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Published on: July 13, 2018
HMGB1-mediated apoptosis and autophagy in ischemic heart diseases
Eleonora Foglio1, Laura Pellegrini2,3, Antonia Germani4
1Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Insights
High-mobility group box 1 (HMGB1) protein regulates cardiomyocyte apoptosis and autophagy after myocardial infarction (MI). Understanding this crosstalk is key to developing new therapies for heart attack survivors.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Stress Responses
Background:
- Acute myocardial infarction (MI) is a leading cause of death globally, with cardiomyocyte death and cardiac remodeling being major consequences.
- Apoptosis was considered the primary cell death pathway post-MI, but recent findings highlight autophagy's protective role against ischemic stress.
- The interplay between apoptosis and autophagy following MI is complex and actively researched.
Purpose of the Study:
- To review the regulatory role of high-mobility group box 1 (HMGB1) in apoptosis and autophagy following myocardial infarction.
- To elucidate the molecular mechanisms and crosstalk between these two cellular processes in ischemic heart disease.
- To identify HMGB1 as a key regulator in the context of cardiomyocyte survival and myocardial remodeling.
Main Methods:
- Literature review focusing on molecular mechanisms and cellular responses in ischemic heart disease.
- Analysis of recent research on the role of HMGB1 in regulating apoptosis and autophagy.
- Synthesis of findings regarding the crosstalk between cell death pathways.
Main Results:
- HMGB1, a nuclear protein, plays a significant role in regulating both apoptosis and autophagy in cardiomyocytes.
- The interaction between apoptosis and autophagy is intertwined, with HMGB1 acting as a central modulator.
- HMGB1 influences cardiomyocyte fate and myocardial remodeling post-MI through its effects on these pathways.
Conclusions:
- HMGB1 is a critical regulator of the balance between apoptosis and autophagy in the context of myocardial infarction.
- A deeper understanding of HMGB1's function in ischemic heart disease can guide the development of novel therapeutic strategies.
- Targeting HMGB1 may offer a promising approach to promote cardiomyocyte survival and reduce tissue damage after MI.
Abstract:
Acute myocardial infarction (MI) and its consequences are the most common and lethal heart syndromes worldwide and represent a significant health problem. Following MI, apoptosis has been generally seen as the major contributor of the cardiomyocyte fate and of the resultant myocardial remodeling. However, in recent years, it has been discovered that, following MI, cardiomyocytes could activate autophagy in an attempt to protect themselves against ischemic stress and to preserve cardiac function. Although initially seen as two completely separate responses, recent works have highlighted the intertwined crosstalk between apoptosis and autophagy. Numerous researches have tried to unveil the mechanisms and the molecular players involved in this phenomenon and have identified in high-mobility group box 1 (HMGB1), a highly conserved non-histone nuclear protein with important roles in the heart, one of the major regulator. Thus, the aim of this mini review is to discuss how HMGB1 regulates these two responses in ischemic heart diseases. Indeed, a detailed understanding of the crosstalk between apoptosis and autophagy in these pathologies and how HMGB1 regulates them would be of tremendous help in developing novel therapeutic approaches aimed to promote cardiomyocyte survival and to diminish tissue injury following MI.
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