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World J Cardiol. Jan 26, 2026; 18(1): 114108
Published online Jan 26, 2026. doi: 10.4330/wjc.v18.i1.114108
Nicotinamide adenine dinucleotide inhibits the production of reactive oxygen species and myocardial cell pyroptosis caused by hypoxia/re-oxygenation injury
Shuang Dong, Yun-Qi Liu, Yi-Jun Tu, Shan Gao, Yu-Jie Liu, Chang Liu, Zuo-Wei Pei
Shuang Dong, Zuo-Wei Pei, Department of Cardiology, Central Hospital of Dalian University of Technology, Dalian 116033, Liaoning Province, China
Yun-Qi Liu, Shan Gao, Yu-Jie Liu, Chang Liu, Central Laboratory, Central Hospital of Dalian University of Technology, Dalian 116033, Liaoning Province, China
Yi-Jun Tu, Department of Pharmacy, Central Hospital of Dalian University of Technology, Dalian 116033, Liaoning Province, China
Co-first authors: Shuang Dong and Yun-Qi Liu.
Co-corresponding authors: Chang Liu and Zuo-Wei Pei.
Author contributions: Dong S, Liu YQ and Liu C performed the research; Dong S, Liu YQ, Liu C and Pei ZW designed the research study; Tu YJ, Gao S, Liu YJ and Pei ZW analyzed the data; Liu C wrote the manuscript; Dong S and Liu YQ contributed equally to this manuscript and are co-first authors; Liu C and Pei ZW contributed equally to this manuscript and are co-corresponding authors. All authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 82303572; Department of Science and Technology of Liaoning Province (China), No. 2024-MS-285; the “Peak Climbing Plan” of Dalian Central Hospital, No. 2023ZZ051; and the Dalian Central Hospital-Initiated Project of “Provincial Key Specialty”, No. 2023SZ015.
Institutional review board statement: This study did not involve human or animal subjects, and thus no ethical approval was required.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets generated and/or analyzed during the current study are available in the figshare repository (https://10.6084/m9.figshare.28039127).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang Liu, PhD, Central Laboratory, Central Hospital of Dalian University of Technology, No. 826 Southwest Road, Dalian 116033, Liaoning Province, China. liuch2024@dlut.edu.cn
Received: September 15, 2025
Revised: October 11, 2025
Accepted: December 1, 2025
Published online: January 26, 2026
Processing time: 125 Days and 0.7 Hours
Core Tip

Core Tip: Myocardial ischemia/reperfusion (I/R) was a hazardous factor affecting the therapeutic effects of coronary heart disease, especially acute myocardial infarction. The oxidized form of nicotinamide adenine dinucleotide (NAD)-NAD+ is crucial for various cellular functions. This study explored the effects and underlying mechanisms of NAD+ on cell death caused by I/R injury in H9c2 cells. The results showed that supplementing with NAD+ can protect H9c2 cells from pyroptosis induced by I/R injury. Mechanistically, NAD+ supplementation reduces pyroptosis in H9c2 cells triggered by hypoxia/re-oxygenation by inhibiting the activation of the NOD-like receptor pyrin domain-containing 3 inflammasome. These results indicate that NAD+ supplementation could be a promising therapeutic strategy for I/R injury.