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Updated: Nov 8, 2025

Author Spotlight: Integrated Multi-Omics Analysis for Unveiling Multicellular Immune Signatures in Clinical Heart Attack Cohorts
Published on: September 20, 2024
High-mobility group box 1 serves as an inflammation driver of cardiovascular disease
Abdul Wahid1, Wei Chen2, Xuewen Wang1
1Department of Cardiology, the Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
Insights
Inflammation drives cardiovascular disease (CVD). High-mobility group box 1 (HMGB1) protein activates innate immunity, promoting CVD. Understanding HMGB1 is key for developing targeted therapies.
Area of Science:
- Cardiovascular Science
- Immunology
- Molecular Biology
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality, with inflammation playing a critical role in its pathogenesis.
- High-mobility group box 1 (HMGB1), a nuclear DNA-binding protein, is implicated in activating innate immunity and driving inflammation in CVD.
- HMGB1 is present in cardiac cells and influences various signaling pathways.
Purpose of the Study:
- To elucidate the role of HMGB1 in cardiovascular disease.
- To discuss HMGB1's biological functions, receptors, and signaling pathways.
- To explore HMGB1's contribution to the pathophysiology of various cardiovascular conditions.
Main Methods:
- Literature review and synthesis of existing research on HMGB1.
- Analysis of HMGB1's involvement in inflammatory processes.
- Examination of HMGB1's role in specific cardiovascular pathologies.
Main Results:
- HMGB1 acts as a key mediator of inflammation in the context of CVD.
- HMGB1 binding to its receptors initiates signaling cascades that promote cardiovascular damage.
- HMGB1 is implicated in cardiac remodeling, hypertrophy, myocardial infarction, heart failure, pulmonary hypertension, atherosclerosis, and cardiomyopathy.
Conclusions:
- HMGB1 is a significant contributor to the inflammatory mechanisms underlying cardiovascular diseases.
- Targeting HMGB1 presents a potential therapeutic strategy for managing CVD.
- Further research into HMGB1 pathways is crucial for developing novel CVD treatments.
Abstract:
Cardiovascular disease (CVD) is the most deadly disease, which can cause sudden death, in which inflammation is a key factor in its occurrence and development. High-mobility group box 1 (HMGB1) is a novel nuclear DNA-binding protein that activates innate immunity to induce inflammation in CVD. HMGB1 exists in the cytoplasm and nucleus of different cell types, including those in the heart. By binding to its receptors, HMGB1 triggers a variety of signaling cascades, leading to inflammation and CVD. To help develop HMGB1-targeted therapies, here we discuss HMGB1 and its biological functions, receptors, signaling pathways, and pathophysiology related to inflammation and CVD, including cardiac remodeling, cardiac hypertrophy, myocardial infarction, heart failure, pulmonary hypertension, atherosclerosis, and cardiomyopathy.
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