4.7 Article

Emodin alleviates LPS-induced myocardial injury through inhibition of NLRP3 inflammasome activation

Journal

PHYTOTHERAPY RESEARCH
Volume 35, Issue 9, Pages 5203-5213

Publisher

WILEY
DOI: 10.1002/ptr.7191

Keywords

emodin; GSDMD; myocardial injury; NLRP3 inflammasome; pyroptosis; sepsis

Funding

  1. Incubation Scientific Research Project of The First Affiliated Hospital of Wenzhou Medical University [FHY2019018, FHY2019077]
  2. National Natural Science Foundation of China [81772112, 81871583]
  3. Science and Technology Project of Wenzhou [Y20180105]

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The study revealed that emodin has a protective effect on septic myocardial injury by alleviating the inflammatory response and cardiomyocyte pyroptosis.
Myocardial injury and cardiovascular dysfunction are serious consequences of sepsis and contribute to high mortality. Currently, the pathogenesis of myocardial injury in sepsis is still unclear, and therapeutic approaches are limited. In this study, we investigated the protective effect of emodin on septic myocardial injury and the underlying mechanism. Lipopolysaccharide (LPS)-induced C57BL/6 mice and cardiomyocytes were used as models of sepsis in vivo and in vitro, respectively. The results showed that emodin alleviated cardiac dysfunction, myocardial injury and improved survival rate in LPS-induced septic mice. Emodin attenuated the levels of inflammatory cytokines and cardiac inflammation induced by LPS. Emodin reduced NOD-like receptor protein 3 (NLRP3) and Gasdermin D (GSDMD) expression in the heart tissue of LPS-induced septic mice. In vitro, emodin alleviated LPS-induced cell injury and inflammation in cardiomyocytes by inhibiting NLRP3 inflammasome activation. In addition, an NLRP3 inhibitor was used to further confirm the function of the NLRP3 inflammasome in LPS-induced myocardial injury. Taken together, our findings suggest that emodin improves LPS-induced myocardial injury and cardiac dysfunction by alleviating the inflammatory response and cardiomyocyte pyroptosis by inhibiting NLRP3 inflammasome activation, which provides a feasible strategy for preventing and treating myocardial injury in sepsis.

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