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FOSL2 Regulates PANoptosis in Cardiomyocytes and Heart Failure Progression After Acute Myocardial Infarction by
1Department of Emergency, Jinshan branch of Shanghai The Sixth People's Hospital, Shanghai, 201599, P. R. China.
Journal of Cardiovascular Translational Research
|July 28, 2026
Summary
The transcription factor FOSL2 induces NLRP12, a protein that triggers inflammatory cell death (PANoptosis), worsening heart failure after myocardial infarction. Inhibiting FOSL2 or NLRP12 protects the heart.
Area of Science:
- Cardiovascular Biology
- Cell Death Mechanisms
- Molecular Cardiology
Background:
- Postinfarction heart failure (HF) is a major clinical challenge.
- PANoptosis, a novel inflammatory cell death pathway, is implicated in various diseases.
- The role of NLRP12 in regulating PANoptosis during HF remains unclear.
Purpose of the Study:
- To investigate the role of NLRP12 in PANoptosis during postinfarction HF.
- To elucidate the regulatory mechanism of NLRP12 by FOSL2 in cardiomyocytes.
- To evaluate the therapeutic potential of targeting the FOSL2-NLRP12 axis in HF.
Main Methods:
- Acute myocardial infarction (AMI) model in C57BL/6J mice.
- Adeno-associated virus-mediated short hairpin RNA (AAV-shRNA) delivery to knockdown NLRP12.
- Lentiviral transduction of mouse cardiomyocytes under hypoxia.
- Western blotting and quantitative real-time PCR to assess protein and gene expression.
- Histological analysis for fibrosis and injury assessment.
- Echocardiography for cardiac function evaluation.
Main Results:
- NLRP12 and FOSL2 were significantly upregulated in myocardial tissues post-AMI and in hypoxia-exposed cardiomyocytes.
- FOSL2 directly activated NLRP12 transcription by binding to its promoter.
- Knockdown of FOSL2 or NLRP12 significantly improved cardiac function, reduced myocardial fibrosis and injury, and inhibited PANoptosis in mice with AMI.
- Combined overexpression of NLRP12 counteracted the protective effects of FOSL2 knockdown.
Conclusions:
- FOSL2 promotes cardiomyocyte PANoptosis by inducing NLRP12 transcription.
- The FOSL2-NLRP12 axis is a key driver of HF post-AMI.
- Targeting FOSL2 or NLRP12 represents a promising therapeutic strategy for postinfarction HF.
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