The Inflammasome: A Key to Unlocking Perioperative Neurocognitive Disorders

Published on January 4, 2023

Imagine you’re trying to unlock a chest full of secrets. Inside lies the mystery of perioperative neurocognitive disorders (PNDs), complications that affect cognitive function after surgery. Researchers have been trying to find the right key to open this chest and understand PNDs better. They’ve discovered a potential mechanism called the NLRP3 inflammasome, which acts like a complex lock in our bodies. This lock can contribute to PNDs by triggering a process called pyroptosis, a type of programmed cell death that leads to cognitive dysfunction. By understanding how the NLRP3 inflammasome works and developing therapeutics that target it, scientists hope to unlock new treatments for PNDs. Inhibiting the activators and assembly of the inflammasome may hold the key to mitigating PNDs and improving patient outcomes. To learn more about this exciting research and its implications for PNDs, dive into the full article!

Perioperative neurocognitive disorders (PNDs) are frequent complications associated with cognitive impairment during the perioperative period, including acute postoperative delirium and long-lasting postoperative cognitive dysfunction. There are some risk factors for PNDs, such as age, surgical trauma, anesthetics, and the health of the patient, but the underlying mechanism has not been fully elucidated. Pyroptosis is a form of programmed cell death that is mediated by the gasdermin protein and is involved in cognitive dysfunction disorders. The canonical pathway induced by nucleotide oligomerization domain (NOD)-, leucine-rich repeat (LRR)- and pyrin domain-containing protein 3 (NLRP3) inflammasomes contributes to PNDs, which suggests that targeting NLRP3 inflammasomes may be an effective strategy for the treatment of PNDs. Therefore, inhibiting upstream activators and blocking the assembly of the NLRP3 inflammasome may attenuate PNDs. The present review summarizes recent studies and systematically describes the pathogenesis of NLRP3 activation and regulation and potential therapeutics targeting NLRP3 inflammasomes in PNDs patients.

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