Pathology · Cell Injury, Death and Adaptations (Apoptosis, Necrosis, Free Radicals)

Ferroptosis is a recently characterized form of regulated cell death distinct from apoptosis and necroptosis. It is specifically driven by:

  • A Activation of caspase-3 via cytochrome c release
  • B MLKL phosphorylation by RIPK3 causing plasma membrane rupture
  • C Gasdermin D pore formation releasing IL-1β
  • D Iron-dependent lipid peroxidation of polyunsaturated fatty acid membrane phospholipids
Correct answer: D. Iron-dependent lipid peroxidation of polyunsaturated fatty acid membrane phospholipids

Explanation

Ferroptosis is characterized by iron-dependent accumulation of lethal lipid peroxides in cell membranes, driven by inactivation of GPX4 (glutathione peroxidase 4) which normally neutralizes lipid hydroperoxides. It does not involve caspases (apoptosis), MLKL/RIPK3 (necroptosis), or gasdermin D (pyroptosis). Ferroptosis has emerging importance in ischemia-reperfusion injury and cancer therapy resistance.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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