4.7 Review

NLRP3 inflammasome in cardiovascular diseases: Pathophysiological and pharmacological implications

Journal

MEDICINAL RESEARCH REVIEWS
Volume 41, Issue 4, Pages 1883-1926

Publisher

WILEY
DOI: 10.1002/med.21781

Keywords

animal models; biologics; cardiovascular diseases; drugs; NLRP3 inflammasome; patients; phytochemicals

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The importance of NLRP3 inflammasome in the pathogenesis of cardiovascular diseases is being increasingly recognized, with potential therapeutic approaches including drug interventions. Research efforts are focused on understanding the role of NLRP3 inflammasome in CVD pathophysiology and exploring possible interventions.
Growing evidence points out the importance of nucleotide-binding oligomerization domain leucine-rich repeat and pyrin domain-containing protein 3 (NLRP3) inflammasome in the pathogenesis of cardiovascular diseases (CVDs), including hypertension, myocardial infarct (MI), ischemia, cardiomyopathies (CMs), heart failure (HF), and atherosclerosis. In this regard, intensive research efforts both in humans and in animal models of CVDs are being focused on the characterization of the pathophysiological role of NLRP3 inflammasome signaling in CVDs. In addition, clinical and preclinical evidence is coming to light that the pharmacological blockade of NLRP3 pathways with drugs, including novel chemical entities as well as drugs currently employed in the clinical practice, biologics and phytochemicals, could represent a suitable therapeutic approach for prevention and management of CVDs. On these bases, the present review article provides a comprehensive overview of clinical and preclinical studies about the role of NLRP3 inflammasome in the pathophysiology of CVDs, including hypertension, MI, ischemic injury, CMs, HF and atherosclerosis. In addition, particular attention has been focused on current evidence on the effects of drugs, biologics, and phytochemicals, targeting different steps of inflammasome signaling, in CVDs.

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