2021
DOI: 10.2147/dmso.s300388
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Changes of Necroptosis in Irbesartan Medicated Cardioprotection in Diabetic Rats

Abstract: Background: Diabetic cardiomyopathy (DCM) is strongly linked to microvascular disease, renin-angiotensin system (RAS) activation, cardiac inflammation and cell apoptosis. Irbesartan is an angiotensin II (Ang II) receptor antagonist in RAS system, which inhibited the conversion of Ang I into Ang II, while the specific mechanism is still obscure. Objective: This study aims to investigate the expressions necroptosis RIP1-RIP3-MLKL pathway in myocardium of diabetic rats, and the protective action of irbesartan on … Show more

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Cited by 8 publications
(5 citation statements)
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“…Furthermore, hyperglycemia induces excessive generation of reactive oxygen species (ROS), which may also initiate inflammatory response and trigger progressive mitochondrial damage and cardiomyocyte apoptosis in diabetic heart, finally leading to cardiac dysfunction, remodeling and heart failure [13]. Recent studies have reported that necroptosis is also involved in DCM [14][15][16]. Necroptosis is a highly inflammatory form of cell death, which is triggered by receptor interacting kinase 1 (RIPK1), then binds to receptor interacting kinase 3 (RIPK3) and subsequently recruits and phosphorylates mixed lineage kinase domain-like protein (MLKL).…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, hyperglycemia induces excessive generation of reactive oxygen species (ROS), which may also initiate inflammatory response and trigger progressive mitochondrial damage and cardiomyocyte apoptosis in diabetic heart, finally leading to cardiac dysfunction, remodeling and heart failure [13]. Recent studies have reported that necroptosis is also involved in DCM [14][15][16]. Necroptosis is a highly inflammatory form of cell death, which is triggered by receptor interacting kinase 1 (RIPK1), then binds to receptor interacting kinase 3 (RIPK3) and subsequently recruits and phosphorylates mixed lineage kinase domain-like protein (MLKL).…”
Section: Introductionmentioning
confidence: 99%
“…These in vitro studies have engaged the necroptosis signaling in high glucose-induced cardiomyocyte death. In animal models of diabetes including STZ injection-induced type-1 diabetic mice [ 27 ], high fat diet-induced pre-diabetic rats [ 25 ], high fat diet plus STZ-induced type-2 diabetic rats [ 43 ] and db/db type-2 diabetic mice [ 27 ], the protein levels of total and/or phosphorylated RIPK1/RIPK3/MLKL were elevated in the heart, suggesting a potential role of necroptosis in cardiac complications of diabetes. Indeed, this was supported by a most recent study which showed that deletion of RIPK3 alleviated myocardial injury and dysfunction in STZ-injected mice [ 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, our data demonstrate that in addition to apoptosis and pyroptosis, cardiomyocyte necroptosis also makes important contribution to the pathogenesis of type-1 diabetic cardiomyopathy and represents a target for cardiac protection in diabetes. Although the current study was focused on type-1 diabetes, we speculate that cardiomyocyte necroptosis may also play a role in cardiac pathology of type-2 diabetes as the necroptosis signaling RIPK3 and MLKL were activated in the heart of db/db type-2 diabetic mice [ 27 ] and high fat diet plus STZ-induced type-2 diabetic rats [ 43 ]. Nevertheless, future studies are warranted to clarify the role of necroptosis and its RIPK3/MLKL signaling in cardiac pathology using type-2 diabetic models.…”
Section: Discussionmentioning
confidence: 99%
“…Necroptosis also has implications in diabetic complications. Elevated total and/or phosphorylated RIPK1/RIPK3/MLKL levels have been observed in the hearts of either type 1 or type 2 diabetes animal models, 103 underscoring the role of necroptosis in the pathogenesis of diabetes complications. Notably, lipotoxicity contributes to increased necroptosis levels under diabetic conditions.…”
Section: Lipotoxicity Mediates the Detrimental Effects Of Diabetes On...mentioning
confidence: 97%