Key result
Intramyocardial injection of Nlrp3 knockout endothelial progenitor cells significantly improved cardiac function, increased angiogenesis, and reduced infarct size in a mouse model of diabetic myocardial infarction.
Why the study?
Inflammatory diseases impair the reparative properties of EPCs, but the involvement of diabetes in EPC dysfunction associated with MI remains unknown.
Does intramyocardial injection of Nlrp3 knockout endothelial progenitor cells improve cardiac function and angiogenesis in diabetic mice with myocardial infarction?
Does intramyocardial injection of Nlrp3 knockout endothelial progenitor cells improve cardiac function and angiogenesis in diabetic mice with myocardial infarction?
NLRP3 knockout in endothelial progenitor cells restores their angiogenic capacity and improves cardiac repair in a diabetic myocardial infarction mouse model, identifying NLRP3 as a potential therapeutic target.
Hypothesis-generating for NLRP3-targeted EPCs in diabetic MI; leaves open human validation before any practice change.
BACKGROUND: Inflammatory diseases impair the reparative properties of endothelial progenitor cells (EPC); however, the involvement of diabetes in EPC dysfunction associated with myocardial infarction (MI) remains unknown. METHODS: A model was established combining high-fat diet (HFD)/streptozotocin (STZ)-induced diabetic mice with myocardial infarction. The therapeutic effects of transplanted wild-type EPC, Nlrp3 knockout EPC, and Nlrp3 overexpression EPC were evaluated. Chip and Luciferase assay revealed CEBPB regulated the transcriptional expression of Nlrp3 as a transcription factor in EPC stimulated by high glucose (HG) or advanced glycation end products (AGEs). CO-IP results suggested that USP14 selectively suppressed NLRP3 degradation. KEGG enrichment revealed PI3K/ Akt/mTOR signaling showed striking significance in the entire pathway. RESULTS: In our study, wild-type, Nlrp3 knockout and Nlrp3 overexpressed EPC, intracardiac injections effectively improved cardiac function, increased angiogenesis, and reduced infarct size in mice with myocardial infarction. However, in the HFD/STZ-induced diabetic mice model combined with myocardial infarction, Nlrp3 knockout EPC significantly restored angiogenic capacity. Mechanically, CEBPB regulated the transcriptional level of Nlrp3 as a transcription factor in EPC. Meanwhile, we found that USP14 selectively suppressed NLRP3 protein degradation through the USP motif on the NACHT domain in mediating inflammasome activation. Cardiac functional outcomes in recipient mice after intramyocardial injection of shNlrp3 EPC overexpressing CEBPB or USP14 validated the modulation of EPC function by regulating Nlrp3 transcription or post-translational modification. Furthermore, KEGG enrichment and validation at the protein levels revealed PI3K/ Akt/mTOR cascade might be a downstream signal for NLRP3 inflammasome. CONCLUSION: Our study provides a new understanding of how diabetes affected progenitor cell-mediated cardiac repair and identifies NLRP3 as a new therapeutic target for improving myocardial infarction repair in inflammatory diseases.
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Li et al. (2025) studied Diabetic myocardial infarction. Nlrp3 knockout endothelial progenitor cells (EPC) vs. Wild-type EPC or PBS was evaluated on Cardiac function (ejection fraction, fractional shortening) and infarct size. Intramyocardial injection of Nlrp3 knockout endothelial progenitor cells significantly improved cardiac function, increased angiogenesis, and reduced infarct size in a mouse model of diabetic myocardial infarction.
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