# The role of ferroptosis in osteoporosis: a cellular perspective on osteoblast, osteoclast and osteocyte dysfunction

**Authors:** Aysha Bakari Murusuri, Jun Tang

PMC · DOI: 10.3389/fendo.2026.1742656 · Frontiers in Endocrinology · 2026-02-19

## TL;DR

This paper explores how a type of cell death called ferroptosis contributes to osteoporosis by affecting bone-forming and bone-resorbing cells.

## Contribution

The paper provides a comprehensive review of how ferroptosis influences osteoblasts, osteoclasts, and osteocytes in osteoporosis.

## Key findings

- Ferroptosis is linked to dysfunction in osteoblasts, osteoclasts, and osteocytes in osteoporosis.
- Aging, estrogen deficiency, and diabetes are factors that influence ferroptosis in bone cells.
- Understanding ferroptosis could lead to new therapeutic strategies for osteoporosis.

## Abstract

Osteoporosis is characterized by an imbalance between bone resorption and bone formation, leading to the loss of both trabecular and cortical bone mass, ultimately resulting in an increased risk of fractures. Osteoporosis represents a major global health burden, predominantly affecting elderly individuals and postmenopausal women. With the continued growth of the aging population, the prevalence of osteoporosis is expected to increase, highlighting the urgent need for more effective therapeutic strategies. Ferroptosis, a recently characterized form of iron-dependent, non-apoptotic cell death, has emerged as an important mechanism contributing to the pathogenesis of osteoporosis. A better understanding of ferroptosis may therefore provide new insights into therapeutic development. This review summarizes current evidence regarding the role of ferroptosis in osteoporosis, with particular focus on its effects on osteoblasts, osteoclasts, and osteocytes, as well as the impact of aging, estrogen deficiency, diabetes, glucocorticoid exposure, and obesity on ferroptosis in osteogenic cells.

## Linked entities

- **Diseases:** osteoporosis (MONDO:0005298), diabetes (MONDO:0005015)

