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Published on: November 28, 2025
Pyroptosis: Novel Targets in Molecular Mechanisms and Drug Therapy Research for Myocardial Ischemia Reperfusion
Dong Zhang1, Hui Wu2,3,4, ShengYu Gong5
1Interventional Diagnosis and Treatment Center, Yichang Central People's Hospital, 443000 Yichang, Hubei, China.
Abstract:
Myocardial ischemia-reperfusion injury is a significant complication of reperfusion therapy and a primary cause of mortality in patients with acute myocardial infarction. The pathogenic mechanism involved in myocardial ischemia-reperfusion injury is intricate, and effective preventive and therapeutic strategies remain limited in clinical practice. Recently, pyroptosis has emerged as a novel regulatory form of cell death and has attracted widespread attention as a key focus in the study of disease mechanisms and therapeutic targets. Studies indicate a close association between pyroptosis and the pathophysiological processes underlying myocardial ischemia-reperfusion injury. This article provides a comprehensive review of recent advances in research on pyroptosis in the context of myocardial ischemia-reperfusion injury. Therefore, this review aims to offer new insights into the prevention and treatment of myocardial ischemia-reperfusion injury while minimizing redundancy in the existing literature.
Insights
Pyroptosis, a novel cell death pathway, is closely linked to myocardial ischemia-reperfusion injury. Understanding this connection offers new therapeutic targets for heart attack recovery.
Area of Science:
- Cardiology
- Cellular Biology
- Pathophysiology
Background:
- Myocardial ischemia-reperfusion (I/R) injury is a major complication following reperfusion therapy for acute myocardial infarction.
- Current preventive and therapeutic strategies for I/R injury are limited.
- Pyroptosis, a regulated form of cell death, is increasingly recognized for its role in disease pathogenesis.
Purpose of the Study:
- To comprehensively review recent research on pyroptosis in myocardial I/R injury.
- To explore the association between pyroptosis and the pathophysiology of I/R injury.
- To provide novel insights for preventing and treating myocardial I/R injury.
Main Methods:
- Literature review of recent scientific publications.
- Analysis of studies investigating pyroptosis in myocardial I/R injury models.
- Synthesis of current knowledge on pyroptosis mechanisms and therapeutic implications.
Main Results:
- Pyroptosis is significantly involved in the pathological processes of myocardial I/R injury.
- Emerging evidence highlights pyroptosis as a key player in I/R-induced cardiac damage.
- Targeting pyroptosis pathways shows potential for mitigating I/R injury.
Conclusions:
- Pyroptosis represents a promising therapeutic target for myocardial I/R injury.
- Further research into pyroptosis mechanisms can lead to improved clinical treatments.
- This review consolidates current understanding to guide future therapeutic development.

