The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors

The raising prevalence of obesity is associated with an increased risk for cardiovascular diseases (CVDs), particularly coronary artery disease (CAD), and heart failure, including atrial fibrillation, ventricular arrhythmias and sudden death. Obesity contributes directly to incident cardiovascular r...

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Main Authors: Jorge Gutiérrez-Cuevas, Marina Galicia-Moreno, Hugo Christian Monroy-Ramírez, Ana Sandoval-Rodriguez, Jesús García-Bañuelos, Arturo Santos, Juan Armendariz-Borunda
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/11/2/235
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author Jorge Gutiérrez-Cuevas
Marina Galicia-Moreno
Hugo Christian Monroy-Ramírez
Ana Sandoval-Rodriguez
Jesús García-Bañuelos
Arturo Santos
Juan Armendariz-Borunda
author_facet Jorge Gutiérrez-Cuevas
Marina Galicia-Moreno
Hugo Christian Monroy-Ramírez
Ana Sandoval-Rodriguez
Jesús García-Bañuelos
Arturo Santos
Juan Armendariz-Borunda
author_sort Jorge Gutiérrez-Cuevas
collection DOAJ
description The raising prevalence of obesity is associated with an increased risk for cardiovascular diseases (CVDs), particularly coronary artery disease (CAD), and heart failure, including atrial fibrillation, ventricular arrhythmias and sudden death. Obesity contributes directly to incident cardiovascular risk factors, including hyperglycemia or diabetes, dyslipidemia, and hypertension, which are involved in atherosclerosis, including structural and functional cardiac alterations, which lead to cardiac dysfunction. CVDs are the main cause of morbidity and mortality worldwide. In obesity, visceral and epicardial adipose tissue generate inflammatory cytokines and reactive oxygen species (ROS), which induce oxidative stress and contribute to the pathogenesis of CVDs. Nuclear factor erythroid 2-related factor 2 (NRF2; encoded by <i>Nfe2l2</i> gene) protects against oxidative stress and electrophilic stress. NRF2 participates in the regulation of cell inflammatory responses and lipid metabolism, including the expression of over 1000 genes in the cell under normal and stressed environments. NRF2 is downregulated in diabetes, hypertension, and inflammation. <i>Nfe2l2</i> knockout mice develop structural and functional cardiac alterations, and NRF2 deficiency in macrophages increases atherosclerosis. Given the endothelial and cardiac protective effects of NRF2 in experimental models, its activation using pharmacological or natural products is a promising therapeutic approach for obesity and CVDs. This review provides a comprehensive summary of the current knowledge on the role of NRF2 in obesity-associated cardiovascular risk factors.
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spelling doaj.art-e00707cd1f484dfb84d4aad49645925d2023-11-23T18:30:33ZengMDPI AGAntioxidants2076-39212022-01-0111223510.3390/antiox11020235The Role of NRF2 in Obesity-Associated Cardiovascular Risk FactorsJorge Gutiérrez-Cuevas0Marina Galicia-Moreno1Hugo Christian Monroy-Ramírez2Ana Sandoval-Rodriguez3Jesús García-Bañuelos4Arturo Santos5Juan Armendariz-Borunda6Department of Molecular Biology and Genomics, Institute for Molecular Biology in Medicine and Gene Therapy, CUCS, University of Guadalajara, Guadalajara 44340, JAL, MexicoDepartment of Molecular Biology and Genomics, Institute for Molecular Biology in Medicine and Gene Therapy, CUCS, University of Guadalajara, Guadalajara 44340, JAL, MexicoDepartment of Molecular Biology and Genomics, Institute for Molecular Biology in Medicine and Gene Therapy, CUCS, University of Guadalajara, Guadalajara 44340, JAL, MexicoDepartment of Molecular Biology and Genomics, Institute for Molecular Biology in Medicine and Gene Therapy, CUCS, University of Guadalajara, Guadalajara 44340, JAL, MexicoDepartment of Molecular Biology and Genomics, Institute for Molecular Biology in Medicine and Gene Therapy, CUCS, University of Guadalajara, Guadalajara 44340, JAL, MexicoTecnologico de Monterrey, School of Medicine and Health Sciences, Campus Guadalajara, Zapopan 45201, JAL, MexicoDepartment of Molecular Biology and Genomics, Institute for Molecular Biology in Medicine and Gene Therapy, CUCS, University of Guadalajara, Guadalajara 44340, JAL, MexicoThe raising prevalence of obesity is associated with an increased risk for cardiovascular diseases (CVDs), particularly coronary artery disease (CAD), and heart failure, including atrial fibrillation, ventricular arrhythmias and sudden death. Obesity contributes directly to incident cardiovascular risk factors, including hyperglycemia or diabetes, dyslipidemia, and hypertension, which are involved in atherosclerosis, including structural and functional cardiac alterations, which lead to cardiac dysfunction. CVDs are the main cause of morbidity and mortality worldwide. In obesity, visceral and epicardial adipose tissue generate inflammatory cytokines and reactive oxygen species (ROS), which induce oxidative stress and contribute to the pathogenesis of CVDs. Nuclear factor erythroid 2-related factor 2 (NRF2; encoded by <i>Nfe2l2</i> gene) protects against oxidative stress and electrophilic stress. NRF2 participates in the regulation of cell inflammatory responses and lipid metabolism, including the expression of over 1000 genes in the cell under normal and stressed environments. NRF2 is downregulated in diabetes, hypertension, and inflammation. <i>Nfe2l2</i> knockout mice develop structural and functional cardiac alterations, and NRF2 deficiency in macrophages increases atherosclerosis. Given the endothelial and cardiac protective effects of NRF2 in experimental models, its activation using pharmacological or natural products is a promising therapeutic approach for obesity and CVDs. This review provides a comprehensive summary of the current knowledge on the role of NRF2 in obesity-associated cardiovascular risk factors.https://www.mdpi.com/2076-3921/11/2/235NRF2obesitycardiovascular risk factorsinflammationoxidative stresscardiac dysfunction
spellingShingle Jorge Gutiérrez-Cuevas
Marina Galicia-Moreno
Hugo Christian Monroy-Ramírez
Ana Sandoval-Rodriguez
Jesús García-Bañuelos
Arturo Santos
Juan Armendariz-Borunda
The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors
Antioxidants
NRF2
obesity
cardiovascular risk factors
inflammation
oxidative stress
cardiac dysfunction
title The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors
title_full The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors
title_fullStr The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors
title_full_unstemmed The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors
title_short The Role of NRF2 in Obesity-Associated Cardiovascular Risk Factors
title_sort role of nrf2 in obesity associated cardiovascular risk factors
topic NRF2
obesity
cardiovascular risk factors
inflammation
oxidative stress
cardiac dysfunction
url https://www.mdpi.com/2076-3921/11/2/235
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