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Targeting Transcription Factor Nrf2 (Nuclear Factor Erythroid 2-Related Factor 2) for the Intervention of Vascular
1Department of Neurology, Pittsburgh Institute of Brain Disorders and Recovery, University of Pittsburgh, PA.
Abstract:
Vascular cognitive impairment and dementia (VCID) is an age-related, mild to severe mental disability due to a broad panel of cerebrovascular disorders. Its pathobiology involves neurovascular dysfunction, blood-brain barrier disruption, white matter damage, microRNAs, oxidative stress, neuroinflammation, and gut microbiota alterations, etc. Nrf2 (Nuclear factor erythroid 2-related factor 2) is the master regulator of redox status and controls the transcription of a panel of antioxidative and anti-inflammatory genes. By interacting with NF-κB (nuclear factor-κB), Nrf2 also fine-tunes the cellular oxidative and inflammatory balance. Aging is associated with Nrf2 dysfunction, and increasing evidence has proved the role of Nrf2 in mitigating the VCID process. Based on VCID pathobiologies and Nrf2 studies from VCID and other brain diseases, we point out several hypothetical Nrf2 targets for VCID management, including restoration of endothelial function and neurovascular coupling, preservation of blood-brain barrier integrity, reduction of amyloidopathy, promoting white matter integrity, and mitigating oxidative stress and neuroinflammation. Collectively, the Nrf2 pathway could be a promising direction for future VCID research. Targeting Nrf2 would shed light on VCID managing strategies.
Insights
The Nuclear factor erythroid 2-related factor 2 (Nrf2) pathway shows promise in managing vascular cognitive impairment and dementia (VCID). Targeting Nrf2 may help restore brain function and mitigate VCID progression.
Area of Science:
- Neuroscience
- Gerontology
- Pathobiology
Background:
- Vascular cognitive impairment and dementia (VCID) is a significant age-related disability stemming from cerebrovascular disorders.
- VCID pathogenesis involves complex factors including neurovascular dysfunction, blood-brain barrier issues, oxidative stress, and neuroinflammation.
- Aging impairs the Nrf2 pathway, a key regulator of cellular defense against oxidative stress and inflammation.
Purpose of the Study:
- To explore the role of the Nrf2 pathway in mitigating VCID.
- To identify potential Nrf2 targets for managing VCID based on its known pathobiology.
- To highlight Nrf2 as a promising therapeutic target for future VCID research.
Main Methods:
- Review of VCID pathobiology and existing Nrf2 research in brain diseases.
- Identification of hypothetical Nrf2 targets relevant to VCID mechanisms.
- Analysis of Nrf2's interaction with NF-κB in regulating cellular balance.
Main Results:
- The Nrf2 pathway plays a crucial role in regulating redox and inflammatory balance, vital for brain health.
- Aging-associated Nrf2 dysfunction contributes to VCID development.
- Several Nrf2-mediated mechanisms are proposed for VCID management, including enhancing endothelial function and BBB integrity.
Conclusions:
- The Nrf2 pathway is a potential therapeutic target for VCID.
- Targeting Nrf2 may offer novel strategies for managing cognitive decline associated with vascular disorders.
- Further research into Nrf2 modulation is warranted for effective VCID interventions.
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