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糖尿病心肌病功能障碍的机制及有前景的治疗策略:聚焦细胞焦亡。

The mechanism and promising therapeutic strategy of diabetic cardiomyopathy dysfunctions: Focus on pyroptosis.

机构信息

National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, PR China.

Postdoctoral Research Station of China Academy of Chinese Medical Sciences, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, PR China.

出版信息

J Diabetes Complications. 2024 Oct;38(10):108848. doi: 10.1016/j.jdiacomp.2024.108848. Epub 2024 Aug 20.

DOI:10.1016/j.jdiacomp.2024.108848
PMID:39178624
Abstract

Diabetes is a major risk factor for cardiovascular diseases, and myocardial damage caused by hyperglycemia is the main cause of heart failure. However, there is still a lack of systematic understanding of myocardial damage caused by diabetes. At present, we believe that the cellular inflammatory damage caused by hyperglycemia is one of the causes of diabetic cardiomyopathy. Pyroptosis, as a proinflammatory form of cell death, is closely related to the occurrence and development of diabetic cardiomyopathy. Therefore, this paper focuses on the important role of inflammation in the occurrence and development of diabetic cardiomyopathy. From the perspective of pyroptosis, we summarize the pyroptosis of different types of cells in diabetic cardiomyopathy and its related signaling pathways. It also summarizes the treatment of diabetic cardiomyopathy, hoping to provide methods for the prevention and treatment of diabetic cardiomyopathy by inhibiting pyroptosis.

摘要

糖尿病是心血管疾病的主要危险因素,高血糖引起的心肌损伤是心力衰竭的主要原因。然而,人们对糖尿病引起的心肌损伤仍缺乏系统认识。目前,我们认为高血糖引起的细胞炎症损伤是糖尿病心肌病的原因之一。细胞焦亡作为一种促炎形式的细胞死亡,与糖尿病心肌病的发生发展密切相关。因此,本文重点关注炎症在糖尿病心肌病发生发展中的重要作用。从细胞焦亡的角度,我们总结了糖尿病心肌病中不同类型细胞的焦亡及其相关信号通路。还总结了糖尿病心肌病的治疗方法,希望通过抑制细胞焦亡为糖尿病心肌病的防治提供方法。

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The mechanism and promising therapeutic strategy of diabetic cardiomyopathy dysfunctions: Focus on pyroptosis.糖尿病心肌病功能障碍的机制及有前景的治疗策略:聚焦细胞焦亡。
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引用本文的文献

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Amniotic mesenchymal stem cells attenuate diabetic cardiomyopathy by inhibiting pyroptosis via modulation of the TLR4/NF-κb/NLRP3 pathway.羊膜间充质干细胞通过调节TLR4/NF-κb/NLRP3途径抑制细胞焦亡,从而减轻糖尿病性心肌病。
Front Cell Dev Biol. 2025 Jul 10;13:1631973. doi: 10.3389/fcell.2025.1631973. eCollection 2025.
2
Interaction networks among miRNA, protein, and metabolite fingerprints identify the regulatory networks and key players in the pathogenesis of diabetic cardiomyopathy.miRNA、蛋白质和代谢物指纹之间的相互作用网络确定了糖尿病性心肌病发病机制中的调控网络和关键因素。
Front Cell Dev Biol. 2025 Jun 30;13:1602320. doi: 10.3389/fcell.2025.1602320. eCollection 2025.
3
Neutrophil extracellular traps aggravate uremic cardiomyopathy by inducing myocardial fibroblast pyroptosis.
中性粒细胞胞外诱捕网通过诱导心肌成纤维细胞焦亡加重尿毒症心肌病。
Sci Rep. 2025 May 20;15(1):17509. doi: 10.1038/s41598-025-02383-3.