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Graphical Abstract 1 Introduction Acute pancreatitis (AP) is a life-threatening inflammatory disorder characterized by premature activation of pancreatic enzymes, leading to autodigestion, edema, hemorrhage, and necrosis of pancreatic tissues ( A critical driver of AP pathogenesis was the dysregulated activation of the nucleotide oligomerization domain (NOD)-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome, a cytosolic multiprotein complex that orchestrates caspase-1-mediated maturation of pro-inflammatory cytokines interleukin-1 (IL-1) and IL-18, as well as gasdermin D (GSDMD)-dependent pyroptotic cell death ( Traditional Chinese Medicine (TCM) is one of the ancient and most accepted alternative medicinal systems in the world for the treatment of health ailments, especially when Western medicine is not very effective ( Chaihuang Qingfu pill prevented severe AP-induced lung injury by inhibiting NLRP3-mediated macrophage pyroptosis ( Psidium guajava flavonoids exerted a protective role in severe AP by inactivation of NLRP3 inflammasome ( Herein, we discussed the NLRP3 and its functional role in the development and progression of AP

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