Gypenosides Mitigate STEC-Induced Intestinal Injury Through Modulation of Ferroptosis Involving the ATF4-CHAC1-GPX4 Axis.

Shiga toxin-producing Escherichia coli (STEC) infection causes severe enteropathies and hemolytic uremic syndrome, yet non-antibiotic therapeutic strategies remain limited. This study evaluated whether gypenosides (GPs) protect against STEC-induced intestinal injury and investigated the underlying mechanisms. Mice were pretreated with GPs prior to STEC challenge, and protective effects were comprehensively assessed through survival analysis, bacterial burden quantification, transcriptomic profiling, flow cytometry, electron microscopy, and Western blotting. GPs significantly improved survival rates, alleviated diarrheal symptoms, reduced bacterial dissemination in systemic organs, and lowered Stx2 toxin levels. Furthermore, GPs effectively restored gut microbiota dysbiosis by enriching beneficial bacterial genera. Transcriptomic analysis suggested that GP treatment was associated with suppression of ferroptosis-related signaling pathways. Ultrastructural examination demonstrated ameliorated mitochondrial vacuolization, and biochemical assays confirmed decreased Fe2+ accumulation and attenuated lipid peroxidation. Mechanistically, these changes were associated with modulation of the ATF4-CHAC1-GPX4 axis and suppression of ferroptosis, together with preservation of mitochondrial integrity. Collectively, these findings identify GPs as a promising protective candidate against STEC-induced intestinal injury and highlight the ATF4-CHAC1-GPX4 axis as a candidate pathway for further mechanistic investigation.