Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension

Copper (Cu) and iron (Fe) are essential trace elements that are involved in normal human metabolic processes. Disruption of their homeostasis contributes to disease pathogenesis through mechanisms such as cuproptosis and ferroptosis. Cuproptosis targets lipoylated proteins to disrupt mitochondrial r...

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Main Authors: Yan Yang, Lu Liang, Wanjuan Pei, Yinhui Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1611449/full
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author Yan Yang
Lu Liang
Wanjuan Pei
Yinhui Sun
author_facet Yan Yang
Lu Liang
Wanjuan Pei
Yinhui Sun
author_sort Yan Yang
collection DOAJ
description Copper (Cu) and iron (Fe) are essential trace elements that are involved in normal human metabolic processes. Disruption of their homeostasis contributes to disease pathogenesis through mechanisms such as cuproptosis and ferroptosis. Cuproptosis targets lipoylated proteins to disrupt mitochondrial respiration, whereas ferroptosis is driven by lipid peroxidation. These processes may independently or interactively exacerbate pulmonary hypertension (PH), a condition characterized by progressive pulmonary vascular remodeling, clinical manifestations of dyspnea, right-sided heart failure, and high mortality, via oxidative stress, metabolic reprogramming, and other mechanisms. This review systematically elucidates: (1) the updated molecular mechanisms of cuproptosis/ferroptosis, (2) research evidence for their roles in PH, and (3) synergistic crosstalk in different subtypes of PH progression. We propose that coordination and regulation of the crosstalk network between cuproptosis and ferroptosis may represent a novel therapeutic strategy for pulmonary vascular remodeling.
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spelling doaj-art-23f57f99efbd436b97963f7c14a37e112025-06-26T05:28:07ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-06-011210.3389/fcvm.2025.16114491611449Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertensionYan YangLu LiangWanjuan PeiYinhui SunCopper (Cu) and iron (Fe) are essential trace elements that are involved in normal human metabolic processes. Disruption of their homeostasis contributes to disease pathogenesis through mechanisms such as cuproptosis and ferroptosis. Cuproptosis targets lipoylated proteins to disrupt mitochondrial respiration, whereas ferroptosis is driven by lipid peroxidation. These processes may independently or interactively exacerbate pulmonary hypertension (PH), a condition characterized by progressive pulmonary vascular remodeling, clinical manifestations of dyspnea, right-sided heart failure, and high mortality, via oxidative stress, metabolic reprogramming, and other mechanisms. This review systematically elucidates: (1) the updated molecular mechanisms of cuproptosis/ferroptosis, (2) research evidence for their roles in PH, and (3) synergistic crosstalk in different subtypes of PH progression. We propose that coordination and regulation of the crosstalk network between cuproptosis and ferroptosis may represent a novel therapeutic strategy for pulmonary vascular remodeling.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1611449/fullferroptosiscuproptosispulmonary hypertensionoxidative stressmetabolic reprogrammingmitochondrial dysfunction
spellingShingle Yan Yang
Lu Liang
Wanjuan Pei
Yinhui Sun
Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
Frontiers in Cardiovascular Medicine
ferroptosis
cuproptosis
pulmonary hypertension
oxidative stress
metabolic reprogramming
mitochondrial dysfunction
title Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
title_full Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
title_fullStr Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
title_full_unstemmed Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
title_short Interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
title_sort interaction of ferroptosis and cuproptosis in the perspective of pulmonary hypertension
topic ferroptosis
cuproptosis
pulmonary hypertension
oxidative stress
metabolic reprogramming
mitochondrial dysfunction
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1611449/full
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AT luliang interactionofferroptosisandcuproptosisintheperspectiveofpulmonaryhypertension
AT wanjuanpei interactionofferroptosisandcuproptosisintheperspectiveofpulmonaryhypertension
AT yinhuisun interactionofferroptosisandcuproptosisintheperspectiveofpulmonaryhypertension