Identifying the role of Phytomolecules in the management of liver diseases by modulating NRF2 pathway: A Scoping Review Protocol
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Ajay Mili1, Priyobrat Rajkhowa2, Krishnadas Nandakumar3
1Pharmacognosy, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Background:
The Liver is a vital organ in the human body, which plays a crucial role in various physiological processes. Oxidative stress is a critical factor in the pathogenesis and progression of various liver diseases, contributing to cellular damage and dysfunction. The Liver is particularly vulnerable to the harmful effects of reactive oxygen species when the balance between their production and the body's antioxidant defense mechanisms is disrupted. The nuclear factor erythroid 2-related factor 2 (NRF2) pathway has emerged as a promising therapeutic target for liver diseases due to its pivotal role in cellular defense against oxidative stress and inflammation. Plants have always been a source of drugs which has been used to treat various pharmacological disorders and most of its activity is due to its potential as an antioxidant. However, the specific mechanisms by which they interact with the NRF2 pathway and confer protection against liver diseases remain inadequately elucidated. Therefore, this scoping review aims to identify and analyze the existing literature pertaining to the relationship between Phytomolecules, which can modulate NRF2 and protect against liver diseases.
Methods:
The proposed scoping review will follow the steps given by "Arksey and O'Malley and Levac et al". Electronic databases (PubMed/MEDLINE, Embase, etc.) will be searched for recent relevant studies. A predefined criterion for the inclusion and exclusion of studies will be independently adopted by two reviewers. The review will be presented as per the "Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Review (PRISMA-ScR)" guidelines.
Conclusion:
The scoping review finding is expected to help understanding the role of Phytomolecules in preventing liver diseases by modulating the NRF2 pathway. Ultimately, this review will serve as a foundational step toward developing targeted interventions to improve liver health outcomes and reduce the global burden of liver diseases.
Insights
This review explores how plant-derived compounds (phytomolecules) can protect the liver by activating the NRF2 pathway. Understanding these interactions is key to developing new treatments for liver diseases.
Area of Science:
- Biochemistry
- Pharmacology
- Hepatology
Background:
- The liver is vital, but susceptible to oxidative stress, a key factor in liver disease pathogenesis.
- The Nuclear Factor erythroid 2-related factor 2 (NRF2) pathway is crucial for cellular defense against oxidative stress and inflammation.
- Phytomolecules possess antioxidant properties, but their specific mechanisms in modulating NRF2 for liver protection are not fully understood.
Purpose of the Study:
- To conduct a scoping review identifying and analyzing literature on phytomolecules that modulate the NRF2 pathway.
- To elucidate the relationship between phytomolecule-NRF2 interactions and protection against liver diseases.
Main Methods:
- The review will follow the Arksey and O'Malley and Levac et al. methodological framework.
- Literature searches will be performed on electronic databases like PubMed/MEDLINE and Embase.
- Study inclusion/exclusion criteria will be applied by two independent reviewers, adhering to PRISMA-ScR guidelines.
Main Results:
- Expected to identify key phytomolecules and their mechanisms of action.
- Will map the current research landscape on NRF2 modulation by phytomolecules in liver health.
- Will highlight gaps in the existing literature.
Conclusions:
- Findings will enhance understanding of phytomolecule roles in NRF2-mediated liver protection.
- This review serves as a basis for developing targeted interventions for liver disease.
- Aims to contribute to improved liver health outcomes and reduced global disease burden.
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