Diabetic Wound Healing and Activation of Nrf2 by Herbal Medicine

Donald R Senger1, Shugeng Cao2

  • 1Department of Pathology and Center for Vascular Biology Research, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.

Journal of Nature and Science
|November 22, 2016
PubMed

Insights

New natural compounds, 4-ethyl catechol and 4-vinyl catechol, activate the Nrf2 pathway, crucial for controlling oxidative stress in wound healing. These potent activators were found in traditional herbal medicines.

Area of Science:

  • Cellular biology
  • Oxidative stress research
  • Natural product chemistry

Background:

  • The Nrf2 (Nuclear factor erythroid 2-related factor 2) pathway is a key cellular defense against oxidative stress, a process implicated in impaired wound healing.
  • Nrf2 activation upregulates cytoprotective genes like HO-1, NQO1, and G6PD, offering therapeutic potential.
  • Sulforaphane and curcumin are well-studied Nrf2 activators, with ongoing clinical trials for non-cancerous conditions.

Purpose of the Study:

  • To identify novel Nrf2 activators from natural sources.
  • To evaluate the potency of newly identified compounds as Nrf2 co-factors.
  • To explore the potential of these compounds in the context of diabetic wound healing.

Main Methods:

  • Extraction of active compounds from herbal medicines using hot aqueous methods.
  • Identification and characterization of novel Nrf2 co-factors (4-ethyl catechol and 4-vinyl catechol).
  • Comparative analysis of Nrf2 induction potency against known activators like sulforaphane and curcumin.

Main Results:

  • Identified 4-ethyl catechol and 4-vinyl catechol as potent Nrf2 co-factors.
  • These novel compounds demonstrated Nrf2 induction potency comparable to sulforaphane and curcumin.
  • The identified compounds were found in *Barleria lupulina* extract and fermented Noni juice.

Conclusions:

  • 4-ethyl catechol and 4-vinyl catechol represent promising novel Nrf2 activators.
  • These compounds, found in traditional remedies for diabetic wound healing, warrant further investigation for therapeutic applications.
  • The discovery supports the exploration of ethnobotanicals for Nrf2-mediated cellular protection.