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Published on: April 13, 2018
The Role of Concomitant Nrf2 Targeting and Stem Cell Therapy in Cerebrovascular Disease
Jonah Gordon1, Gavin Lockard1, Molly Monsour1
1Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL 33602, USA.
Abstract:
Despite the reality that a death from cerebrovascular accident occurs every 3.5 min in the United States, there are few therapeutic options which are typically limited to a narrow window of opportunity in time for damage mitigation and recovery. Novel therapies have targeted pathological processes secondary to the initial insult, such as oxidative damage and peripheral inflammation. One of the greatest challenges to therapy is the frequently permanent damage within the CNS, attributed to a lack of sufficient neurogenesis. Thus, recent use of cell-based therapies for stroke have shown promising results. Unfortunately, stroke-induced inflammatory and oxidative damage limit the therapeutic potential of these stem cells. Nuclear factor erythroid 2-related factor 2 (Nrf2) has been implicated in endogenous antioxidant and anti-inflammatory activity, thus presenting an attractive target for novel therapeutics to enhance stem cell therapy and promote neurogenesis. This review assesses the current literature on the concomitant use of stem cell therapy and Nrf2 targeting via pharmaceutical and natural agents, highlighting the need to elucidate both upstream and downstream pathways in optimizing Nrf2 treatments in the setting of cerebrovascular disease.
Insights
Combining stem cell therapy with Nrf2 activators offers a promising new avenue for stroke recovery. This approach aims to enhance neurogenesis and combat inflammation, improving outcomes for cerebrovascular disease patients.
Area of Science:
- Neuroscience
- Regenerative Medicine
- Pharmacology
Background:
- Cerebrovascular accidents (stroke) cause significant mortality and morbidity, with limited therapeutic options and a narrow treatment window.
- Permanent central nervous system (CNS) damage, often due to insufficient neurogenesis, presents a major therapeutic challenge.
- Stroke-induced inflammation and oxidative stress impede the efficacy of current cell-based therapies.
Purpose of the Study:
- To review the literature on combining stem cell therapy with Nuclear factor erythroid 2-related factor 2 (Nrf2) targeting for cerebrovascular disease.
- To explore the potential of Nrf2 activators to enhance stem cell therapy and promote neurogenesis.
- To identify the need for further research into Nrf2 pathway modulation for stroke treatment.
Main Methods:
- Literature review of studies investigating stem cell therapy in the context of stroke.
- Analysis of research on the role of Nrf2 in antioxidant and anti-inflammatory processes.
- Examination of therapeutic strategies targeting Nrf2, including pharmaceutical and natural agents.
Main Results:
- Nrf2 exhibits endogenous antioxidant and anti-inflammatory properties, making it a key target for neuroprotection.
- Concomitant use of stem cell therapy and Nrf2 targeting demonstrates potential to overcome stroke-induced damage.
- Pharmaceutical and natural agents targeting Nrf2 may enhance the therapeutic efficacy of stem cells.
Conclusions:
- Targeting Nrf2 alongside stem cell therapy represents a promising strategy to improve neurogenesis and recovery after stroke.
- Further elucidation of Nrf2's upstream and downstream pathways is crucial for optimizing its therapeutic application in cerebrovascular disease.
- This combined approach holds potential to expand treatment options beyond the current narrow time window for stroke intervention.
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