Wang Yunjiao, Li Yanyang, Zhang Wanqin, Yuan Zhuo, Lv Shichao, Zhang Junping
First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, China.
Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
J Cardiovasc Transl Res. 2023 Feb;16(1):166-176. doi: 10.1007/s12265-022-10286-1. Epub 2022 Jun 13.
Among numerous cardiovascular diseases, heart failure is a final and fatal stage, and its morbidity, mortality, and rehospitalization rate remain high, which reduces the exercise tolerance of patients and brings great medical burden and economic pressure to the society. Inflammation takes on a major influence in the occurrence, development, and prognosis of heart failure (HF). The NLRP3 inflammasome is a key node in a chronic inflammatory response, which can accelerate the production of pro-inflammatory cytokines IL-1β and IL-18, leading to the inflammatory response. Therefore, whether it is possible to suppress the downstream factors of NLRP3 inflammasome and its signaling path is expected to provide a new intervention mediator for the therapy of heart failure. This article synopsizes the research progress of NLRP3 inflammasome in heart failure, to provide a reference for clinical treatment. CLINICAL RELEVANCE: This study explored the downstream factors of NLRP3 inflammasome and its signal pathway. Targeted drug therapy for NLRP3 inflammasome is expected to provide a new intervention target for the treatment of heart failure.
在众多心血管疾病中,心力衰竭是最终的致命阶段,其发病率、死亡率和再住院率居高不下,这降低了患者的运动耐量,给社会带来了巨大的医疗负担和经济压力。炎症在心力衰竭(HF)的发生、发展和预后中起主要作用。NLRP3炎性小体是慢性炎症反应的关键节点,可加速促炎细胞因子IL-1β和IL-18的产生,导致炎症反应。因此,抑制NLRP3炎性小体及其信号通路的下游因子是否可行,有望为心力衰竭的治疗提供一种新的干预介质。本文综述了NLRP3炎性小体在心力衰竭中的研究进展,为临床治疗提供参考。临床相关性:本研究探讨了NLRP3炎性小体的下游因子及其信号通路。针对NLRP3炎性小体的靶向药物治疗有望为心力衰竭的治疗提供新的干预靶点。