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Review | Open Access

The NLRP3 inflammasome in burns: a novel potential therapeutic target

Haihong Li1( ), Junhong Zhao2, Leilei Cao1, Qizhi Luo1, Cuiping Zhang3( ), Lei Zhang4( )
Department of Burns and Plastic Surgery, Seventh Affiliated Hospital, Sun Yat-sen University, 628 Zhenyuan Road, Guangming District, Shenzhen 518107, Guangdong Province, China
Laboratory of Wound Repair and Dermatologic Surgery, Taihe Hospital, Hubei University of Medicine, 32 South Renmin Road, Shiyan 442000, Hubei Province, China
Research Center for Tissue Repair and Regeneration affiliated to the Medical Innovation Research Department and Fourth Medical Center of PLA General Hospital, 51 Fucheng Road, Beijing 100048, China
Department of Psychiatry and Clinical Psychology, Seventh Affiliated Hospital, Sun Yat-sen University, 628 Zhenyuan Road, Guangming District, Shenzhen 518107, Guangdong Province, China
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Highlights

• NLRP3 inflammasome activation is beneficial in acute burn wound healing.

• Persistent and dysregulated NLRP3 inflammasome activation is associated with non-healing burn wounds and complications/sequelae following burn.

• Targeted activation of NLRP3 inflammasome signaling in early burn wounds and targeted inhibition of NLRP3 inflammasome signaling in non-healing burn wounds and complications following burn may represent novel therapeutic strategies for burn injuries.

Abstract

Burns are an underestimated serious injury negatively impacting survivors physically, psychologically and economically, and thus are a considerable public health burden. Despite significant advancements in burn treatment, many burns still do not heal or develop serious complications/sequelae. The nucleotide-binding oligomerization domain-like receptors (NLRs) family pyrin domain-containing 3 (NLRP3) inflammasome is a critical regulator of wound healing, including burn wound healing. A better understanding of the pathophysiological mechanism underlying the healing of burn wounds may help find optimal therapeutic targets to promote the healing of burn wounds, reduce complications/sequelae following burn, and maximize the restoration of structure and function of burn skin. This review aimed to summarize current understanding of the roles and regulatory mechanisms of the NLRP3 inflammasome in burn wound healing, as well as the preclinical studies of the involvement of NLRP3 inhibitors in burn treatment, highlighting the potential application of NLRP3-targeted therapy in burn wounds.

References

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Burns & Trauma
Article number: tkae020

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Cite this article:
Li H, Zhao J, Cao L, et al. The NLRP3 inflammasome in burns: a novel potential therapeutic target. Burns & Trauma, 2024, 12: tkae020. https://doi.org/10.1093/burnst/tkae020

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Received: 24 November 2023
Revised: 14 April 2024
Accepted: 17 April 2024
Published: 10 October 2026
© The Author(s) 2024. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permitsunrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.