IMR Press / JIN / Volume 24 / Issue 3 / DOI: 10.31083/JIN26458
Open Access Review
Mechanisms Associated with Mitophagy and Ferroptosis in Cerebral Ischemia-reperfusion Injury
Yugang Ma1,†Xuebin Wang2,3,†Yahui Li1,4Jing Zhao1,5Xue Zhou2,6,*Xingchen Wang3,7,*
Show Less
Affiliation
1 First Clinical Medical College, Shandong University of Traditional Chinese Medicine, 250014 Jinan, Shandong, China
2 Postdoctoral Research Station, Shandong University of Traditional Chinese Medicine, 250014 Jinan, Shandong, China
3 Department of Neurology, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 250001 Jinan, Shandong, China
4 Department of Gerontology, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 250001 Jinan, Shandong, China
5 Experimental Center, Shandong University of Traditional Chinese Medicine, 250399 Jinan, Shandong, China
6 Division of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 250014 Jinan, Shandong, China
7 The Second Clinical Medical College, Shandong University of Traditional Chinese Medicine, 250001 Jinan, Shandong, China
*Correspondence: 13658645362@163.com (Xue Zhou); sdlcwxc@163.com (Xingchen Wang)
These authors contributed equally.
J. Integr. Neurosci. 2025, 24(3), 26458; https://doi.org/10.31083/JIN26458
Submitted: 6 September 2024 | Revised: 30 October 2024 | Accepted: 5 November 2024 | Published: 18 March 2025
Copyright: © 2025 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Ischemic stroke (IS) constitutes a major threat to human health. Vascular recanalization by intravenous thrombolysis and mechanical thrombolysis remain the most significant and effective methods for relief of ischemia. Key elements of these treatments include achieving blood-vessel recanalization, restoring brain-tissue reperfusion, and preserving the ischemic penumbra. However, in achieving the therapeutic goals of vascular recanalization, secondary damage to brain tissue from cerebral ischemia-reperfusion injury (CIRI) must also be addressed. Despite advancements in understanding the pathological processes associated with CIRI, effective interventions to prevent its onset and progression are still lacking. Recent research has indicated that mitophagy and ferroptosis are critical mechanisms in the development of CIRI, and significantly contribute to the onset and progression of IS and CIRI because of common targets and co-occurrence mechanisms. Therefore, exploring and summarizing the potential connections between mitophagy and ferroptosis during CIRI is crucial. In the present review, we mainly focused on the mechanisms of mitochondrial autophagy and ferroptosis, and their interaction, in the development of CIRI. We believe that the data show a strong relationship between mitochondrial autophagy and ferroptosis with interactive regulation. This information may underpin new potential approaches for the prevention and treatment of IS and subsequent CIRI.

Keywords
cerebral ischemia-reperfusion injury
mitophagy
ferroptosis
ischemic stroke
mechanism research
Funding
[2022] No. 75/ National Famous Old Chinese Medicine Experts Inheritance Studio Construction Project
[2024] No. 78/ Qilu BianCang Traditional Chinese Medicine Talent Cultivation Project
Figures
Fig. 1.
Share
Back to top