Ferroptosis, a form of regulatory non-apoptotic cell
death driven
by iron-dependent lipid peroxidation, accounts for more than 80% of
the total types of neuronal death in the acute phase of intracerebral
hemorrhage (ICH). Mitochondria have essential roles in energy production,
macromolecule synthesis, cellular metabolism, and cell death regulation.
However, its role in ferroptosis remains unclear and somewhat controversial,
especially in ICH. This study aimed to investigate whether damaged
mitochondria could trigger and enhance neuronal ferroptosis in ICH.
The isobaric tag for relative and absolute quantitation proteomics
on human ICH samples suggested that ICH caused significant damage
to the mitochondria, which presented ferroptosis-like morphology under
electron microscopy. Subsequently, use of the mitochondrial special
inhibitor Rotenone (Rot) to induce mitochondrial damage showed that
it has significant dose-dependent toxicity on primary neurons. Single
Rot administration markedly inhibited neuronal viability, promoted
iron accumulation, increased malondialdehyde (MDA) contents, decreased
total superoxide dismutase (SOD) activity, and downregulated ferroptosis-related
proteins RPL8, COX-2, xCT, ASCL4, and GPX4 in primary neurons. Moreover,
Rot enhanced these changes via hemin and autologous
blood administration in primary neurons and mice, mimicking the in vitro and in vivo ICH models, respectively.
Furthermore, Rot exacerbated the ICH-induced hemorrhagic volumes,
brain edema, and neurological deficits in mice. Together, our data
revealed that ICH induced significant mitochondrial dysfunction and
that mitochondrial inhibitor Rot can trigger and enhance neuronal
ferroptosis.