## Full-text entities

- **Genes:** YBX1 (Y-box binding protein 1) [NCBI Gene 4904] {aka BP-8, CBF-A, CSDA2, CSDB, DBPB, EFI-A}, GPX4 (glutathione peroxidase 4) [NCBI Gene 2879] {aka GPx-4, GSHPx-4, MCSP, PHGPx, SMDS, snGPx}, JAK2 (Janus kinase 2) [NCBI Gene 3717] {aka JTK10}, Tfrc (transferrin receptor) [NCBI Gene 22042] {aka 2610028K12Rik, CD71, E430033M20Rik, Mtvr1, TFR, TFR1}, HO-1 [NCBI Gene 107818591], Stat3 (signal transducer and activator of transcription 3) [NCBI Gene 20848] {aka 1110034C02Rik, Aprf}, TNFRSF11A (TNF receptor superfamily member 11a) [NCBI Gene 8792] {aka CD265, FEO, LOH18CR1, ODFR, OFE, OPTB7}, Mzf1 (myeloid zinc finger 1) [NCBI Gene 109889] {aka Mzf-2, Mzf2, Zfp121, Zfp98, Znf42}, PTH (parathyroid hormone) [NCBI Gene 5741] {aka FIH1, PTH1}, HMOX1 (heme oxygenase 1) [NCBI Gene 3162] {aka HMOX1D, HO-1, HSP32, bK286B10}, TNFRSF11B (TNF receptor superfamily member 11b) [NCBI Gene 4982] {aka OCIF, OPG, PDB5, TR1}, FNDC5 (fibronectin type III domain containing 5) [NCBI Gene 252995] {aka FRCP2, irisin}, LOX (lysyl oxidase) [NCBI Gene 4015] {aka AAT10}, FTL (ferritin light chain) [NCBI Gene 2512] {aka FTL1, LFTD, NBIA3}, IRF9 (interferon regulatory factor 9) [NCBI Gene 10379] {aka IRF-9, ISGF3, ISGF3G, p48}, Bglap2 (bone gamma-carboxyglutamate protein 2) [NCBI Gene 12097] {aka BGP2, Bglap1, Bgp, Og2, mOC-B}, Irf9 (interferon regulatory factor 9) [NCBI Gene 16391] {aka Irf-9, Isgf3g, p48}, Il6 (interleukin 6) [NCBI Gene 16193] {aka Il-6}, ESR1 (estrogen receptor 1) [NCBI Gene 2099] {aka ER, ESR, ESRA, ESTRR, Era, NR3A1}, NFATC1 (nuclear factor of activated T cells 1) [NCBI Gene 4772] {aka NF-ATC, NF-ATc1.2, NFAT2, NFATc}, Slc11a2 (solute carrier family 11 (proton-coupled divalent metal ion transporters), member 2) [NCBI Gene 18174] {aka DCT1, DMT1, Nramp2, mk, van}, LPCAT3 (lysophosphatidylcholine acyltransferase 3) [NCBI Gene 10162] {aka C3F, LPCAT, LPLAT 5, LPLAT12, LPSAT, MBOAT5}, GCH1 (GTP cyclohydrolase 1) [NCBI Gene 2643] {aka DYT14, DYT5, DYT5a, GCH, GTP-CH-1, GTPCH1}, Jak2 (Janus kinase 2) [NCBI Gene 16452] {aka Fd17}, Runx1 (runt related transcription factor 1) [NCBI Gene 12394] {aka AML1, CBF-alpha-2, Cbfa2, Pebp2a2, Pebpa2b}, HAMP (hepcidin antimicrobial peptide) [NCBI Gene 57817] {aka HEPC, HFE2B, LEAP1, PLTR}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, Sirt1 (sirtuin 1) [NCBI Gene 93759] {aka SIR2L1, Sir2, Sir2a, Sir2alpha}, HFE (homeostatic iron regulator) [NCBI Gene 3077] {aka HFE1, HH, HLA-H, MVCD7, TFQTL2}, Ctnnb1 (catenin beta 1) [NCBI Gene 12387] {aka Bfc, Catnb, Mesc}, Gpx4 (glutathione peroxidase 4) [NCBI Gene 29328] {aka Gshpx-4, Phgpx, gpx-4, snGpx}, Il17a (interleukin 17A) [NCBI Gene 16171] {aka Ctla-8, Ctla8, IL-17, IL-17A, Il17}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, GSR (glutathione-disulfide reductase) [NCBI Gene 2936] {aka CNSHA10, GR, GSRD, HEL-75, HEL-S-122m}, Tnf (tumor necrosis factor) [NCBI Gene 24835] {aka RATTNF, TNF-alpha, Tnfa}, Rhot1 (ras homolog family member T1) [NCBI Gene 59040] {aka 2210403N23Rik, Arht1, C430039G08Rik, Miro1}, MAPK1 (mitogen-activated protein kinase 1) [NCBI Gene 5594] {aka ERK, ERK-2, ERK2, ERT1, MAPK2, NS13}, STAT3 (signal transducer and activator of transcription 3) [NCBI Gene 6774] {aka ADMIO, ADMIO1, APRF, HIES}, SLC3A2 (solute carrier family 3 member 2) [NCBI Gene 6520] {aka 4F2, 4F2HC, 4T2HC, CD98, CD98HC, MDU1}, Slc7a11 (solute carrier family 7 member 11) [NCBI Gene 310392], JUN (Jun proto-oncogene, AP-1 transcription factor subunit) [NCBI Gene 3725] {aka AP-1, AP1, c-Jun, cJUN, p39}, TFRC (transferrin receptor) [NCBI Gene 7037] {aka CD71, IMD46, T9, TFR, TFR1, TR}, PCBP1 (poly(rC) binding protein 1) [NCBI Gene 5093] {aka HEL-S-85, HNRPE1, HNRPX, hnRNP-E1, hnRNP-X}, Smpd1 (sphingomyelin phosphodiesterase 1, acid lysosomal) [NCBI Gene 20597] {aka A-SMase, ASM, Zn-SMase, aSMase}, Nfe2l2 (nuclear factor, erythroid derived 2, like 2) [NCBI Gene 18024] {aka Nrf2}, Nfkb1 (nuclear factor of kappa light polypeptide gene enhancer in B cells 1, p105) [NCBI Gene 18033] {aka NF-KB1, NF-kappaB, NF-kappaB1, p105, p50, p50/p105}, SLC7A11 (solute carrier family 7 member 11) [NCBI Gene 23657] {aka CCBR1, xCT}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, FASLG (Fas ligand) [NCBI Gene 356] {aka ALPS1B, APT1LG1, APTL, CD178, CD95-L, CD95L}, NFE2L2 (NFE2 like bZIP transcription