Not yet reviewed by Pith; the record is open.

Ferroptosis, a regulated form of cell death driven by oxidative stress and lipid peroxidation, has emerged as a pivotal research focus with implications across various cellular contexts. In this study, we employed a multifaceted approach, integrating label-free Raman spectroscopy and microfluidics to study the mechanisms underpinning ferroptosis. Our investigations included the ferroptosis initiation based on the changes in the lipid Raman band at 1436 cm-1 under different cellular states, the generation of reactive oxygen species (ROS), lipid peroxidation, DNA damage/repair, and mitochondrial dysfunction. Importantly, our work highlighted the dynamic role of vital cellular components, such as NADPH, ferredoxin clusters, and key genes like GPX-4, VDAC2, and NRF2, as they collectively influenced cellular responses to redox imbalance and oxidative stress. Quantum mechanical (QM) and molecular docking simulations (MD) provided further evidence of interactions between the ferredoxin (containing 4Fe-4S clusters), NADPH and ROS which led to the production of reactive Fe species in the cells. As such, our approach offered a real-time, multidimensional perspective on ferroptosis, surpassing traditional biological methods, and providing valuable insights for therapeutic interventions in diverse biomedical contexts.