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Activation of Nrf2 signaling by natural products-can it alleviate diabetes?
Manuel Matzinger1, Katrin Fischhuber1, Elke H Heiss1
1University of Vienna, Department of Pharmacognosy, Althanstrasse 14, 1090 Vienna, Austria.
Abstract:
Type 2 diabetes mellitus (DM) has reached pandemic proportions and effective prevention strategies are wanted. Its onset is accompanied by cellular distress, the nuclear factor erythroid 2-related factor 2 (Nrf2) is a transcription factor boosting cytoprotective responses, and many phytochemicals activate Nrf2 signaling. Thus, Nrf2 activation by natural products could presumably alleviate DM. We summarize function, regulation and exogenous activation of Nrf2, as well as diabetes-linked and Nrf2-susceptible forms of cellular stress. The reported amelioration of insulin resistance, β-cell dysfunction and diabetic complications by activated Nrf2 as well as the status quo of Nrf2 in precision medicine for DM are reviewed.
Insights
Nuclear factor erythroid 2-related factor 2 (Nrf2) activation by natural products shows promise for preventing type 2 diabetes. Nrf2 may alleviate insulin resistance, beta-cell dysfunction, and diabetic complications.
Area of Science:
- Biochemistry
- Cellular Biology
- Metabolic Diseases
Background:
- Type 2 diabetes mellitus (DM) is a global pandemic requiring novel prevention strategies.
- Cellular distress is a key feature in the onset of type 2 DM.
- Nuclear factor erythroid 2-related factor 2 (Nrf2) is a crucial transcription factor that enhances cellular protective responses.
Purpose of the Study:
- To review the function, regulation, and activation of Nrf2.
- To explore the role of Nrf2 in mitigating diabetes-linked cellular stress.
- To assess the potential of Nrf2 activation by natural products for type 2 DM prevention and management.
Main Methods:
- Literature review of Nrf2 function, regulation, and activation pathways.
- Analysis of studies investigating Nrf2's role in cellular stress associated with diabetes.
- Synthesis of evidence on Nrf2's therapeutic effects on insulin resistance, beta-cell function, and diabetic complications.
Main Results:
- Nrf2 activation by phytochemicals and other natural products can counteract diabetes-related cellular stress.
- Activated Nrf2 has demonstrated amelioration of insulin resistance and beta-cell dysfunction in preclinical and clinical studies.
- Nrf2 signaling is implicated in reducing the severity of various diabetic complications.
Conclusions:
- Nrf2 activation represents a promising therapeutic target for the prevention and treatment of type 2 diabetes.
- Natural products that activate Nrf2 may offer a viable strategy for managing DM.
- Further research into Nrf2's role in precision medicine for type 2 DM is warranted.
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