Evidence map›Paper›PMID 42461566›Full record

ArticleClinical rheumatology2026

Platelet ferroptosis promotes oxidized DNA release and SLE progression.

Zhirui Zhou, Yingshi Han, Ying Huang, Wanfen Li, Jian Zhuang, Meichen Ai, Pan Liao, Jiaochan Han, Yi He, Fangyuan Yang

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Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Zhirui ZhouDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China.
Yingshi HanDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China.
Ying HuangDepartment of Rheumatology and Immunology, The Eighth Affiliated Hospital of Southern Medical University, Guangzhou, China.
Wanfen LiDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China.
Jian ZhuangDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China.
Meichen AiDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China.
Pan LiaoDepartment of Rheumatology and Immunology, Hunan University of Medicine General Hospital, HuaiHua, China.
Jiaochan HanGuangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangdong Provincial Clinical Research Center for Child Health, Guangzhou, 510623, China. jchan123@126.com.
Yi HeDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China. heyi1983@smu.edu.cn.ORCID http://orcid.org/0000-0002-9367-6186
Fangyuan YangDepartment of Rheumatology and Immunology, The Third Affiliated Hospital, Southern Medical University, No. 183, Zhongshan Avenue West, Guangzhou, 510630, Tianhe District, China. yfy3021@smu.edu.cn.ORCID http://orcid.org/0000-0003-2496-7446

Funding

Guangdong Provincial Department of Science and Technology 2022A0505050040Guangzhou Municipal Science and Technology Project 202201010926Guangzhou Municipal Science and Technology Project SL2022A03J01194National Natural Science Foundation of China 82471843National Natural Science Foundation of China 82502158
6 · The paper itself

Abstract

objectivesFerroptosis is a recently identified type of regulated necrosis, and glutathione peroxidase 4 (GPX4) has been recognized as a key enzyme that protects against ferroptosis. However, the role of platelet ferroptosis in systemic lupus erythematosus (SLE) has not been explored. This study aimed to investigate the role of GPX4-mediated platelet ferroptosis in SLE.

methodsGPX4 protein expression in platelets was detected by Western blot and immunofluorescence analysis. The correlation of platelet GPX4 expression with SLE clinical characteristics was evaluated. The ability of platelet activation and ferroptosis was detected, and the release of oxidized DNA by platelets was tested. In addition, GPX4 inhibitor and activator were used to evaluate the effect of GPX4 on platelet ferroptosis and oxidized DNA release. Finally, MRL/lpr mice were treated with GPX4 activator 1 or vehicle and the severity of lupus disease was assessed.

resultsPlatelets of SLE patients showed lower expression of GPX4, which was negatively correlated with disease activity and plasma oxidized DNA levels. These platelets were more activated, prone to ferroptosis, and released higher levels of oxidized DNA. In vitro, GPX4 inhibitor induced ferroptosis and oxidized DNA release in healthy control platelets, whereas the GPX4 activator 1 protected SLE platelets. In MRL/lpr mice, treatment with GPX4 activator 1 alleviated lupus severity, reduced platelet ferroptosis, and decreased oxidized DNA release.

conclusionSLE platelets exhibit low GPX4 expression and are more susceptible to ferroptosis, highlighting the critical role of GPX4 downregulation-mediated platelet ferroptosis in the development of SLE. Therefore, activation of GPX4 may represent a therapeutic strategy for SLE. Key Points • SLE platelets exhibit low GPX4 expression and are more susceptible to ferroptosis and the release of oxidized DNA. • Pharmacological activation of GPX4 inhibits platelet ferroptosis and oxidized DNA release in vitro and in vivo. • Targeting platelet ferroptosis via GPX4 activation alleviates disease severity in MRL/lpr mice.

Indexed as

Blood PlateletsDNAFerroptosisLupus Erythematosus, SystemicPhospholipid Hydroperoxide Glutathione PeroxidaseAdultAnimalsDisease ProgressionFemaleHumansMaleMiceMice, Inbred MRL lprMiddle AgedOxidation-ReductionDNAPhospholipid Hydroperoxide Glutathione PeroxidaseFerroptosisGlutathione peroxidase 4Oxidized DNAPlateletsSystemic lupus erythematosus

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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.