Recent Advances in Understanding Nrf2 Agonism and Its Potential Clinical Application to Metabolic and Inflammatory

Min-Ji Kim1, Jae-Han Jeon2

  • 1Department of Endocrinology in Internal Medicine, Kyungpook National University Hospital, Daegu 41944, Korea.

Insights

The Keap1-Nrf2 pathway is crucial for metabolic health. Its dysfunction contributes to diseases like diabetes and obesity, highlighting Nrf2 as a potential therapeutic target for oxidative stress and inflammation.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Pathophysiology

Background:

  • Oxidative stress is integral to metabolic disease pathogenesis.
  • The Kelch-like ECH-associated protein 1 (Keap1)-Nuclear factor-erythroid-derived 2-related factor 2 (Nrf2) pathway regulates antioxidant and detoxifying enzymes.
  • The Keap1-Nrf2 pathway's role extends beyond cellular stress to organism homeostasis.

Purpose of the Study:

  • To review evidence of Keap1-Nrf2 pathway dysfunction in metabolic/inflammatory disorders.
  • To examine the therapeutic potential of Nrf2 agonists in clinical trials.
  • To highlight Nrf2 as a target for diseases linked to oxidative stress and inflammation.

Main Methods:

  • Literature review focusing on Nrf2 pathway dysfunction.
  • Analysis of Nrf2 agonist efficacy in metabolic and inflammatory diseases.
  • Summary of ongoing clinical trials involving Nrf2 modulators.

Main Results:

  • Nrf2 pathway dysfunction is implicated in diabetes, obesity, inflammatory bowel disease, and autoimmune diseases.
  • Molecular Nrf2 agonists demonstrate beneficial effects in preclinical and clinical studies.
  • Nrf2 activation shows promise for managing oxidative stress and inflammation-related conditions.

Conclusions:

  • The Keap1-Nrf2 pathway is a significant factor in metabolic and inflammatory diseases.
  • Nrf2 agonists represent a promising therapeutic strategy for various oxidative stress-related conditions.
  • Further research is essential to fully understand Nrf2's role and ensure therapeutic safety.

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