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These results demonstrate that GSTA1 expression is negatively associated with the accumulation of LD and might be a protective factor for the progression of MASLD

For instance, iron transporters, lipid peroxidases, and inflammatory cytokines are key regulatory molecules in this pathway, collectively contributing to lipid peroxidation and ferroptosis ( Figure 1 In macrophages, ferroptosis is regulated by several interrelated pathways, including the Keap1-Nrf2, system Xc - /GSH/GPX4, FSP1-CoQ10-NAD(P)H, and GTP-GCH1-BH4 pathways ( lnc-MRGPRF-6:1 interfere with GPX4 function or modulate ferroptosis-related signaling pathways, facilitating lipid peroxidation and ferroptotic cell death ( Figure 2 )

It aims to synthesize findings from preclinical and clinical studies regarding the efficacy of synbiotics in improving cognitive function and AD pathology, elucidate the underlying biological mechanisms including GM modulation, SCFA production, immune regulation, and gut-brain signaling, and identify key challenges and future research directions for translating GM-targeted interventions into effective AD therapies