Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation

Nuclear factor erythroid 2-related factor 2 (Nrf2) is a master regulator of the endogenous antioxidant response to reactive oxygen species as well as a controller of Phase II detoxification in response to xenobiotics. This amenity to specific external manipulation exploits the binding affinity of Nr...

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Main Authors: Bryan J. Mathis, Hideyuki Kato, Yuji Hiramatsu
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/23/3855
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author Bryan J. Mathis
Hideyuki Kato
Yuji Hiramatsu
author_facet Bryan J. Mathis
Hideyuki Kato
Yuji Hiramatsu
author_sort Bryan J. Mathis
collection DOAJ
description Nuclear factor erythroid 2-related factor 2 (Nrf2) is a master regulator of the endogenous antioxidant response to reactive oxygen species as well as a controller of Phase II detoxification in response to xenobiotics. This amenity to specific external manipulation exploits the binding affinity of Nrf2 for its constitutive repressor and degradation facilitator Kelch-like erythroid cell-derived protein with CNC homology-associated protein 1 (Keap1). Derived from both natural and synthesized origins, these compounds have been extensively tested without definitive beneficial results. Unfortunately, multiple terminated trials have shown a negative side to Nrf2 with regard to cardiac pathologies while animal-based studies have demonstrated cardiomyocyte hypertrophy and heart failure after chronic Nrf2 upregulation. Putatively based on autophagic control of Nrf2 activity-modulating upstream factors, new evidence of miRNA involvement has added complexity to this mechanism. What follows is an extensive survey of Nrf2-regulating exogenous compounds that may promote cardiomyopathy, clinical trial evidence, and a comparison to exercise-induced factors that also upregulate Nrf2 while preventing cardiac pathologies.
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spelling doaj.art-12b7e540818644468d2093f11076cc212023-11-24T10:44:56ZengMDPI AGCells2073-44092022-11-011123385510.3390/cells11233855Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 UpregulationBryan J. Mathis0Hideyuki Kato1Yuji Hiramatsu2International Medical Center, University of Tsukuba Hospital, Tsukuba 305-8576, Ibaraki, JapanDepartment of Cardiovascular Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8575, Ibaraki, JapanInternational Medical Center, University of Tsukuba Hospital, Tsukuba 305-8576, Ibaraki, JapanNuclear factor erythroid 2-related factor 2 (Nrf2) is a master regulator of the endogenous antioxidant response to reactive oxygen species as well as a controller of Phase II detoxification in response to xenobiotics. This amenity to specific external manipulation exploits the binding affinity of Nrf2 for its constitutive repressor and degradation facilitator Kelch-like erythroid cell-derived protein with CNC homology-associated protein 1 (Keap1). Derived from both natural and synthesized origins, these compounds have been extensively tested without definitive beneficial results. Unfortunately, multiple terminated trials have shown a negative side to Nrf2 with regard to cardiac pathologies while animal-based studies have demonstrated cardiomyocyte hypertrophy and heart failure after chronic Nrf2 upregulation. Putatively based on autophagic control of Nrf2 activity-modulating upstream factors, new evidence of miRNA involvement has added complexity to this mechanism. What follows is an extensive survey of Nrf2-regulating exogenous compounds that may promote cardiomyopathy, clinical trial evidence, and a comparison to exercise-induced factors that also upregulate Nrf2 while preventing cardiac pathologies.https://www.mdpi.com/2073-4409/11/23/3855Nrf2Keap1cardiomyopathybardoloxoneReataCDDO
spellingShingle Bryan J. Mathis
Hideyuki Kato
Yuji Hiramatsu
Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation
Cells
Nrf2
Keap1
cardiomyopathy
bardoloxone
Reata
CDDO
title Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation
title_full Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation
title_fullStr Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation
title_full_unstemmed Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation
title_short Induction of Cardiac Pathology: Endogenous versus Exogenous Nrf2 Upregulation
title_sort induction of cardiac pathology endogenous versus exogenous nrf2 upregulation
topic Nrf2
Keap1
cardiomyopathy
bardoloxone
Reata
CDDO
url https://www.mdpi.com/2073-4409/11/23/3855
work_keys_str_mv AT bryanjmathis inductionofcardiacpathologyendogenousversusexogenousnrf2upregulation
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AT yujihiramatsu inductionofcardiacpathologyendogenousversusexogenousnrf2upregulation