Table 2.
Molecular pathways | Remark | Ref |
---|---|---|
NF-κB | Sophocarpine protects myocardial cells from hyperglycemia-induced injury by improving mitochondrial function, suppressing inflammation, and inhibiting cardiac apoptosis. It also slows the development of diabetic cardiomyopathy | [139] |
NF-κB Wnt |
The study found that inhibiting NF-κB and Wnt/β-catenin/GSK3β pathways can regulate glucose and lipid metabolism, leading to decreased NF-κB activity and downregulation of proinflammatory cytokines | [140] |
PI3K/Akt/NF-κB | ECL treatment significantly improved pathological changes in mice's heart tissues, alleviating injury and fibrosis. It increased Bcl-2 levels, decreased Bax, cle-caspase-3, and cle-caspase-9 expression, and inhibited NF-κB nuclear translocation, increasing PI3K and p-Akt expressions | [141] |
NF-κB NADPH |
Polydatin inhibited hyperglycemia-induced reactive oxygen species, NADPH oxidase activity, and inflammatory cytokine production, while also preventing increased expression of NOX4, NOX2, and NF-κB in H9c2 cells and diabetic hearts | [142] |
NF-κB | LBP treatment in diabetic rats improves cardiac hypertrophy, inhibits calpain-1 expression, and inhibits NF-κB activation, while reducing reactive oxygen species production, increasing p65 protein expression, and downregulating nitric oxide synthase | [143] |
CXCR4/NF-κB | The Akitains2 heart, a type 1 diabetic model, is protected against systolic failure due to increased NCX1 expression, as CXCR4 activation upregulates NCX1 expression through a NF-κB-dependent in the cardiac myocyte | [144] |
NF-κB ROS |
L6H9 significantly reduced cardiac cytokine and ROS levels, improved histological abnormalities and fibrosis, and attenuated diabetes-induced NF-κB activation and Nrf2 decrease | [145] |
ROS NF-κB |
Klotho pretreatment effectively inhibited glucose-induced inflammation, ROS generation, apoptosis, mitochondrial dysfunction, fibrosis, and hypertrophy in H9c2 cells and neonatal cardiomyocytes, and suppressed cardiac inflammatory cytokines in STZ-induced type 1 diabetic mice. Klotho may enhance Nrf2 expression and inactivate NF-κB activation | [146] |
TLR4/NF-κB | High-glucose culture of H9C2 cells leads to decreased cell activity, increased apoptosis, and oxidative stress. The HG + si-ILK group increases activity, decreases apoptosis, and inhibits TLR4/MyD88/NF-κB signaling, improving oxidative stress and inflammation | [147] |
PKC/NF-κB | Metoprolol and bisoprolol could prevent hypertrophy of cardiomyocytes cultured in high glucose by the inhibition of the total and phospho-PKC-α, which could further influence the PKC-α/NF-κB/c-fos | [148] |
PKC/NF-κB/c-fos | High glucose significantly increased the pulsatile frequency and cellular volumes of cultured cardiomyocytes via PKC/NF-κB/c-fos, which might lead to diabetic cardiomyopathy | [149] |
CD36/NF-κB | HG-induced upregulation of CD36 promotes inflammatory stress via NF-κB in H9c2 cells, mediated by metabolism reprogramming, lipid accumulation and enhanced ROS generation | [150] |
NF-κB MAPK |
Liquiritin reduces inflammatory cytokine release and NF-κB phosphorylation through IKKα/IκBα suppression. It inactivates Mitogen-activated protein kinases (MAPKs) up-regulated for fructose stimulation, protecting against high fructose-induced myocardial fibrosis | [151] |
Siti1/NLRP3/NF-κB | BE improved glocose tolerance, reduced lipid accumulation, and inflammatory cytokine content in diabetic mice, regulating the Siti1/NLRP3/NF-κB. Siti1 inhibitor (EX-57) counteracted these changes and protected against diabetic cardiomyopathy | [152] |
NF-κB | pre-existing type 2 diabetes phenotype worsens the organ dysfunction/injury associated with CLP-sepsis in mice. Moreover, prevention of NF-κB reduces the organ dysfunction/injury associated with sepsis in mice with pre-existing T2DM | [153] |
NF-κB | Diabetes-induced heart damage and increased nitrative modifications of key energy metabolism enzymes were observed in diabetic mice overexpressing catalase. Bay11-7082, an inhibitor of the NF-κB, protected mice from cardiac damage and increased nitrative modifications | [154] |
NF-κB | Hyperglycemia (HG) reduced cell viability and apoptosis in H9c2 cells, increased ROS production, IL-6, and TNF-α levels, and overexpressed NF-[kappa]B. However, pretreatment with 6-shogaol improved cell viability and reduced apoptosis | [155] |
TLR4/NF-κB | Diabetes nephropathy markers, FN and TGF-β1, are reduced in HG-treated GMCs by TGR5, which is mediated by NF-κB. The inhibition of RhoA/ROCK by PKA is closely related to these roles | [156] |