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Exploration of the relationship between iron metabolism disorder and myocardial ischemia-reperfusion injury from “qi-blood theory”
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DOI   10.11656/j.issn.1672-1519.2023.02.22
Key Words   theory of qi and blood;MI/R;ferroptosis;traditional Chinese medicine
Author NameAffiliationE-mail
WANG Shuo Tianjin Medical University, Tianjin 300070, China
Tianjin Chest Hospital, Tianjin 300222, China 
 
SUN Xingyi Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
DONG Yurong Tianjin Medical University, Tianjin 300070, China  
LIU Chang Tianjin Medical University, Tianjin 300070, China  
XIE Cun Tianjin Chest Hospital, Tianjin 300222, China  
ZHAO Jia Tianjin Chest Hospital, Tianjin 300222, China orange2012@126.com 
LI Chunjie Tianjin Chest Hospital, Tianjin 300222, China Lichunjie0227@126.com 
Abstract
    Myocardial ischemia-reperfusion injury (MI/RI) is a kind of secondary heart injury,which is regarded as a mixture of deficiency and excess in traditional Chinese medicine (TCM) theory,and its occurrence and development are related to many pathological factors such as phlegm,blood stasis and qi deficiency. Ferroptosis is a form of iron-dependent cell death caused by iron metabolic disorder. Its mechanism mainly includes four pathways which are iron metabolism pathway,amino acid metabolism pathway,lipid metabolism pathway and ferritinophagy pathway. TCM is effective in regulating iron metabolism disorder in MI/RI. The method of supplementing qi and activating blood circulation,removing blood stasis and dredging collateral can reduce the accumulation of iron ions and the level of lipid peroxidation,and restore the balance of qi and blood in the body,thus alleviate myocardial ischemia. In this paper,the characteristics and mechanism of iron metabolism were summarized,the similarities between ferroptosis and qi-blood theory and the TCM methods are discussed in order to understand the mechanism of ferroptosis and the connotation of qi-blood theory.

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