Fluoride
is widely used in agricultural production and food packaging.
Excessive fluoride in water and food is a serious threat to liver
health. α-Lipoic acid, a natural free radical scavenger, has
hepatoprotective properties. However, the protective effect of α-lipoic
acid on fluorohepatotoxicity is uncertain. The aim of this study was
to investigate the mechanism of ferroptosis in α-lipoic acid
preventing fluoride-induced hepatotoxicity. Five-week-old ICR mice
were treated with sodium fluoride (100 mg/L) and/or α-lipoic
acid (200 mg/kg) for 9 weeks. The results showed that α-lipoic
acid attenuated fluoride-induced damage to liver morphology and ultrastructure.
Moreover, α-lipoic acid alleviated fluoride-induced iron accumulation,
increased oxidative stress, and elevated lipid peroxidation in the
liver. In addition, the mechanism study found that α-lipoic
acid prevented fluoride-induced ferroptosis through the System Xc–/GPX4 axis, lipid peroxidation axis, and iron metabolism
axis, but it was interestingly not regulated by mitochondrial free
radical axis in the hepatocytes. Altogether, this study indicated
that α-lipoic acid prevents fluoride-induced liver injury by
inhibiting ferroptosis, which has potential implications for the prevention
and treatment of fluoride-induced liver injury.