factor 2) [NCBI Gene 4780] {aka IMDDHH, NRF2, Nrf-2}, ACSL4 (acyl-CoA synthetase long chain family member 4) [NCBI Gene 2182] {aka ACS4, FACL4, LACS4, MRX63, MRX68, XLID63}, Tnfsf11 (tumor necrosis factor (ligand) superfamily, member 11) [NCBI Gene 21943] {aka Ly109l, ODF, OPGL, RANKL, Trance}, Hif1a (hypoxia inducible factor 1, alpha subunit) [NCBI Gene 15251] {aka HIF-1-alpha, HIF1-alpha, HIF1alpha, MOP1, bHLHe78}, Hmox1 (heme oxygenase 1) [NCBI Gene 15368] {aka D8Wsu38e, HO-1, HO1, Hemox, Hmox, Hsp32}, Timp1 (tissue inhibitor of metalloproteinase 1) [NCBI Gene 21857] {aka Clgi, EPA, TIMP-1, TPA-S1, Timp}, Gpx4 (glutathione peroxidase 4) [NCBI Gene 625249] {aka GPx-4, GSHPx-4, PHGPx, mtPHGPx, snGPx}, Dnmt1 (DNA methyltransferase 1) [NCBI Gene 13433] {aka Cxxc9, Dnmt, Dnmt1o, MCMT, MTase, Met-1}, Fth1 (ferritin heavy polypeptide 1) [NCBI Gene 14319] {aka FHC, Fth, HFt, MFH}, Ncoa4 (nuclear receptor coactivator 4) [NCBI Gene 27057] {aka ARA70, NCoA-4, Rfg}, FAS (Fas cell surface death receptor) [NCBI Gene 355] {aka ALPS1A, APO-1, APT1, CD95, FAS1, FASTM}
- **Diseases:** dysfunction (MESH:D006331), T2DM (MESH:D003924), estrogen (MESH:D056828), bone mineral density (MESH:D001851), organ dysfunction (MESH:D009102), hypoxic (MESH:D002534), adiposity (MESH:D018205), Obesity (MESH:D009765), femoral head osteonecrosis (MESH:D000070603), Hereditary hemochromatosis (MESH:D006432), amenorrhea (MESH:D000568), bone formation (MESH:D058426), chronic (MESH:D002908), ROS (MESH:D000860), immune dysregulation (OMIM:614878), deterioration (MESH:D000075902), ischemia (MESH:D007511), metabolic disorders (MESH:D008659), fracture (MESH:D050723), diabetic complications (MESH:D048909), glucose-6-phosphate dehydrogenase (G6PD) deficiency (MESH:D005955), alcoholism (MESH:D000437), Inflammatory (MESH:D007249), periodontitis (MESH:D010518), osteogenic (MESH:D012516), melanoma (MESH:D008545), hyperlipidemia (MESH:D006949), iron overload (MESH:D019190), hyperglycemia (MESH:D006943), bone (MESH:D001847), menorrhagia (MESH:D008595), Diabetic osteoporosis (MESH:D010024), insulin resistance (MESH:D007333), osteoporotic (MESH:D058866), membrane failure (MESH:D051437), cardiovascular disease (MESH:D002318), diabetes (MESH:D003920)
- **Chemicals:** eldecalcitol (MESH:C547512), testosterone (MESH:D013739), AVI (MESH:C534004), Iron (MESH:D007501), lipid (MESH:D008055), Cysteine (MESH:D003545), zoledronic acid (MESH:D000077211), sarsasapogenin (MESH:C046297), * OH (MESH:C031356), STZ (MESH:D013311), phospholipid (MESH:D010743), GSH (MESH:D005978), Steroid (MESH:D013256), glucose (MESH:D005947), aconine (MESH:C047306), artesunate (MESH:D000077332), fraxin (MESH:C080614), hydroxyl (MESH:D017665), picein (MESH:C050880), glycine (MESH:D005998), ROS (MESH:D017382), calcium (MESH:D002118), 1,25(OH)2D3 (MESH:D002117), poliumoside (MESH:C584242), Resveratrol (MESH:D000077185), maresin-1 (MESH:C535211), mangiferin (MESH:C013592), heparin (MESH:D006493), glutamate (MESH:D018698), PUFAs (MESH:D005231), phosphate (MESH:D010710), oxygen (MESH:D010100), cystine (MESH:D003553), erastin (MESH:C477224), L-thyroxine (MESH:D013974), fat (MESH:D005223), GTP (MESH:D006160), metal (MESH:D008670), biochanin A (MESH:C004541), D-gal (-), ferrostatin-1 (MESH:C573944), melatonin (MESH:D008550), curcumin (MESH:D003474), PE (MESH:C483858), aucubin (MESH:C006650), vitamin D (MESH:D014807), oxidized glutathione (MESH:D019803), vitamin K2 (MESH:D024482), Lipid peroxides (MESH:D008054), MDA (MESH:D008315), DFO (MESH:D003676), CoQ10 (MESH:C024989), dexamethasone (MESH:D003907), peroxides (MESH:D010545), NADPH (MESH:D009249), saikosaponin A (MESH:C025759), icariin (MESH:C056599), vitamin E (MESH:D014810), quercetin (MESH:D011794), BH4 (MESH:C003402)
- **Species:** Nicotiana tabacum (American tobacco, species) [taxon 4097], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** P13K, serine/threonine
- **Cell lines:** MC3T3-E1 — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_0409), /6J — Homo sapiens (Human), Cutaneous melanoma, Cancer cell line (CVCL_W797)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12960159/full.md

## References

98 references — full list in the complete paper: https://tomesphere.com/paper/PMC12960159/full.md

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Source: https://tomesphere.com/paper/PMC12960159