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. 2025 Jul 21;11:335. doi: 10.1038/s41420-025-02633-3

Table 1.

Therapeutic targets for ferroptosis in osteoporosis and periodontitis.

Drugs Mechanism for the treatment of osteoporosis RCD Drugs Mechanism for the treatment of periodontitis
tFNA-Cur

A nanoparticle formulation.

Activates the Nrf2/GPX4, enhances curcumin bioavailability and stability, and mitochondrial function.

Inhibits ferroptosis in BMSCs. Promotes osteogenic differentiation.Stimulates bone formation.

Ferroptosis Ssa

Promotes E lipid peroxidation and mitochondrial damage.

Inhibits osteoclast differentiation and function.

Includes the Nrf2/SCL7A11/GPX4, which regulates the cellular antioxidant response and ferroptosis.

FtMt Mitigates ROS accumulation and protects osteoblasts. Ferroptosis Liproxstatin-1 Alleviates bone resorption and inflammation.
Metformin

Inhibits osteoblast ferroptosis.

Runx2/Cbfa1 and AMPK activate metformin.

Ferroptosis Ferrostatin-1 Stimulates osteogenesis.
2ME2

HIF-1α inhibitor.

Induces osteoclast ferroptosis and delays bone mass loss.

Ferroptosis Resveratrol

Restores SLC7A11/GPX4 axis.

Reduces pro-inflammatory expression.

EC-Exos Rescue osteoblasts、protect bone microstructure. Ferroptosis IL-17 Involve the interaction of pSTAT3(with nuclear factor NRF2).
ATF3 Suppresses system Xc-. Ferroptosis
Melatonin

Activates the Nrf2/HO-1 pathway.

Protects bone microarchitecture.

Ferroptosis
ICA

Reduces iron deposition, ROS, geneBax, and SLC7A1-1 and upregulates the Nrf2, GPX4, Nrf2, and Runx2.

Increases trabecular bone density, accelerates callus formation, and facilitates the transition from fibrous to osseous callus.