Abstract 329: N-acetylcyteine Alleviate Inflammasome-Induced Myocardial Pyroptosis After Successful Resuscitation in a Rat Model of Cardiac Arrest
Introduction: Previous studies have demonstrated that pyroptosis is involved in myocardial ischemia/reperfusion injury (MIRI). In addition, N-acetylcyteine (NAC) can attenuate inflammasome-induced pyroptosis during regional MIRI. In the present study, we investigated whether pyroptosis participate in global MIRI after successful resuscitation, and if it does, whether NAC can reduce inflammasome-induced pyroptosis in a rat model of cardiac arrest and resuscitation. Hypothesis: N-acetylcyteine reduces inflammasome-induced myocardial pyroptosis after successful resuscitation in a rat model of cardiac arrest. Methods: Fifteen male rats weighing 450g-550g were randomized into three groups: sham group, control group and NAC group (150 mg/kg). Ventricular fibrillation (VF) was electrically induced and untreated for 8 min. After VF, CPR was initiated for 8 mins and then defibrillation was attempted. Animals in sham group only were underwent the same operation but without inducing CA. The expressions of Nod-like receptor protein3 (NLRP3), adaptor apoptosis-associated speck-like protein (ASC), caspase-1 and gasdermin D (GSDMD) proteins were detected by western blotting at 6h following successful resuscitation. Results: All animals were resuscitated. Significantly higher levels expressions of GSDMD, NLRP3, ASC and caspase-1 were observed in control group and NAC group when compared with sham group. However, the expressions in GSDMD, NLRP3, ASC and caspase-1 were downregulated in NAC group in comparison with the control group. (Figure) Conclusion: N-acetylcyteine attenuate inflammasome-induced myocardial pyroptosis after successful resuscitation in a rat model of cardiac arrest. Figure Expressions of GSDMD, NLRP3, ASC and caspase-1 proteins, and effect of NAC on cardiac pyroptosis after successful resuscitation in a rat model of CA. (A) Representative western blotting images of GSDMD, NLRP3, ASC and caspase1 proteins in the hearts at 6h after successfully resuscitated (B) Quantitative protein analysis of GSDMD, NLRP3, ASC and caspase1 expression in three groups. The columns represent means ± SEM of three independent experiments. * p < .05