Evidence map›Paper›PMID 34726071›Full record

ArticleJournal of the American Heart Association2021

Retinol-Binding Protein 4 Promotes Cardiac Injury After Myocardial Infarction Via Inducing Cardiomyocyte Pyroptosis Through an Interaction With NLRP3.

Kang-Zhen Zhang, Xi-Yu Shen, Man Wang, Li Wang, Hui-Xian Sun, Xiu-Zhen Li, Jing-Jing Huang, Xiao-Qing Li, Cheng Wu, Can Zhao and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 40 citations in OpenAlex.

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  10. Vitamin A deficiency attenuates cardiac rupture inFrontiers in cardiovascular medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Kang-Zhen ZhangDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Xi-Yu ShenDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Man WangDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Li WangDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Hui-Xian SunDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Xiu-Zhen LiKey Laboratory for Aging and Disease Nanjing Medical University Nanjing China.
Jing-Jing HuangKey Laboratory for Aging and Disease Nanjing Medical University Nanjing China.ORCID 0000-0003-0705-6253
Xiao-Qing LiKey Laboratory for Aging and Disease Nanjing Medical University Nanjing China.
Cheng WuKey Laboratory for Aging and Disease Nanjing Medical University Nanjing China.
Can ZhaoDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Jia-Li LiuDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Xiang LuDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.
Wei GaoDepartment of Geriatrics Sir Run Run HospitalNanjing Medical University Nanjing China.ORCID 0000-0002-4770-5062
Nanjing Medical University · CNSecond Affiliated Hospital of Nanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Acute myocardial infarction (AMI) is one of the leading causes of cardiovascular morbidity and mortality worldwide. Pyroptosis is a form of inflammatory cell death that plays a major role in the development and progression of cardiac injury in AMI. However, the underlying mechanisms for the activation of pyroptosis during AMI are not fully elucidated. Methods and Results Here we show that RBP4 (retinol-binding protein 4), a previous identified proinflammatory adipokine, was increased both in the myocardium of left anterior descending artery ligation-induced AMI mouse model and in ischemia-hypoxia‒induced cardiomyocyte injury model. The upregulated RBP4 may contribute to the activation of cardiomyocyte pyroptosis in AMI because overexpression of RBP4 activated NLRP3 (nucleotide-binding oligomerization domain-like receptor family pyrin domain-containing 3) inflammasome, promoted the precursor cleavage of Caspase-1, and subsequently induced GSDMD (gasdermin-D)-dependent pyroptosis. In contrast, knockdown of RBP4 alleviated ischemia-hypoxia‒induced activation of NLRP3 inflammasome signaling and pyroptosis in cardiomyocytes. Mechanistically, coimmunoprecipitation assay showed that RBP4 interacted directly with NLRP3 in cardiomyocyte, while genetic knockdown or pharmacological inhibition of NLRP3 attenuated RBP4-induced pyroptosis in cardiomyocytes. Finally, knockdown of RBP4 in heart decreased infarct size and protected against AMI-induced pyroptosis and cardiac dysfunction in mice. Conclusions Taken together, these findings reveal RBP4 as a novel modulator promoting cardiomyocyte pyroptosis via interaction with NLRP3 in AMI. Therefore, targeting cardiac RBP4 might represent a viable strategy for the prevention of cardiac injury in patients with AMI.

Indexed as

Heart InjuriesMyocardial InfarctionAnimalsHypoxiaInflammasomesMiceMyocytes, CardiacNLR Family, Pyrin Domain-Containing 3 ProteinPyroptosisRetinol-Binding ProteinsRetinol-Binding Proteins, PlasmaInflammasomesNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, mouseRBP4 protein, humanRetinol-Binding ProteinsRetinol-Binding Proteins, Plasmaacute myocardial infarctionischemia‐hypoxiaNLRP3pyroptosisretinol‐binding protein 4

Identifiers

PMID34726071
PMCPMC8751920
OpenAlexW3210605395

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.