Mechanistic insights into lipoprotein(a)-induced cardiomyocyte ferroptosis via ROS/p38/p53 signaling - Summary - MDSpire

Mechanistic insights into lipoprotein(a)-induced cardiomyocyte ferroptosis via ROS/p38/p53 signaling

  • By

  • Yujia Li

  • Xi Chen

  • Chuan He

  • Yukai Zhang

  • Tiechao Jiang

  • July 13, 2026

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Objective:

To investigate the effects of Lipoprotein(a) [Lp(a)] on cardiomyocytes and its role in inducing ferroptosis.

Approach:
  • In vitro and in vivo studies: Utilized cell culture and small animal models to assess the impact of Lp(a) on cardiomyocytes.
Key Findings:
  • Lp(a) induces ferroptosis in cardiomyocytes via a redox-sensitive pathway involving p38 MAPK activation and p53-mediated transcriptional regulation.
  • Exposure to Lp(a) led to increased intracellular Fe2+ levels, elevated malondialdehyde (MDA), and phosphorylation of p38 MAPK.
  • Pharmacological blockade of p38 using SB203580 or siRNA-mediated p38 silencing significantly reduced ferroptotic markers.
  • Activation of p38 promotes nuclear translocation of p53, which suppresses SLC7A11 expression, contributing to ferroptosis.
  • In vivo studies in Lp(a)-treated C57BL/6J mice confirmed cardiac dysfunction and ferroptotic markers, including myocardial Fe2+/MDA elevation and glutathione/cysteine depletion.
Interpretation:

The study investigates the mechanisms by which Lp(a) contributes to cardiomyocyte injury through ferroptosis, focusing on the roles of p38 MAPK and p53.

Limitations:
  • The study primarily focuses on specific pathways and may not encompass all mechanisms of Lp(a) induced cardiomyocyte injury.
  • Further research is needed to explore the implications of these findings in clinical settings.
Conclusion:

Lp(a) activates p38 MAPK through increased ROS levels, promoting ferroptosis in cardiomyocytes via SLC7A11 inhibition dependent on p53 activation.

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