Absence of NLRP3 Inflammasome in Hematopoietic Cells Reduces Adverse Remodeling After Experimental Myocardial Infarction

JACC Basic Transl Sci. 2020 Dec 9;5(12):1210-1224. doi: 10.1016/j.jacbts.2020.09.013. eCollection 2020 Dec.

Abstract

An inflammatory response is required for tissue healing after a myocardial infarction (MI), but the process must be balanced to prevent maladaptive remodeling. This study shows that improved survival and cardiac function following MI, in mice deficient for the NLRP3 inflammasome, can be recapitulated in wild-type mice receiving bone marrow from Nlrp3 -/- mice. This suggests that NLRP3 activation in hematopoietic cells infiltrating in the myocardium increases mortality and late ventricular remodeling. Our data should encourage performing clinical trials directly targeting NLRP3 inflammasome and their inflammatory cytokines (interleukin-1β and -18) in MI patients.

Keywords: ASC, apoptosis-associated speck like protein; CMR, cardiac magnetic resonance; ECM, extracellular matrix; HF, heart failure; I/R, ischemia/reperfusion; IL, interleukin; LV, left ventricle/ventricular; MI, myocardial infarction; NLRP3; NLRP3, NLR family, pyrin domain containing protein 3; WT, wild-type; cardiac remodeling; hematopoietic cells; innate immunity; macrophages; myocardial infarction.