisInduced by excessive iron and oxidative stress injury.
cGAS/STING ActivationPromoted mtDNA leakage and pyroptosis in osteoblasts.
In Vivo ResultsFerristatin II reduced iron deposition and preserved trabecular architecture in PS rats.

Key Findings

  • Iron overload was observed in vertebral specimens from PS patients.
  • Increased expression of TfR1 was noted in S. aureus-infected cells.
  • Excessive iron led to osteoblast ferroptosis and impaired osteogenic activity.
  • Iron overload activated the cGAS/STING pathway, contributing to pyroptosis.
  • Ferristatin II treatment reduced iron levels and preserved bone structure in vivo.

Clinical Implications

Further research is warranted to explore the implications of these findings in clinical settings.

Conclusion

This study identifies a critical link between iron overload and bone destruction in pyogenic spondylitis.

Related Resources & Content

  1. Frontiers in Immunology, 2026 -- Ferroptosis: a promising therapeutic target for periodontitis
  2. Frontiers in Immunology, 2026 -- Convergent death programs in chronic obstructive pulmonary disease: how pyroptotic and ferroptotic crosstalk reshapes therapeutic paradigms
  3. Frontiers in Immunology, 2026 -- Pharmacological intervention of the HMGB1-pCTS-L axis to ameliorate inflammatory diseases
  4. Blood Cancer Journal — Targeting the Inflammasome for Therapy in Myeloid Cancers
  5. Imaging clues for the diagnosis of various pathogenic causes of infectious spondylitis
  6. Optimal Duration of Antibiotic Therapy for Primary Osteomyelitis Discitis: A Systematic Review and Network Meta-Analysis
  7. IDSA 2015 Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults
  8. https://jbji.copernicus.org/articles/9/173/2024/jbji-9-173-2024.pdf
  9. EANM/SNMMI guideline/procedure standard for [
  10. Vertebral Osteomyelitis - StatPearls - NCBI Bookshelf
  11. Early shift to oral antibiotic treatment for pyogenic vertebral osteomyelitis (SAVE): study protocol for an open label, non-inferiority, nation-wide randomized controlled clinical trial - The Capital Region of Denmark's Research Portal
  12. Antibiotic treatment for 6 weeks versus 12 weeks in patients with pyogenic vertebral osteomyelitis: an open-label, non-inferiority, randomised, controlled trial - PubMed
  13. Surgery for Vertebral Osteomyelitis Lowers 1-Year Mortality and Failure Rates Compared with Nonsurgical Treatment: A Propensity-Matched Analysis - PubMed
  14. Time to Change the Treatment Paradigm for Vertebral Osteomyelitis? Not Quite!: Commentary on an article by Nikolaus Kernich, MD, et al.: "Surgery for Vertebral Osteomyelitis Lowers 1-Year Mortality and Failure Rates Compared with Nonsurgical Treatment. A Propensity-Matched Analysis" - PubMed
  15. Early and late mortality in vertebral osteomyelitis: who dies within the first year after diagnosis | Infection | Springer Nature Link
  16. Pyroptosis: molecular mechanisms and roles in disease | Cell Research

Original Source(s)

Related Content