The effect of narcotics on ferroptosis-related molecular mechanisms and signalling pathways

Abstract

Ferroptosis is a novel programmed cell death form characterized by iron-mediated reactive oxygen species-induced lipid peroxidation and subsequent cell damage that is distinct from apoptosis, necroptosis, pyroptosis, and autophagy. Most studies on ferroptosis are based on its function and mechanism, but there have been relatively few studies on the effects of drugs, especially anaesthetics, on ferroptosis. Therefore, we summarized the recent literature on the effects of anaesthetics on ferroptosis to understand the underlying mechanism. In particular, we focused on the targets of various anaesthetics in different mechanisms of ferroptosis and the effects of ferroptosis induction or inhibition by narcotics on various diseases. The aims of this review are to provide a relatively reasonable drug regimen for clinicians, to explore potential ferroptosis protection drugs and targets, to reduce perioperative complications and to improve the postoperative performance of patients, especially those who are critically ill.

Role of ferroptosis in effects of anesthetics on multiple organ diseases: A literature review

“…Increasing evidence has shown that anesthetics and adjuvant drugs can either increase or decrease oxidative stress by affecting the ferroptosis process. In this review, we summarized the effects of anesthetics and adjuvant drugs on multiple organ diseases and the possible role of ferroptosis [ 12 ]. We also provide a detailed explanation of how ferroptosis may be involved in the effects of glucocorticoids and mechanical ventilation on major organ injuries.…”