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Elucidating the Role of Nrf2 Signaling Pathway in Mycoplasma Infections
Sarmistha Saha1, Nadezhda Sachivkina2, Olga Kuznetsova3
1Department of Biotechnology, Institute of Applied Sciences & Humanities, GLA University, 281406 Mathura, Uttar Pradesh, India.
Abstract:
Mycoplasmas are the smallest cell-wall-less self-replicating prokaryotes. Mycoplasma species can be found within and outside cells as "silent parasites" that live intracellularly and as membrane surface parasites. The pathogen's impact on respiratory health seems primarily caused by its capacity to alter immune responses, cause airway inflammation, and damage epithelial barriers. Much progress has been made in understanding Mycoplasma-induced inflammation and oxidative stress. However, there are still issues in therapeutic management, such as the development of strains that are resistant to antibiotics, the shortcomings of the available diagnostic techniques, and possible long-term respiratory consequences. On the other hand, to combat oxidative stress, inflammation, and metabolic abnormalities, activation of the transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2) is becoming a more appealing therapeutic strategy. Nrf2 activation coordinates a thorough defense through its transcriptional targets, enabling adaptability and survival under a variety of cellular stressors. Nrf2 is regarded as a therapeutic target, and pharmacological Nrf2 activators have demonstrated protective effects in multiple pathological consequences and advantages in clinical trials. In this review, we discussed the rationale for targeting Nrf2 in a series of inflammatory responses caused by Mycoplasma species.
Insights
Mycoplasma infections cause respiratory issues by altering immune responses. Activating the Nrf2 pathway offers a promising therapeutic strategy to combat inflammation and oxidative stress associated with these infections.
Area of Science:
- Microbiology
- Immunology
- Respiratory Medicine
Background:
- Mycoplasmas are small, cell-wall-less prokaryotes acting as intracellular and surface parasites.
- Mycoplasma infections impact respiratory health by modulating immune responses, causing inflammation, and damaging epithelial barriers.
- Current therapeutic challenges include antibiotic resistance, diagnostic limitations, and potential long-term respiratory sequelae.
Purpose of the Study:
- To review the role of Mycoplasma-induced inflammation and oxidative stress.
- To explore the therapeutic potential of activating the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway.
- To discuss the rationale for targeting Nrf2 in Mycoplasma-associated inflammatory conditions.
Main Methods:
- Literature review focusing on Mycoplasma pathogenesis, inflammation, oxidative stress, and Nrf2 signaling.
- Analysis of current therapeutic strategies and their limitations.
- Synthesis of evidence supporting Nrf2 activation as a treatment target.
Main Results:
- Mycoplasma infections trigger significant inflammatory and oxidative stress responses in the respiratory tract.
- Nrf2 activation is a key cellular defense mechanism against oxidative stress and inflammation.
- Pharmacological Nrf2 activators have shown protective effects in preclinical and clinical studies.
Conclusions:
- Targeting the Nrf2 pathway presents a promising therapeutic avenue for managing Mycoplasma-induced respiratory inflammation.
- Further research into Nrf2 activators could lead to novel treatments for Mycoplasma infections.
- Addressing antibiotic resistance and diagnostic challenges remains crucial for effective Mycoplasma management.
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