Why the study?
The NLRP3 inflammasome has been implicated in physiological and pathological processes, but its correlation with coronary heart disease remains to be elucidated.
Does in vitro rosuvastatin treatment reduce NLRP3 inflammasome expression in peripheral blood monocytes from patients with coronary heart disease?
Does in vitro rosuvastatin treatment reduce NLRP3 inflammasome expression in peripheral blood monocytes from patients with coronary heart disease?
Rosuvastatin may attenuate the inflammatory process of atherosclerosis by downregulating NLRP3 inflammasome expression and its downstream mediators in peripheral blood monocytes.
NLRP3 upregulation in AMI may mark heightened inflammation; leaves open whether targeting it alters CHD outcomes.
Nucleotide‑binding oligomerization domain, leucine rich repeat, and pyrin domain‑containing protein 3 (NLRP3) inflammasome has been implicated in a series of physiological and pathological processes. However, its correlation in coronary heart disease (CHD) still remains to be elucidated. The present study aimed to determine the expression of NLRP3 inflammasome in peripheral blood monocytes (PBMCs) of stable angina pectoris (SAP) and acute myocardial infarction (AMI) patients. In addition, the effect of rosuvastatin on their activities was analyzed in vitro. A total of 60 participants with SAP (n=20), AMI (n=20) and non‑CHD controls (n=20) were enrolled. Fluorescence‑activated cell sorting, real‑time PCR, western blotting and enzyme‑linked immunosorbent assay were performed to reveal the role of NLRP3 inflammasome. NLRP3 inflammasome was expressed in the PBMCs, and revealed an increased expression along the downstream interleukin (IL)‑1β and IL‑18 in both SAP and AMI groups, compared to the control group. Moreover, there was a more marked increase in the expression of these indicators in AMI patients when compared to SAP patients. Interference with rosuvastatin in vitro revealed that the expression of NLRP3 inflammasome and its downstream cytokines were significantly downregulated in both SAP and AMI groups in a time‑dependent manner. The activation of NLRP3 inflammasome may be involved in the development of CHD, and rosuvastatin could attenuate the inflammatory process of atherosclerosis by downregulating NLRP3 expression and its downstream mediators. These findings indicated a potential role of NLRP3 in the pathogenesis and management of CHD, and also provided new insights into the mechanistic framework of rosuvastatin activity.
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Zhu et al. (2019) studied this question.
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