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Dysregulated iron metabolism is a key pathogenic feature of LN (213), and emerging evidence links these disturbances to ferroptosis (214)—an iron-dependent cell death driven by lipid peroxidation, distinct from apoptosis/necrosis ( 3.5.1 CD4 T-cell iron dyshomeostasis drives SLE/LN Iron overload promotes pathogenic T-cell differentiation and accelerates disease in lupus-prone models (215): 1) In MRL/MpJ-Fas (lpr)/J (MRL/lpr) mice, iron overload expands T follicular helper (Tfh) cells, germinal center (GC) B cells, and pro-inflammatory cytokine-secreting CD4 T cells

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