影响甲状腺功能亢进症的心脏肥大与 NLRP3 炎症小体无关

Aline Cristina Parletta, Gabriela Cavazza Cerri, Claudia Ribeiro Borba Gasparini, Karine Panico, Denival Nascimento Vieira-Junior, Larissa Maria Zacarias-Rodrigues, Nathalia Senger, Amanda de Almeida Silva, Marina Fevereiro, Gabriela Placoná Diniz, Maria Cláudia Costa Irigoyen, Maria Luiza Morais Barreto-Chaves
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摘要

心脏肥大(CH)是维持心脏功能的一种适应性反应;然而,持续的应激反应会导致收缩功能障碍和心力衰竭。虽然炎症参与了这些过程,但控制心脏炎症和肥大的机制仍有待明确。NLRP3 炎性体是一种介导 IL-1β 生成的细胞膜多蛋白复合物。NLRP3 的启动步骤对于增加其成分的表达至关重要,并在 NF-κB 激活后发生。甲状腺功能亢进症会引发CH,进而发展为适应不良性CH,甚至心力衰竭。我们在之前的一项研究中表明,甲状腺激素(TH)诱导的CH与S100A8的上调有关,导致NF-κB活化。因此,我们旨在研究NLRP3炎性体是否参与了TH诱导的CH及其在CH病理生理学中的潜在作用。我们用三碘甲状腺原氨酸(7 μg/100 g BW,i.p.)诱导8-12周龄的NLRP3基因敲除(NLRP3-KO)、Caspase-1-KO和野生型(WT)C57Bl/6J雄性小鼠患甲亢,每天给药14天。除了分子测定外,形态学和心脏功能分析首次表明,三碘甲状腺原氨酸诱导的CH伴随着心脏中NLRP3表达的减少,而且这种情况的发生独立于NLRP3炎性体和caspase 1相关途径。然而,NLRP3 对维持基础心脏功能非常重要,因为与 WT 小鼠相比,NLRP3-KO 小鼠的舒张功能受损,心率、射血分数和心肌缩短率降低。
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Cardiac hypertrophy that affects hyperthyroidism occurs independently of the NLRP3 inflammasome

Cardiac hypertrophy (CH) is an adaptive response to maintain cardiac function; however, persistent stress responses lead to contractile dysfunction and heart failure. Although inflammation is involved in these processes, the mechanisms that control cardiac inflammation and hypertrophy still need to be clarified. The NLRP3 inflammasome is a cytosolic multiprotein complex that mediates IL-1β production. The priming step of NLRP3 is essential for increasing the expression of its components and occurs following NF-κB activation. Hyperthyroidism triggers CH, which can progress to maladaptive CH and even heart failure. We have shown in a previous study that thyroid hormone (TH)-induced CH is linked to the upregulation of S100A8, leading to NF-κB activation. Therefore, we aimed to investigate whether the NLRP3 inflammasome is involved in TH-induced CH and its potential role in CH pathophysiology. Hyperthyroidism was induced in NLRP3 knockout (NLRP3-KO), Caspase-1-KO and Wild Type (WT) male mice of the C57Bl/6J strain, aged 8–12 weeks, by triiodothyronine (7 μg/100 g BW, i.p.) administered daily for 14 days. Morphological and cardiac functional analysis besides molecular assays showed, for the first time, that TH-induced CH is accompanied by reduced NLRP3 expression in the heart and that it occurs independently of the NLRP3 inflammasome and caspase 1-related pathways. However, NLRP3 is important for the maintenance of basal cardiac function since NLRP3-KO mice had impaired diastolic function and reduced heart rate, ejection fraction, and fractional shortening compared with WT mice.

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