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] |