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Published on: February 17, 2023
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.
Abstract:
Nrf2 defense is a very important cellular mechanism to control oxidative stress, which is implicated in wound healing. Nrf2 can induce many cytoprotective genes, including HO-1, NQO1 and G6PD. Among many natural products that have been reported as Nrf2 activators, sulforaphane and curcumin have been studied more widely than any others, and both are in clinical trials for non-cancerous disorders. Recently, we reported 4-ethyl catechol and 4-vinyl catechol as Nrf2 co-factors that can induce Nrf2 as potently as sulforaphane and curcumin. These new Nrf2 co-factors were identified in hot aqueous extract of an herbal medicine Barleria lupulina, and fermented Noni (Morinda citrifolia) juice, which are used traditionally for diabetic wound healing.
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.
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