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While regulation of iron metabolism-related proteins or the use of iron chelators can reduce intracellular labile Fe 2+ levels and inhibit ferroptosis, current chelators lack tissue and cellular specificity and may interfere with neurophysiological functions, thereby limiting their clinical applicability
( Figure 2 ( Figure 2 2 Microbiota-gut-brain axis and depression The MGB axis concept has arisen in the psychiatric field, as to how microbiome contributes to human homeostasis ( 14 microbe cells, which comprise the microbiota ( Bacteroidetes and Firmicutes ( Proteobacteria, Actinobacteria, Fusobacteria , and Verrucomicrobia are found in comparatively small amounts ( Bacteroidetes / Firmicutes ratio, which is considered an improvement of the genus Bacteroides and a depletion of the genus Blautia , Faecalibacterium , and Coprococcus ( Eggerthella levels were consistently higher and Sutterella levels were consistently lower in people with MDD ( Figure 3 ( Figure 3 Moreover, increased systematic translocation of intestinal metabolites, bacterial particulates, or even microbiota through the damaged intestinal tract (the leaky gut) heightens systemic inflammatory reactions such as Th17/Treg disorder, interleukin-6, IL-1, and tumor necrosis factors alpha that are being implicated in the etiology of depression
Firmicutes and Proteobacteria were higher while Bacteroidetes was lower in mice fed by fiber deficiency diet, which eroded the colonic mucus barrier, decreased the level of SCFAs, and disrupted the mucosal barrier integrity (Neumann et al., 2021)
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