In renal I/R AKI, lipid peroxidation is a pathogenic driver: lipid peroxide inhibitors ameliorate renal tissue injury and reduce ferroptosis in I/R-induced AKI rats and in vitro hypoxia/reoxygenation models, confirming its causal role ( 3.1.3 Profound links between dysregulation of iron metabolism and I/R AKI Iron metabolic homeostasisgoverned by absorption, utilization, and recyclingis critical for suppressing ferroptosis: disruption of this balance elevates free iron, which accelerates ROS accumulation via the Fenton reaction and renders cells more susceptible to ferroptosis ( /GSHGPX4 axis and lipid peroxidation pathways, constitutes the classical ferroptosis machinery
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