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Research advances in understanding the role and mechanism of pyroptosis in myocardial ischemia-reperfusion injury

Ziyue Li1, Bailong Hu2, Xiaohua Zou2


1College of Anesthesiology, Guizhou Medical University, Guizhou 550004, China. 2Department of Anesthesiology, the Affiliated Hospital of Guizhou Medical University, Guizhou 550004, China. 


Address correspondence to: Bailong Hu, Department of Anesthesiology, the Affiliated Hospital of Guizhou Medical University, NO. 28 Guiyi Street, Guiyang 550004, Guizhou, China. Phone number: +86-15185184309; E-mail: hubailong@gmc.edu.cn. Xiaohua Zou, Department of Anesthesiology, the Affiliated Hospital of Guizhou Medical University, NO. 28 Guiyi Street, Guiyang 550004, Guizhou, China. Tel: +86-13809416036; Fax: +86-851-86771013; E-mail: zouxiaohuazxh@gmc.edu.cn.


Acknowledgement: This work was supported by the National Natural Science Foundation of China (No. 82160951, 82160224), the project of Guiyang Science and Technology Plan (zhukehe[2024]-2-27), the Cultivate project 2021 for National Natural Science Foundation of China, the Affiliated Hospital of Guizhou Medical University (gyfynsfc-2021-35, gyfynsfc-2021-49).


DOI: https://doi.org/10.61189/434706ysltap


Received December 5, 2023; Accepted February 4, 2024; Published June 30, 2024


Highlights 

Currently, ischemic heart disease ranks as the most prevalent form of primary heart disease. The risk of myocardial ischemia-reperfusion injury, along with its associated mortality, is notably rising among perioperative patients. Recognizing the underlying mechanisms of myocardial ischemia-reperfusion injury and identifying suitable treatments are crucial. Inhibitors targeting the key molecules involved in pyroptosis hold promise as potential therapeutic options for managing myocardial ischemia-reperfusion injury


Abstract

Myocardial ischemia-reperfusion injury (MIRI) emerges when the restoration of blood flow fails to recover myocardial function following transient ischemia, marking a significant pathological challenge that adversely affects revascularization outcomes and patient mortality. This condition often occurs post-cardiac procedures, including cardiopulmonary bypass, angioplasty, primary percutaneous coronary intervention, and thrombolytic therapy. Over the last decade, researches have been pivotal in deciphering the pathophysiological underpinnings of MIRI, aiming to identify viable targets and therapeutics for mitigation. Among these, pyroptosis, a form of inflammatory, programmed cell death, has been recognized for its integral role in MIRI, interacting with various other mechanisms such as oxidative stress, calcium dysregulation, autophagy, ferroptosis, and apoptosis. This review delves into the mechanisms by which pyroptosis influences MIRI, discusses its impact on both cardiomyocytes and non-cardiomyocytes in MIRI, and highlights recent advancements in the development of inhibitors targeting key molecules involved in pyroptosis such as Nod-like receptor protein 3 inhibitors, Caspase-1 inhibitors, and traditional Chinese medicines.

Keywords: Myocardial ischemia-reperfusion injury, pyroptosis, Nod-like receptor protein 3

Li ZY, Hu BL, Zou XH. Research advances in understanding the role and mechanism of pyroptosis in myocardial ischemia-reperfusion injury. Perioper Precis Med. 2024 Jun; 2(2):52-63. doi: 10.61189/434706ysltap. 
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