Review Article
Open Access

Research progress on ferroptosis in the pathogenesis of sepsis

Yu Xiang
Yu Xiang
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Jiameng Liu
Jiameng Liu
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Huan Li
Huan Li
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Kecheng Zhai
Kecheng Zhai
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Xingchen Yue
Xingchen Yue
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Shangping Fang
Shangping Fang
20180041@wnmc.edc.cn
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
Address correspondence to
Article notes
Highlights
Shangping Fang, Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, No.22, Wenchang West Road, Lugang Street, Yijiang District, Wuhu 241002, Anhui Province, China. Tel: +86-19855362767; E-mail: 20180041@wnmc.edc.cn.
Received December 12, 2024; Accepted February 14, 2025; Published September 30, 2025
  • Lipid metabolism and iron metabolism pathways are key biological pathways involved in ferroptosis. 

  • Ferroptosis exhibits complex crosstalk with other cell death forms in sepsis, with significant implications for disease pathogenesis and therapy. 

  • Ferroptosis plays a critical role in sepsis-related organ damage and prognosis. 

  • This review suggests directions and perspectives for treating ferroptosis and sepsis in the perioperative period.

Review Article
Open Access
Research progress on ferroptosis in the pathogenesis of sepsis
Yu Xiang
Yu Xiang
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Jiameng Liu
Jiameng Liu
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Huan Li
Huan Li
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Kecheng Zhai
Kecheng Zhai
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Xingchen Yue
Xingchen Yue
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Shangping Fang
Shangping Fang
20180041@wnmc.edc.cn
Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
Address correspondence to
Shangping Fang, Anesthesia Laboratory and Training Center, School of Anesthesiology, Wannan Medical College, No.22, Wenchang West Road, Lugang Street, Yijiang District, Wuhu 241002, Anhui Province, China. Tel: +86-19855362767; E-mail: 20180041@wnmc.edc.cn.
Article notes
Received December 12, 2024; Accepted February 14, 2025; Published September 30, 2025
Highlights
  • Lipid metabolism and iron metabolism pathways are key biological pathways involved in ferroptosis. 

  • Ferroptosis exhibits complex crosstalk with other cell death forms in sepsis, with significant implications for disease pathogenesis and therapy. 

  • Ferroptosis plays a critical role in sepsis-related organ damage and prognosis. 

  • This review suggests directions and perspectives for treating ferroptosis and sepsis in the perioperative period.

2025 Sep;3(3):105-115
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Abstract

Ferroptosis is a newly identified form of cell death that has garnered attention in recent years. Current research has clarified several key mechanisms of ferroptosis, with reactive oxygen species, oxidative stress, and iron me tabolism emerging as central factors. Additionally, various signaling pathways, molecules, and organelles also contribute to the regulation and progression of ferroptosis. Activation of ferroptosis has significant implications for sepsis-related inflammation, providing both a valuable area for scientific investigation and a potential target for therapeutic interventions. This article reviews the biological processes and molecular mechanisms of ferroptosis, as well as the small molecules and signaling pathways that regulate it. Additionally, we discuss the role of ferropto sis in the progression of sepsis and its contribution to organ damage.

Keywords: Ferroptosis, sepsis, inflammation, GPX4
Perioperative Precision Medicine

ISSN: 2957-5443

Volume 3, Issue 3

September 2025

Pages: 71-115

PDF CITE Accesses: 61
Perioperative Precision Medicine
ISSN: 2957-5443
ZENTIME PUBLISHING CORPORATION LIMITED
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