Background

Diabetic cardiomyopathy (DCM), a major cardiovascular complication of diabetes, is characterized by myocardial fibrosis, ventricular remodeling, and cardiac dysfunction [1]. DCM is closely associated with the occurrence of heart failure, making it the majority cause of death among patients with diabetes [2]. DCM influences heart healthy through various mechanisms, including changes in metabolism, abnormal subcellular composition, and damage of microvascular [3]. However, the detailed mechanism of DCM is not well known and remains elusive. Revealing the key genes involved in DCM and identifying the potential regulatory mechanism will provide therapeutic targets used for overcoming DCM.

Pyroptosis is characterized by rapid plasma membrane rupture, with the consequent release of intracellular contents and pro-inflammatory mediators, such as caspase-1 [4]. The main signaling pathway involved in pyroptosis is mediated by caspase-1 activation, resulting in the maturation process of IL-1β, IL-18, and gasdermin D (GSDMD) [5]. Previous studies widely reported the essential role of pyroptosis in cardiomyopathy, especially in DCM [6]. ** novel therapeutic strategies to overcome DCM.