The Protective Role of Interleukin-37 in Cardiovascular Diseases through Ferroptosis Modulation

Alfredo Cruz-Gregorio1, Luis M Amezcua-Guerra2,3, Brandon Fisher-Bautista2,4

  • 1Departamento de Fisiología, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México 14080, Mexico.

Insights

Interleukin-37 protects against cardiovascular diseases by inhibiting ferroptosis, a cell death process linked to iron metabolism. Targeting interleukin-37 offers a potential new therapy for heart conditions.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Cell Death Mechanisms

Background:

  • Cardiovascular diseases (CVD) involve complex pathophysiology, with ferroptosis and dysregulated iron metabolism playing significant roles.
  • Inflammation is a key driver in CVD, influencing ferroptosis and disease progression.
  • Interleukin-37 (IL-37) emerges as a protective cytokine with anti-inflammatory and anti-ferroptotic properties.

Purpose of the Study:

  • To review the current understanding of interleukin-37's role in modulating ferroptosis within cardiovascular disease contexts.
  • To explore IL-37's mechanisms, including its impact on macrophage ferroptosis and atherosclerosis.
  • To highlight the therapeutic potential of targeting IL-37 for CVD prevention and treatment.

Main Methods:

  • Literature review of existing studies on IL-37, ferroptosis, and cardiovascular diseases.
  • Analysis of IL-37's immunoregulatory functions and its effects on ferroptosis pathways.
  • Examination of preclinical data, particularly murine models of atherosclerosis.

Main Results:

  • IL-37 activates the nuclear factor erythroid 2-related factor 2 (NRF2) pathway.
  • IL-37 inhibits ferroptosis in macrophages.
  • IL-37 demonstrates a protective effect against atherosclerosis progression in animal models.

Conclusions:

  • Interleukin-37 exhibits significant protective effects against ferroptosis-associated cardiovascular pathology.
  • Modulating IL-37 presents a promising therapeutic strategy for cardiovascular diseases.
  • Further research into IL-37-targeted therapies could lead to novel treatments for conditions like atherosclerosis and myocardial infarction.

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