NLRP3 inflammasome in cardiovascular diseases: Pathophysiological and pharmacological implications

Carolina Pellegrini1, Alma Martelli1, Luca Antonioli2

  • 1Department of Pharmacy, University of Pisa, Pisa, Italy.

Insights

The NLRP3 inflammasome plays a key role in cardiovascular diseases (CVDs). Targeting NLRP3 pathways with various agents shows therapeutic potential for preventing and managing CVDs like hypertension and heart failure.

Area of Science:

  • Cardiovascular Science
  • Immunology
  • Molecular Biology

Background:

  • The nucleotide-binding oligomerization domain leucine-rich repeat and pyrin domain-containing protein 3 (NLRP3) inflammasome is increasingly recognized for its role in cardiovascular diseases (CVDs).
  • Pathophysiological mechanisms linking NLRP3 inflammasome signaling to conditions such as hypertension, myocardial infarction, and atherosclerosis are under intense investigation.

Purpose of the Study:

  • To provide a comprehensive review of clinical and preclinical studies on the NLRP3 inflammasome in CVD pathophysiology.
  • To summarize current evidence on therapeutic strategies targeting NLRP3 inflammasome signaling for CVD management.

Main Methods:

  • Systematic review of human and animal studies.
  • Analysis of preclinical and clinical data on NLRP3 inflammasome involvement in CVDs.
  • Evaluation of pharmacological interventions targeting NLRP3.

Main Results:

  • NLRP3 inflammasome activation is implicated in hypertension, myocardial infarct, ischemic injury, cardiomyopathies, heart failure, and atherosclerosis.
  • Pharmacological blockade of NLRP3 pathways, using drugs, biologics, and phytochemicals, demonstrates therapeutic promise.
  • Evidence supports NLRP3 targeting as a potential strategy for CVD prevention and treatment.

Conclusions:

  • The NLRP3 inflammasome is a critical mediator in the pathogenesis of diverse cardiovascular diseases.
  • Targeting NLRP3 inflammasome signaling represents a promising therapeutic avenue for cardiovascular conditions.
  • Further research into NLRP3-targeted therapies could lead to novel treatments for CVDs.

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