2021
DOI: 10.1016/j.biopha.2020.110990
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Uric acid aggravates myocardial ischemia–reperfusion injury via ROS/NLRP3 pyroptosis pathway

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Cited by 76 publications
(48 citation statements)
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“…Finally, a couple of years ago, some authors hypothesized that a multitarget therapy is necessary to be able to fully achieve a benefit in patients subjected to cardiac reperfusion, since AMI is a multifactorial process, wherein cardiomyocytes die through various pathways, such as apoptosis, necrosis, autophagy, and necroptosis [ 11 ], and where, with the passing of time, the list is enlarged, describing new pathways that could be triggering cell death after the reperfusion injury, such as ferroptosis [ 39 , 89 ] and pyroptosis [ 90 ]. Furthermore, not only cardiomyocytes are affected, but also other heart cell types, such as fibroblasts, immune cells, endothelial cells, and platelets [ 11 ], and targeting only one mechanism at a time may be insufficient to produce a strong and robust effect in clinical situations where many uncontrolled variables usually coexist.…”
Section: Cardioprotection By Vitamin Cmentioning
confidence: 99%
“…Finally, a couple of years ago, some authors hypothesized that a multitarget therapy is necessary to be able to fully achieve a benefit in patients subjected to cardiac reperfusion, since AMI is a multifactorial process, wherein cardiomyocytes die through various pathways, such as apoptosis, necrosis, autophagy, and necroptosis [ 11 ], and where, with the passing of time, the list is enlarged, describing new pathways that could be triggering cell death after the reperfusion injury, such as ferroptosis [ 39 , 89 ] and pyroptosis [ 90 ]. Furthermore, not only cardiomyocytes are affected, but also other heart cell types, such as fibroblasts, immune cells, endothelial cells, and platelets [ 11 ], and targeting only one mechanism at a time may be insufficient to produce a strong and robust effect in clinical situations where many uncontrolled variables usually coexist.…”
Section: Cardioprotection By Vitamin Cmentioning
confidence: 99%
“…Considering ROS as the primary cause among these stimuli, the pharmacological antagonists of accumulated succinate sufficiently ameliorated in vivo myocardial ischemia/reperfusion injury via repressing extensive ROS generation [ 29 ]. Further, uric acid aggravates MI/R-induced activation of the NOD-like receptor pyrin domain-containing protein 3 (NLRP3) inflammatory cascade and pyroptosis by promoting ROS generation, while inflammasome inhibitors and ROS scavengers partly reverse the injury [ 30 ]. What is more, ROS scavenger N-acetyl cysteine (NAC) was able to reduce the amount of ROS and prevent cell death [ 31 ].…”
Section: Discussionmentioning
confidence: 99%
“…More seriously, the increased ROS levels triggers the mitochondria to produce a large amount of ROS ("oxygen triggered-oxygen release" mechanism in mitochondria) [21]. Oxidative stress can not only attack cell membrane and organelles, but also cause in ammation by interacting with in ammatory factors, further aggravating the myocardial damage caused by MI [22]. Therefore, increasing the level of antioxidant enzymes and decreasing the content of ROS are generally considered as one of the important therapeutic ideas for MI [23].…”
Section: Discussionmentioning
confidence: 99%