Nrf2 in health and disease: current and future clinical implications

Clin Sci (Lond). 2015 Dec;129(12):989-99. doi: 10.1042/CS20150436.

Abstract

The transcription factor Nrf2 (nuclear factor erythroid 2-related factor 2) is a major regulator of oxidative stress defence in the human body. As Nrf2 regulates the expression of a large battery of cytoprotective genes, it plays a crucial role in the prevention of degenerative disease in multiple organs. Thus it has been the focus of research as a pharmacological target that could be used for prevention and treatment of chronic diseases such as multiple sclerosis, chronic kidney disease or cardiovascular diseases. The present review summarizes promising findings from basic research and shows which Nrf2-targeting therapies are currently being investigated in clinical trials and which agents have already entered clinical practice.

Keywords: Nrf2; cardiovascular disease; chronic kidney disease; clinical trials; multiple sclerosis; oxidative stress.

Publication types

  • Review

MeSH terms

  • Animals
  • Antioxidants / pharmacology
  • Drug Discovery
  • Gene Expression Regulation
  • Humans
  • Kidney Diseases / drug therapy
  • Kidney Diseases / metabolism
  • Liver Diseases / drug therapy
  • Liver Diseases / metabolism
  • Lung Diseases / drug therapy
  • Lung Diseases / metabolism
  • Molecular Targeted Therapy
  • NF-E2-Related Factor 2 / agonists
  • NF-E2-Related Factor 2 / antagonists & inhibitors
  • NF-E2-Related Factor 2 / genetics
  • NF-E2-Related Factor 2 / metabolism*
  • Neurodegenerative Diseases / drug therapy
  • Neurodegenerative Diseases / metabolism
  • Oxidative Stress* / drug effects
  • Signal Transduction* / drug effects

Substances

  • Antioxidants
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human