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NLRP3炎性小体:多系统疾病的关键协调者——从分子机制到治疗创新

The NLRP3 inflammasome: a pivotal orchestrator of multisystem diseases-from molecular mechanisms to therapeutic innovation.

作者信息

Xiao Shu-Yan, Lv Ya-Hui, Ji Yin-Min, Dong Yi, Liu Mei-Cen, Li Tao, Cui Xiao-Ran, Hu Yi

机构信息

Senior Department of Oncology, The First Medical Center of PLA General Hospital, Beijing, 100853, China.

Medical School of Chinese PLA, Beijing, 100853, China.

出版信息

Mol Biol Rep. 2025 Oct 14;52(1):1026. doi: 10.1007/s11033-025-11116-8.

DOI:10.1007/s11033-025-11116-8
PMID:41085563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12521272/
Abstract

The NLRP3 inflammasome, a key regulatory component in the innate immune system, bridges pathogen recognition to chronic disease pathogenesis by modulating pyroptosis, inflammatory factor release, and metabolic homeostasis. Its central role in inflammatory cascades has positioned it as a prime therapeutic target. This review delineates the NLRP3 inflammasome's pathological contributions to multisystem disorders-spanning neurological, cardiovascular, respiratory, gastrointestinal, urological, endocrine, and rheumatological immune diseases-while systematically evaluating associated therapeutic strategies. Furthermore, we consolidate the classical activation pathways of this molecular complex and discuss targeted inhibition approaches against both the NLRP3 inflammasome and its downstream effectors. Collectively, this work establishes a critical framework for understanding disease mechanisms and advancing translational interventions.

摘要

NLRP3炎性小体是固有免疫系统中的关键调节成分,通过调节细胞焦亡、炎性因子释放和代谢稳态,将病原体识别与慢性疾病发病机制联系起来。其在炎症级联反应中的核心作用使其成为主要的治疗靶点。本综述阐述了NLRP3炎性小体对多系统疾病(包括神经、心血管、呼吸、胃肠、泌尿、内分泌和风湿免疫疾病)的病理贡献,同时系统评估了相关治疗策略。此外,我们整合了该分子复合物的经典激活途径,并讨论了针对NLRP3炎性小体及其下游效应器的靶向抑制方法。总体而言,这项工作为理解疾病机制和推进转化干预措施建立了一个关键框架。

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本文引用的文献

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Novel Therapeutics and Upcoming Clinical Trials Targeting Inflammation in Cardiovascular Diseases.针对心血管疾病炎症的新型治疗方法和即将开展的临床试验。
Arterioscler Thromb Vasc Biol. 2024 Dec;44(12):2371-2395. doi: 10.1161/ATVBAHA.124.319980. Epub 2024 Oct 10.
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Glibenclamide reverses cardiac damage and NLRP3 inflammasome activation associated with a high refined sugar diet.格列本脲逆转与高精制糖饮食相关的心脏损伤和 NLRP3 炎性小体激活。
Eur J Pharmacol. 2024 Dec 5;984:177035. doi: 10.1016/j.ejphar.2024.177035. Epub 2024 Oct 4.
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Clinical Utility of Rilonacept for the Treatment of Recurrent Pericarditis: Design, Development, and Place in Therapy.利纳西普治疗复发性心包炎的临床应用:设计、研发与治疗定位。
Drug Des Devel Ther. 2024 Sep 4;18:3939-3950. doi: 10.2147/DDDT.S261119. eCollection 2024.
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ABHD8 antagonizes inflammation by facilitating chaperone-mediated autophagy-mediated degradation of NLRP3.ABHD8通过促进伴侣蛋白介导的自噬介导的NLRP3降解来对抗炎症。
Autophagy. 2025 Feb;21(2):338-351. doi: 10.1080/15548627.2024.2395158. Epub 2024 Sep 3.
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The NLRP3 inhibitor Dapansutrile improves the therapeutic action of lonafarnib on progeroid mice.NLRP3 抑制剂达帕努肽可增强 lonafarnib 对早衰小鼠的治疗作用。
Aging Cell. 2024 Sep;23(9):e14272. doi: 10.1111/acel.14272. Epub 2024 Aug 27.
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NLRP3 inflammasome activation contributes to the development of the pro-fibrotic phenotype of lung fibroblasts.NLRP3 炎性小体激活促进肺成纤维细胞的促纤维化表型的发展。
Biochem Pharmacol. 2024 Nov;229:116496. doi: 10.1016/j.bcp.2024.116496. Epub 2024 Aug 17.
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FDA-approved disulfiram inhibits the NLRP3 inflammasome by regulating NLRP3 palmitoylation.美国食品和药物管理局批准的戒酒硫通过调节 NLRP3 的棕榈酰化来抑制 NLRP3 炎症小体。
Cell Rep. 2024 Aug 27;43(8):114609. doi: 10.1016/j.celrep.2024.114609. Epub 2024 Aug 7.
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Grp78 regulates NLRP3 inflammasome and participates in Sjogren's syndrome.Grp78 调节 NLRP3 炎症小体并参与干燥综合征的发生。
Int Immunopharmacol. 2024 Oct 25;140:112815. doi: 10.1016/j.intimp.2024.112815. Epub 2024 Jul 31.
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J Neuroinflammation. 2024 Mar 25;21(1):73. doi: 10.1186/s12974-024-03057-z.
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Type I interferon regulates interleukin-1beta and IL-18 production and secretion in human macrophages.I 型干扰素调节人巨噬细胞中白细胞介素-1β和白细胞介素-18 的产生和分泌。
Life Sci Alliance. 2024 Mar 25;7(6). doi: 10.26508/lsa.202302399. Print 2024 Jun.