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In addition, impairment of GPX4 glutathione (GSH) antioxidant system will damage the detoxification of lipid hydroperoxides, resulting in the fatal accumulation of lipid peroxidation products ( 2.2 Pathological mechanisms in DKD In DKD, the susceptibility to ferroptosis is jointly driven by iron metabolism disorder, impaired antioxidant defenses, and enhanced lipid peroxidation (Figure 1)