1. Inhibition of the NLRP3/IL‐1β axis protects against sepsis‐induced cardiomyopathy
- Author
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Melanie Kny, Magdalena Stock, Arnd Heuser, Hortense Slevogt, Jens Fielitz, Nora Huang, Bishwas Chamling, Sebastian Graeger, Doreen Biedenweg, Claus Scheidereit, Mihail Todiras, Katharina Busch, Oliver Otto, Tilman E. Klassert, Stefan Groß, Friedrich C. Luft, Sibylle Schmidt, Stephan B. Felix, Michael Willenbrock, Christian Butter, and Alexander Hahn
- Subjects
Cardiac function curve ,Male ,medicine.medical_specialty ,NLR family, pyrin domain‐containing 3 protein ,Inflammasomes ,Interleukin-1beta ,Diastole ,Cardiomyopathy ,Heart failure ,Diseases of the musculoskeletal system ,Sepsis ,Contractility ,Mice ,Atrophy ,Physiology (medical) ,Internal medicine ,NLR Family, Pyrin Domain-Containing 3 Protein ,medicine ,Myocyte ,Animals ,Humans ,Orthopedics and Sports Medicine ,business.industry ,QM1-695 ,Interleukin‐1 beta ,Original Articles ,medicine.disease ,Rats ,Endocrinology ,RC925-935 ,Human anatomy ,Original Article ,business ,Cardiomyopathies - Abstract
Background Septic cardiomyopathy worsens the prognosis of critically ill patients. Clinical data suggest that interleukin‐1β (IL‐1β), activated by the NLRP3 inflammasome, compromises cardiac function. Whether or not deleting Nlrp3 would prevent cardiac atrophy and improve diastolic cardiac function in sepsis was unclear. Here, we investigated the role of NLRP3/IL‐1β in sepsis‐induced cardiomyopathy and cardiac atrophy. Methods Male Nlrp3 knockout (KO) and wild‐type (WT) mice were exposed to polymicrobial sepsis by caecal ligation and puncture (CLP) surgery (KO, n = 27; WT, n = 33) to induce septic cardiomyopathy. Sham‐treated mice served as controls (KO, n = 11; WT, n = 16). Heart weights and morphology, echocardiography and analyses of gene and protein expression were used to evaluate septic cardiomyopathy and cardiac atrophy. IL‐1β effects on primary and immortalized cardiomyocytes were investigated by morphological and molecular analyses. IonOptix and real‐time deformability cytometry (RT‐DC) analysis were used to investigate functional and mechanical effects of IL‐1β on cardiomyocytes. Results Heart morphology and echocardiography revealed preserved systolic (stroke volume: WT sham vs. WT CLP: 33.1 ± 7.2 μL vs. 24.6 ± 8.7 μL, P
- Published
- 2021