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. 2026 Sep 28;40(5):463–479. doi: 10.7555/JBR.39.20250243

Table 1. The key molecules involved in regulating autophagy and ferroptosis.

Molecules Functional mechanism in PF Targeted drugs

Abbreviations: AMPK, AMP-activated protein kinase; ECM, extracellular matrix; EMT, epithelial-mesenchymal transition; GPX4, glutathione peroxidase 4; GSH, glutathione; KEAP1, Kelch-like ECH-associated protein 1; mTORC1, mechanistic target of rapamycin complex 1; NRF2, nuclear factor erythroid 2-related factor 2; p62/SQSTM1, sequestosome-1; PF, pulmonary fibrosis; ROS, reactive oxygen species; SLC7A11, solute carrier family 7 member 11; TGF-β1, transforming growth factor-beta 1.

NRF2 Inhibit the TGF-β1/Smad pathway, collagen deposition, antioxidant, and anti-inflammatory[62] Activator: Rapamycin[63], Tanshinone ⅡA[64], Rosavin[65]
KEAP1 Promote NRF2 degradation and disrupt its imbalance, regulate cell proliferation and collagen deposition[66] Inhibitor: Bardoxolone-methyl[67], Sinomenine[68]
p62/SQSTM1 Facilitate autophagosome formation, regulate iron metabolism and TGF-β/Smad pathway[69] Inhibitor: Bergenin[70], Protodioscin[71]
mTORC1/AMPK Regulate ECM production, involve the secretion of pro-inflammatory factors[72] Inhibitor: Omipalisib[73], Rapalogs[74], Everolimus[75]
GPX4 Regulate autophagy and ferroptosis, block fibroblast activation and suppress EMT[76] GPX4-inactivating agent: FINO2[77], RSL3[78]
SLC7A11 Promote cystine uptake and GSH synthesis, thereby enhancing antioxidant capacity and suppressing ferroptosis[79] Activator: Sulforaphane[80]
Inhibitor: Erastin[81], Sorafenib[82]