PMID- 33781874 OWN - NLM STAT- MEDLINE DCOM- 20220120 LR - 20220120 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 168 DP - 2021 Jun TI - Regulation of ferroptosis by bioactive phytochemicals: Implications for medical nutritional therapy. PG - 105580 LID - S1043-6618(21)00164-X [pii] LID - 10.1016/j.phrs.2021.105580 [doi] AB - Ferroptosis is an iron- and lipotoxicity-dependent regulated cell death that has been implicated in various diseases, such as cancer, neurodegeneration and stroke. The biosynthesis of phospholipids, coenzyme Q(10), and glutathione, and the metabolism of iron, amino acids and polyunsaturated fatty acid, are tightly associated with cellular sensitivity to ferroptosis. Up to now, only limited drugs targeting ferroptosis have been documented and exploring novel effective ferroptosis-modulating compound is needed. Natural bioactive products are conventional resources for drug discovery, and some of them have been clinically used against cancers and neurodegenerative diseases as dietary supplements or pharmaceutic agents. Notably, increasing evidence demonstrates that natural compounds, such as saponins, flavonoids and isothiocyanates, can either induce or inhibit ferroptosis, further expanding their therapeutic potentials. In this review, we highlight current advances of the emerging molecular mechanisms and disease relevance of ferroptosis. We also systematically summarize the regulatory effects of natural phytochemicals on ferroptosis, and clearly indicate that saponins, terpenoids and alkaloids induce ROS- and ferritinophagy-dependent ferroptosis, whereas flavonoids and polyphenols modulate iron metabolism and nuclear factor erythroid 2-related factor 2 (NRF2) signaling to inhibit ferroptosis. Finally, we explore their clinical applications in ferroptosis-related diseases, which may facilitate the development of their dietary usages as nutraceuticals. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Zheng, Kai AU - Zheng K AD - School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen 518060, PR China. Electronic address: zhengk@szu.edu.cn. FAU - Dong, Yun AU - Dong Y AD - School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen 518060, PR China. FAU - Yang, Rong AU - Yang R AD - School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen 518060, PR China. FAU - Liang, Youfang AU - Liang Y AD - School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen 518060, PR China. FAU - Wu, Haiqiang AU - Wu H AD - School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen 518060, PR China. FAU - He, Zhendan AU - He Z AD - School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen 518060, PR China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210327 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Phospholipids) RN - 0 (Phytochemicals) RN - 0 (Plant Extracts) RN - E1UOL152H7 (Iron) RN - S5UOB36OCZ (Mevalonic Acid) SB - IM MH - Dietary Supplements MH - Ferroptosis/*drug effects MH - Humans MH - Iron/metabolism MH - Mevalonic Acid/metabolism MH - Neoplasms/drug therapy MH - Oxidative Stress/drug effects MH - Phospholipids/metabolism MH - Phytochemicals/*pharmacology MH - Plant Extracts/pharmacology OTO - NOTNLM OT - Cancer therapy OT - Ferroptosis OT - Iron metabolism OT - Lipid peroxidation OT - NRF2 OT - Natural phytochemicals OT - Reactive oxygen species EDAT- 2021/03/31 06:00 MHDA- 2022/01/21 06:00 CRDT- 2021/03/30 06:24 PHST- 2021/01/25 00:00 [received] PHST- 2021/03/15 00:00 [revised] PHST- 2021/03/23 00:00 [accepted] PHST- 2021/03/31 06:00 [pubmed] PHST- 2022/01/21 06:00 [medline] PHST- 2021/03/30 06:24 [entrez] AID - S1043-6618(21)00164-X [pii] AID - 10.1016/j.phrs.2021.105580 [doi] PST - ppublish SO - Pharmacol Res. 2021 Jun;168:105580. doi: 10.1016/j.phrs.2021.105580. Epub 2021 Mar 27.