Ferroptosis in arterial atherosclerosis: mechanistic hypotheses, cell type specific vulnerabilities, translational biomarkers, and therapeutic opportunities - Report - MDSpire

Ferroptosis in arterial atherosclerosis: mechanistic hypotheses, cell type specific vulnerabilities, translational biomarkers, and therapeutic opportunities

  • By

  • Cai Li

  • Jinxia Wang

  • Jingyi Sun

  • June 24, 2026

  • 0 min

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Clinical Report: Ferroptosis in Atherosclerotic Arteries: Mechanistic Insights

Overview

This review explores the role of ferroptosis in atherosclerosis, highlighting its contribution to endothelial dysfunction and plaque instability.

Background

Atherosclerosis is a significant contributor to cardiovascular events such as myocardial infarctions and strokes. Despite advancements in treatment, residual risk persists due to factors like vascular inflammation and oxidative stress. Understanding ferroptosis may provide insights into the mechanisms underlying plaque instability.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • Ferroptosis is linked to endothelial barrier dysfunction and macrophage foam cell death in atherosclerosis.
  • Oxidized lipids and redox-active iron in atherosclerotic plaques create a microenvironment conducive to ferroptosis.
  • IL-1β can prime macrophages for ferroptosis, creating a feedback loop that exacerbates inflammation.
  • Defective efferocytosis and autophagy impairments contribute to the expansion of the necrotic core in plaques.
  • Current understanding of ferroptosis in human plaques is limited by inconsistencies in definitions and validation of biomarkers.

Clinical Implications

Identifying ferroptosis-specific signatures in human tissues may enhance risk assessment and management strategies for atherosclerosis.

Conclusion

Ferroptosis is implicated in atherosclerosis, and further research is needed to establish its clinical relevance.

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  3. Frontiers in Immunology, 2026 -- Ferroptosis-immune crosstalk in CNS diseases: mechanisms and translational insights
  4. Frontiers in Cardiovascular Medicine, 2026 -- Iron-dependent ferroptosis in cardiac microvascular endothelial cells: a key link between dysregulated iron homeostasis and microcirculatory injury during myocardial ischemia-reperfusion
  5. American College of Cardiology, 2026 -- ACC/AHA Issue Updated Guideline for Managing Lipids, Cholesterol
  6. American College of Cardiology, 2025 -- Colchicine vs. Placebo Reduces MACE in Patients With Vascular Disease
  7. Molecular Biomedicine, 2026 -- Ferroptosis in cardiovascular diseases: molecular mechanisms and a novel therapeutic target
  8. ACC/AHA Issue Updated Guideline for Managing Lipids, Cholesterol - American College of Cardiology
  9. Colchicine vs. Placebo Reduces MACE in Patients With Vascular Disease - American College of Cardiology
  10. Ferroptosis in cardiovascular diseases: molecular mechanisms and a novel therapeutic target | Molecular Biomedicine | Springer Nature Link

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