Key result
Gemfibrozil significantly reduced myocardial infarct size and improved cardiac function in mice following ischemia/reperfusion injury by inhibiting caspase-11-mediated pyroptosis.
Why the study?
Infarct size post-AMI is a critical prognostic factor and caspase-11-dependent pyroptosis drives cardiomyocyte death, but no therapeutic agents have been developed to inhibit myocardial cell death by targeting caspase-11.
Does gemfibrozil reduce myocardial infarct size and pyroptosis in a mouse model of ischemia/reperfusion injury?
Does gemfibrozil reduce myocardial infarct size and pyroptosis in a mouse model of ischemia/reperfusion injury?
Gemfibrozil mitigates caspase-11-driven myocardial pyroptosis and reduces infarct size in a mouse model of ischemia/reperfusion injury, suggesting a potential novel therapeutic mechanism for limiting AMI damage.
Does not support clinical use; hypothesis-generating for caspase-11 inhibition in myocardial I/R injury.
The size of the infarct area following acute myocardial infarction (AMI) is a critical prognostic factor. Caspase-11-dependent pyroptosis has been implicated as a key mechanism driving cardiomyocyte death after AMI. However, no therapeutic agents have been developed to inhibit myocardial cell death by targeting caspase-11. This study investigates the effects of gemfibrozil, a potential caspase-11 inhibitor, on ischemia/reperfusion-induced myocardial pyroptosis in mice. To model AMI, the left coronary artery of C57BL/6 N mice was ligated for 1 h, followed by reperfusion. Levels of cleaved caspase-11 and the N-terminal fragment of gasdermin D (GSDMD-N) in ischemic myocardial tissue increased progressively over time after ischemia/reperfusion. Gemfibrozil treatment during reperfusion significantly attenuated these increases in cleaved caspase-11 and GSDMD-N levels. Moreover, gemfibrozil reduced the extent of myocardial infarct size during reperfusion. In cultured cardiomyocytes isolated from adult mice, hypoxia/reoxygenation-induced increases in caspase-11 and GSDMD cleavage were similarly mitigated by gemfibrozil, which concurrently prevented necrotic cell death. These findings demonstrate the involvement of caspase-11-dependent pyroptosis in myocardial cell death following ischemia/reperfusion and suggest that gemfibrozil holds promise as a therapeutic agent for reducing myocardial infarct size after AMI. • Caspase-11 pyroptosis is a key mechanism of cardiomyocyte death after AMI. • Gemfibrozil attenuates caspase-11 activation during ischemia/reperfusion in mice. • Gemfibrozil reduces myocardial infarct size and prevents necrotic cell death. • This study suggests gemfibrozil as a potential therapy to limit AMI damage.
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Marunouchi et al. (2025) studied Ischemia/reperfusion injury (Acute myocardial infarction model) (n=120). Gemfibrozil vs. Vehicle/Control was evaluated on Myocardial infarct size (IA/AAR ratio) and cleaved caspase-11 levels (p=<0.05). Gemfibrozil significantly reduced myocardial infarct size and improved cardiac function in mice following ischemia/reperfusion injury by inhibiting caspase-11-mediated pyroptosis.
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