NF-κB signaling in acute myocardial infarction: pathophysiology, inflammation, and therapeutic implications - Report - MDSpire

NF-κB signaling in acute myocardial infarction: pathophysiology, inflammation, and therapeutic implications

  • By

  • Yiyao Ma

  • Qingyun Jiang

  • July 14, 2026

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Clinical Report: The Role of NF-κB Signaling in Acute Myocardial Infarction

Overview

NF-κB signaling plays a dual role in acute myocardial infarction (AMI), facilitating early repair while potentially driving adverse remodeling when activated persistently.

Background

Acute myocardial infarction is a significant cause of morbidity and mortality globally, primarily due to the rupture of atherosclerotic plaques leading to coronary blood flow obstruction. The subsequent inflammatory and reparative processes are vital for healing.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • NF-κB acts as a biphasic regulator in AMI, supporting early repair but driving adverse remodeling when persistently activated.
  • NF-κB integrates DAMP sensing, inflammatory transcription, cardiomyocyte death, fibroblast activation, and ECM remodeling.
  • Early activation of NF-κB is crucial for immune-cell recruitment and clearance of necrotic myocardium.
  • Sustained NF-κB activation can lead to unresolved inflammation and cardiomyocyte death.

Clinical Implications

Clinicians should consider the timing and specificity of interventions targeting this pathway.

Conclusion

NF-κB signaling is a critical mediator in the inflammatory response to AMI, with both beneficial and detrimental effects.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Myocardial inflammation in myocarditis: mechanisms and therapeutic targets
  2. Basic Research in Cardiology, 2018 -- Targeting Inflammatory Cells and Their Non-Coding RNAs for Myocardial Infarction Treatment
  3. Basic Research in Cardiology, 2021 -- Investigating the Impact of Remote Ischaemic Conditioning on Inflammation: Insights into Innate Immunity and Cytokine Activity
  4. Basic Research in Cardiology, 2013 -- Addressing Inflammation in Heart Failure: A Translational Approach to Healing an Inflamed Heart
  5. 2025 Guideline for Acute Coronary Syndromes - Professional Heart Daily | American Heart Association
  6. Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction | New England Journal of Medicine
  7. Inflammation in acute myocardial infarction: the good, the bad and the ugly | European Heart Journal | Oxford Academic
  8. 2025 Guideline for Acute Coronary Syndromes - Professional Heart Daily | American Heart Association
  9. Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction | New England Journal of Medicine
  10. Inflammation in acute myocardial infarction: the good, the bad and the ugly | European Heart Journal | Oxford Academic

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