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RESEARCH PAPER / 2026-01-07

Parkin-ACSL4 axis in ferroptosis regulation: a narrative review on therapeutic insights from exercise in aging cardiomyocytes.

Negin Kordi, Behnam Bagherzadeh-Rahmani, Rezvan KheirAndish, Raheleh Rezaali, Brent R Stockwell

Department of Exercise Physiology, Faculty of Sport Sciences, Razi University, Kermanshah, Iran. · pubmed

Abstract

Ferroptosis, iron-dependent regulated cell death, drives age-related cardiac dysfunction. This review examines aerobic exercise modulation of ferroptosis in aging cardiomyocytes via Parkin-ACSL4 axis. Parkin promotes ACSL4 ubiquitination/degradation, reducing lipid peroxidation and ROS. Exercise activates PINK1/Parkin mitophagy and hepcidin, enhancing mitochondrial resilience and iron homeostasis. Despite promising preclinical evidence, molecular mechanisms remain unclear. Aerobic exercise offers non-pharmacological cardiac protection against ferroptosis in aging.

The following analysis is generated by AI and may contain errors. It is separate from the authors’ abstract and is not peer review.

Research summary

Aerobic exercise modulates ferroptosis in aging cardiomyocytes through the Parkin-ACSL4 axis. The paper addresses mechanisms related to cellular death in aging, which is directly relevant to understanding and potentially mitigating age-related cardiac dysfunction.

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