Why the study?
Despite the translational relevance of pigs for acute myocardial infarction, few studies have identified how transcriptomic changes shape signaling pathways in response to ischemia-reperfusion injury and cardioprotection.
This systematic review maps the transcriptomic changes and signaling pathways involved in myocardial ischemia-reperfusion injury and cardioprotection in porcine models, providing insights for translational applications.
Answers are grounded in this paper and cite their sources.
Systematic review maps pig IRI transcriptomics to immune pathways; extends preclinical models but leaves open human cardioprotection trials.
Myocardial damage in acute myocardial infarctions (AMI) is primarily the result of ischemia−reperfusion injury (IRI). Recognizing the timing of transcriptional events and their modulation by cardioprotective strategies is critical to address the pathophysiology of myocardial IRI. Despite the relevance of pigs for translational studies of AMI, only a few have identified how transcriptomic changes shape cellular signaling pathways in response to injury. We systematically reviewed transcriptomic studies of myocardial IRI and cardioprotection in Sus scrofa. Gene expression datasets were analyzed for significantly enriched terms using the Enrichr analysis tool, and statistically significant results (adjusted p-values of <0.05) for Signaling Pathways, Transcription Factors, Molecular Functions, and Biological Processes were compared between eligible studies to describe how these dynamic changes transform the myocardium from an injured and inflamed tissue into a scar. Then, we address how cardioprotective interventions distinctly modulate the myocardial transcriptome and discuss the implications of uncovering gene regulatory networks for cardiovascular pathologies and translational applications.
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Salazar-González et al. (2022) studied this question.
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