Key result
Aerobic exercise protects against ischemia-reperfusion injury by elevating IGFBP2 to inhibit myocardial pyroptosis.
Why the study?
Acute myocardial infarction remains a major cause of mortality, exacerbated by ischemia-reperfusion injury, where myocardial cell pyroptosis has emerged as a critical pathway influencing injury severity.
Does aerobic exercise prevent GSDME-dependent myocardial cell pyroptosis and reduce infarct size in a mouse model of ischemia-reperfusion injury?
Does aerobic exercise prevent GSDME-dependent myocardial cell pyroptosis and reduce infarct size in a mouse model of ischemia-reperfusion injury?
Aerobic exercise protects against myocardial ischemia-reperfusion injury by elevating IGFBP2, which inhibits GSDME-dependent pyroptosis via the AKT-GSK3β pathway.
Should not yet change exercise guidance in I/R injury; leaves open human translation of IGFBP2-mediated pyroptosis inhibition.
BACKGROUND: Acute myocardial infarction (AMI) remains a significant cause of global mortality, exacerbated by ischemia-reperfusion (IR) injury. Myocardial cell pyroptosis has emerged as a critical pathway influencing IR injury severity. METHODS: We aimed to investigate the cardioprotective effects of aerobic exercise on IR injury by examining the modulation of IGFBP2 and its impact on GSDME-dependent myocardial cell pyroptosis. Mechanistic pathways were explored using western blot analysis, ELISA, immunofluorescence, and echocardiography. RESULTS: Our findings demonstrate that aerobic exercise leads to increased circulating levels of IGFBP2, which effectively suppresses GSDME-dependent myocardial cell pyroptosis. This regulation occurs via the AKT-GSK3β signaling pathway, involving VDAC1 phosphorylation, thereby enhancing mitochondrial function and reducing oxidative stress. CONCLUSION: In conclusion, our study highlights the role of IGFBP2 in mitigating GSDME-dependent pyroptosis as a mechanism through which aerobic exercise exerts cardioprotective effects against IR injury. These insights suggest potential therapeutic targets for managing acute myocardial infarction.
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Li et al. (2024) studied Myocardial ischemia-reperfusion injury. Aerobic exercise vs. No exercise (sedentary control) was evaluated on Myocardial infarct size and GSDME-dependent pyroptosis. Aerobic exercise exerts cardioprotective effects against ischemia-reperfusion injury by elevating circulating IGFBP2, which inhibits GSDME-dependent myocardial cell pyroptosis via the AKT-GSK3β signaling pathway.
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