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. 2023 Dec 10;8:449. doi: 10.1038/s41392-023-01720-0

Table 14.

Targeting dysregulated epigenetic and posttranslational modification by small molecule compounds to treat CNS, cardiovascular, liver, lung, and kidney diseases

Diseases Compounds Modification Targets Biological functions Ref
ICH Paeonol Ubiquitination ACSL4 Paeonol inhibits ferroptosis of neurons in ICH through downregulating HOTAIR-dependant UPF1-mediated degradation of ACSL4. 312
ICH Isorhynchophylline ncRNA p53/SLC7A11 Isorhynchophylline attenuates cell damage through inhibiting ferroptosis via upregulating miR-122-5p and SLC7A11 mRNA, and inhibiting p53 expression in ferric ammonium citrate-treated hippocampal HT-22 cells. The protective effects of IRN against FAC-induced ferroptosis were weakened by miR-122-5p knockdown. 313
PD (-)-Clausenamide Phosphorylation ALOX5 Clau directly interactes with the Ser663 of ALOX5, the PKCα-phosphorylation site, and thus prevented the nuclear translocation of ALOX5. 240
TBI Melatonin ncRNA 5-LOX Melatonin improves brain function of mice after TBI through inhibiting ferroptosis and endoplasmic reticulum (ER) stress via reducing circPtpn14 (mmu_circ_0000130), which sponge miR-351-5p to downregulate 5-LOX. 589
MS UNC0642 Methylation GPX4 G9a inhibitor restored anti-ferroptotic gene expression, reduced inflammation-induced neuronal loss, and improved clinical outcome. Similarly, neuronal anti-ferroptotic gene expression was reduced in MS brain tissue and was boosted by G9a inhibition in human neuronal cultures. 378
Aortic dissection BRD4770 Methylation System Xc--GPX4; FSP1-CoQ10; GCH1-BH4 BRD4770 attenuated aortic dilation through inhibiting the inflammatory response and ferroptosis. 590
Aortic dissection Liproxstatin-1 Phosphorylation ALOX5 Liproxstatin-1 largely abrogates BAPN-induced AAD in mice. These results suggest that inhibition of METTL3 or ferroptosis is an effective intervention strategy for AD. 422
Fer-1 Methylation Fer-1 abolishes detrimental role of PRMT4-mediated ferroptosis in DIC. 411
DIC Metformin phosphorylation AMPKα2 metformin (MET) treatment could inhibit ferroptosis and improve cardiac function via activating AMPKα2 phosphorylation. 412
DIC Ferrostatin-1 Ubiquitination Ferrostatin-1 suppresses exacerbation of DOX-induced myocardial damage in MITOL-knockout hearts. 414
Cardiac Fibrosis C646 Acetylation p53 Inhibition of p53 acetylation by C646 significantly alleviated ferroptosis in H9c2 myofibroblasts. 416
Cardiac Fibrosis Ferrostatin-1 Acetylation p53 Treatment of SIRT3-cKO mice with ferrostatin-1 led to a significant reduction in ferroptosis and cardiac fibrosis. 416
Cardiac Fibrosis Ferrostatin-1 ncRNA GPX4 Fer-1 promotes the antioxidant capacity of cardiac fibroblasts, reduced GPX4-mediated ferroptosis and alleviated I/R-induced CF. 417
HFD-induced cardiac injury Celastrol Phosphorylation AKT/GSK3β Celastrol confers ferroptosis resistance via AKT/GSK3β signaling in high-fat diet-induced cardiac injury. 591
HFD-induced cardiac injury Piperlongumine Phosphorylation STAT3 Piperlongumine protects cardiomyocytes from ferritinophagy-mediated ferroptosis both in vitro and in vivo through reducing phosphorylated STAT3 levels. 420
MIRI Compound 968 ncRNA GLS2 Inhibition of miR-190a-5p caused upregulation of GLS2, resulting in decreased ferroptosis, which could be blocked by GLS2 inhibitor compound 968. 399
Acute liver injury Sulforaphane Phosphorylation BECN1 Nrf2-dependent autophagy activation by sulforaphane disrupted SLC7A11 binding to S93-phosphorylated BECN1 and increased SLC7A11 membrane transfer to inhibit ferroptosis. Activation of Nrf2 not only upregulates the expression of SLC7A11, GPX-4 and autophagy-related proteins, but also destroys the binding of SLC7A11 and BECN1 by inducing autophagy, thereby promoting SLC7A11 membrane transfer and GSH synthesis, and finally suppressing ferroptosis. 441
Liver fibrosis Berberine Ubiquitination ferritin Berberine alleviates mouse liver fibrosis by inducing ferrous redox to activate ROS-mediated HSC ferroptosis. 592
Liver fibrosis Recombinant FGF21 Ubiquitination Recombinant FGF21 inhibits liver fibrosis by inhibiting hepatocytes ferroptosis through promotiing HO-1 ubiquitination and degradation and Nrf2 activation. 593
Liver fibrosis Artemether Phosphorylation AMPKα2 Artemether alleviates liver fibrosis in vivo and in vitro through inducing HSC ferroptosis via inhibiting the ubiquitination of IRP2, thereby inducing the increase of iron in HSC. 594
