Targeting high-mobility-group-box-1-mediated inflammation: a promising therapeutic approach for myocardial infarction.

IF 4.6 2区 医学 Q2 IMMUNOLOGY
Shrutika Date, Lokesh Kumar Bhatt
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引用次数: 0

Abstract

Myocardial ischemia, resulting from coronary artery blockage, precipitates cardiac arrhythmias, myocardial structural changes, and heart failure. The pathophysiology of MI is mainly based on inflammation and cell death, which are essential in aggravating myocardial ischemia and reperfusion injury. Emerging research highlights the functionality of high mobility group box-1, a non-histone nucleoprotein functioning as a chromosomal stabilizer and inflammatory mediator. HMGB1's release into the extracellular compartment during ischemia acts as damage-associated molecular pattern, triggering immune reaction by pattern recognition receptors and exacerbating tissue inflammation. Its involvement in signaling pathways like PI3K/Akt, TLR4/NF-κB, and RAGE/HMGB1 underscores its significance in promoting angiogenesis, apoptosis, and reducing inflammation, which is crucial for MI treatment strategies. This review highlights the complex function of HMGB1 in the pathogenesis of myocardial infarction by summarizing novel findings on the protein in ischemic situations. Understanding the mechanisms underlying HMGB1 could widen the way to specific treatments that minimize the severity of MI and enhance patient outcomes.

针对高迁移率组-盒-1介导的炎症:一种治疗心肌梗塞的前景广阔的方法。
冠状动脉堵塞导致的心肌缺血会诱发心律失常、心肌结构改变和心力衰竭。心肌缺血的病理生理学主要基于炎症和细胞死亡,而炎症和细胞死亡是加重心肌缺血和再灌注损伤的关键。新近的研究强调了高迁移率基团框-1 的功能,它是一种非组蛋白核蛋白,具有染色体稳定剂和炎症介质的功能。缺血时,HMGB1 释放到细胞外,成为损伤相关分子模式,通过模式识别受体引发免疫反应,加剧组织炎症。它参与了 PI3K/Akt、TLR4/NF-κB 和 RAGE/HMGB1 等信号通路,这凸显了它在促进血管生成、细胞凋亡和减轻炎症方面的重要作用,而这对心肌缺血治疗策略至关重要。本综述通过总结有关缺血情况下 HMGB1 蛋白的新发现,强调了 HMGB1 在心肌梗死发病机制中的复杂功能。了解 HMGB1 的内在机制可以拓宽治疗途径,最大限度地减轻心肌梗死的严重程度并改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Inflammopharmacology
Inflammopharmacology IMMUNOLOGYTOXICOLOGY-TOXICOLOGY
CiteScore
8.00
自引率
3.40%
发文量
200
期刊介绍: Inflammopharmacology is the official publication of the Gastrointestinal Section of the International Union of Basic and Clinical Pharmacology (IUPHAR) and the Hungarian Experimental and Clinical Pharmacology Society (HECPS). Inflammopharmacology publishes papers on all aspects of inflammation and its pharmacological control emphasizing comparisons of (a) different inflammatory states, and (b) the actions, therapeutic efficacy and safety of drugs employed in the treatment of inflammatory conditions. The comparative aspects of the types of inflammatory conditions include gastrointestinal disease (e.g. ulcerative colitis, Crohn''s disease), parasitic diseases, toxicological manifestations of the effects of drugs and environmental agents, arthritic conditions, and inflammatory effects of injury or aging on skeletal muscle. The journal has seven main interest areas: -Drug-Disease Interactions - Conditional Pharmacology - i.e. where the condition (disease or stress state) influences the therapeutic response and side (adverse) effects from anti-inflammatory drugs. Mechanisms of drug-disease and drug disease interactions and the role of different stress states -Rheumatology - particular emphasis on methods of measurement of clinical response effects of new agents, adverse effects from anti-rheumatic drugs -Gastroenterology - with particular emphasis on animal and human models, mechanisms of mucosal inflammation and ulceration and effects of novel and established anti-ulcer, anti-inflammatory agents, or antiparasitic agents -Neuro-Inflammation and Pain - model systems, pharmacology of new analgesic agents and mechanisms of neuro-inflammation and pain -Novel drugs, natural products and nutraceuticals - and their effects on inflammatory processes, especially where there are indications of novel modes action compared with conventional drugs e.g. NSAIDs -Muscle-immune interactions during inflammation [...]
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