IL-38 attenuates diabetic cardiomyopathy by regulating NLRP3-mediated pyroptosis via the STING signaling pathway

Xiao Wei1, Yan Liu1, Donghui An1

  • 1Department of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Heping West Road No. 215, Shijiazhuang 050000, China.

Biochemical Pharmacology
|August 19, 2026
PubMed

Insights

Interleukin-38 (IL-38) protects against diabetic cardiomyopathy (DCM) by reducing inflammation and pyroptosis, a form of cell death. This study shows IL-38 alleviates heart damage in type 2 diabetes by modulating the STING/NLRP3 pathway.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Cellular Biology

Background:

  • Diabetic cardiomyopathy (DCM) involves cardiac remodeling, fibrosis, and dysfunction, driven by chronic inflammation.
  • Pyroptosis, a pro-inflammatory programmed cell death, significantly contributes to myocardial inflammation in DCM.
  • Interleukin-38 (IL-38) possesses anti-inflammatory properties, suggesting a potential therapeutic role in inflammatory conditions.

Purpose of the Study:

  • To investigate the protective effects of IL-38 against diabetes-induced myocardial injury.
  • To determine if IL-38 modulates pyroptosis in the context of diabetic cardiomyopathy.
  • To elucidate the underlying signaling pathways, specifically the STING/NLRP3 cascade, involved in IL-38's action.

Main Methods:

  • Type 2 diabetes was induced in mice, followed by IL-38 treatment, with assessments of cardiac function, histology, and apoptosis.
  • Pyroptosis-related protein levels and signaling pathways were evaluated in vivo and in vitro using cultured cardiomyocytes.
  • The impact of NLRP3 overexpression and STING pathway activation on IL-38's efficacy was examined.

Main Results:

  • IL-38 administration significantly ameliorated myocardial damage and cardiac dysfunction in diabetic mice.
  • IL-38 suppressed pyroptosis by downregulating pyroptosis-associated proteins in diabetic hearts.
  • IL-38 exerted its protective effects through the modulation of the STING/NLRP3 signaling pathway, although excessive NLRP3 or STING activation diminished these benefits.

Conclusions:

  • IL-38 demonstrates significant therapeutic potential for diabetic cardiomyopathy by mitigating inflammation and pyroptosis.
  • The anti-pyroptotic and cardioprotective effects of IL-38 are mediated via regulation of the STING/NLRP3 signaling axis.
  • Targeting IL-38 may offer a novel strategy for managing diabetic cardiomyopathy, contingent on the modulation of specific inflammatory pathways.