Evidence map›Paper›PMID 41716407›Full record

ReviewFrontiers in immunology2026

Reappraising heme oxygenase-1 as a ferroptosis modulator in atherosclerosis: a mechanism-focused review.

Jia Xu, Che Chen, Han-Ying Yuan, You-Yu Zhang, Chang-Rong Wang, Xuan Xi, Heng Pan, De-Hong Li, Yan Lu

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jia Xu *School of Public Health, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Che Chen *School of Public Health, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Han-Ying Yuan *School of Public Health, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
You-Yu ZhangSchool of Clinical Medicine, Fudan University, Shanghai, China.
Chang-Rong WangSchool of Public Health, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Xuan XiSchool of Public Health, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
Heng PanSchool of Public Health, Gansu University of Chinese Medicine, Lanzhou, Gansu, China.
De-Hong LiDepartment of Blood Transfusion, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Yan LuDepartment of Clinical Laboratory, Gansu Provincial Hospital, Lanzhou, Gansu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis is the primary pathological basis of cardiovascular diseases, with macrophage dysfunction, lipid accumulation, and oxidative stress driving plaque formation and progression. Ferroptosis, an iron-dependent form of regulated cell death characterized by lipid peroxidation, has recently emerged as a pivotal mechanism influencing atherosclerosis. Heme oxygenase-1 (HO-1), a key regulator of heme catabolism and iron homeostasis, exerts dual roles in this process: moderate HO-1 activity confers cytoprotection through antioxidant effects, whereas excessive HO-1 expression promotes intracellular iron accumulation, oxidative stress, and ferroptotic cell death. In macrophages, HO-1 mediates both classical ferroptosis pathways via glutathione peroxidase 4 (GPX4) regulation and non-classical, erythrophagocytosis-induced ferroptosis, contributing to plaque instability. This review systematically examines the molecular mechanisms underlying HO-1-induced ferroptosis in atherosclerosis, emphasizing its interplay with iron metabolism, oxidative stress, and macrophage function. Understanding the context-dependent effects of HO-1 provides novel insights into the regulation of vascular cell fate and plaque stability, highlighting potential therapeutic targets for the prevention and treatment of atherosclerotic cardiovascular diseases.

Indexed as

AtherosclerosisFerroptosisHeme Oxygenase-1AnimalsHumansIronMacrophagesOxidative StressPlaque, AtheroscleroticReactive Oxygen SpeciesHeme Oxygenase-1IronReactive Oxygen Speciesatherosclerosisferroptosisheme oxygenase-1oxidative stressROS

Identifiers

PMID41716407
PMCPMC12913466

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.