NAFLD Urolithin C Phosphorylation AMPK Urolithin C inhibits NAFLD via regulating AMPK-ferroptosis axis, maintaining intestinal mucosal barrier and counteracting gut dysbiosis. 595
Toxin -mediated hepatic toxicity Fer-1 and tBHQ Phosphorylation Nrf2 Ethyl carbamate-induced liver dysfunction and inflammation, accompanied with oxidative stress, ferroptosis and downregulated Nrf2 signaling in Balb/c mice, which could be effectively reversed by Fer-1 and tBHQ pretreatment. 464
Toxin -mediated hepatic toxicity Fer-1 or tBHQ Phosphorylation Nrf2 Fer-1 or tBHQ inhibit Glyphosate triggered ferroptosis-induced liver damage in a mouse mode 465
Acute liver failure AGK2 Phosphorylation MFN2/GPX4 AGK2 inhibits thioacetamide-induced acute liver failure via regulating the MFN2-PERK axis and ferroptosis signaling pathway. 596
Acute lung injury MitoQ Phosphorylation - MitoQ pretreatment countered As-induced pulmonary ferroptosis and ALI. 469
Acute lung injury Fer-1 Ubiquitination - Arsenic-triggered mitochondria damage and ferroptosis were mitigated in Fer-1 pretreated-MLE-12 cells. 469
Acute lung injury PERK inhibitor Phosphorylation PERK PERK inhibitor and Mfn-2-overexpression all mitigated As-induced ferroptosis in MLE-12 cells. 469
Acute lung injury Ferrostatin-1 - - Ferrostatin-1 alleviates lung injury and pulmonary edema. 470
Sepsis-Induced Acute Lung Injury Obacunone Ubiquitination Nrf2 Obacunone alleviates lipopolysaccharide-induced acute lung injury through inhibiting ferroptosis via inhibiting Nrf2 ubiquitinated proteasome degradation, thereby upregulating GPX4 and SLC7A11. 597
Pulmonary epithelial senescence Melatonin Acetylation SIRT3/p53 SIRT3 activation by melatonin deacetylated P53 at lysines 320 (K320), thus blocking senescence and ferroptosis. 598
COPD rhMFG-E8 Ubiquitination MFG-E8 rhMFG-E8 ameliorates ferroptosis induced by cigarette smoke extract in BEAS-2B cells and HBE cells. 483
Diabetic nephropathy Germacrone - - Germacrone inhibits DN through inhibiting ferroptosis via mmu_circRNA_0000309 silence or miR-188-3p mimics abrogated the antiapoptosis and anti-injury effects of germacrone through aggravating mitochondria damage, and elevating reactive oxygen species and ferroptosis-related protein levels. 486
Renal IRI IU1 Ubiquitination USP14 IU1, a small molecule inhibitor of USP14 and NAC effectively alleviated renal injury of I/R mice. 490
Renal IRI Fedratinib Ubiquitination GPX4 A JAK2 inhibitor Fedratinib downregulates TRIM21 expression and reduce damage both in vivo and in vitro, which is correlated with the upregulation of GPX4. 491
Toxin-mediated kidney toxicity SB431542 or SB505124 - ALK4/5 ALK4/5 kinase inhibitors, SB431542 or SB505124, suppressed cadmium-induced HK-2 cell death 494
Toxin-mediated kidney toxicity SIS3 Phosphorylation TGFβ1 Cadmium-induced cell death was attenuated by treatment with SIS3, a selective inhibitor of TGFβ1-dependent Smad3 phosphorylation. 494
Folic Acid-Induced Kidney Injury Roxadustat (FG-4592) Phosphorylation Akt/GSK-3β/Nrf2 Roxadustat (FG-4592) attenuates Folic Acid-Induced Kidney Injury through inhibitng ferroptosis via Akt/GSK-3β-mediated Nrf2 activation. 599
Acute kidney injury Baicalein Acetylation p53 Baicalein ameliorates polymyxin B-induced acute renal injury through inhibiting ferroptosis via reducing p53 K382 acetylation via upregulation of SIRT1 expression. 600
Acute kidney injury Dihydromyricetin - - Dihydromyricetin attenuates cisplatin-induced acute kidney injury by inhibiting ferroptosis via 601
Acute kidney injury myo-inositol Ubiquitination NOX4 myo-inositol ameliorates cisplatin-induced acute kidney injury through inhibitng ferroptosis via promotes CHIP-mediated ubiquitination of NOX4. 602
Diabetic kidney disease Dapagliflozin Ubiquitination SLC40A1 Dapagliflozin ameliorated tubular injury by inhibiting ferroptosis through stabilize SLC40A1 via reduce ubiquitination degradation. 603
Diabetic kidney disease Ginkgolide B Ubiquitination GPX4 Ginkgolide B alleviates diabetic kidney disease through inhibiting ferroptosis by inhibiting GPX4 ubiquitination. 604
Diabetic kidney disease Schisandrin A - - Schisandrin A attenuates diabetic kidney disease Ferroptosis and NLRP3 Inflammasome-Mediated Pyroptosis in Diabetic Nephropathy through Mitochondrial Damage by AdipoR1 Ubiquitination 605
Adriamycin-Induced Renal Damage Astragaloside IV Phosphorylation PI3K/Akt /Nrf2 Astragaloside IV attenuates Adriamycin-Induced Renal Damage through inhibiting ferroptosis via activations of the PI3K/Akt and Nrf2 606

AGK2 an inhibitor for SIRT2, BECN1 coiled-coil myosin-like BCL2-interacting protein