Nrf2介导的信号通路在心脏重塑和心力衰竭中的作用。

The role of Nrf2-mediated pathway in cardiac remodeling and heart failure.

作者信息

Zhou Shanshan, Sun Wanqing, Zhang Zhiguo, Zheng Yang

机构信息

The Cardiovascular Center, The First Hospital of Jilin University, 71 Xinmin Street, Changchun 130021, China.

出版信息

Oxid Med Cell Longev. 2014;2014:260429. doi: 10.1155/2014/260429. Epub 2014 Jul 1.

Abstract

Heart failure (HF) is frequently the consequence of sustained, abnormal neurohormonal, and mechanical stress and remains a leading cause of death worldwide. The key pathophysiological process leading to HF is cardiac remodeling, a term referring to maladaptation to cardiac stress at the molecular, cellular, tissue, and organ levels. HF and many of the conditions that predispose one to HF are associated with oxidative stress. Increased generation of reactive oxygen species (ROS) in the heart can directly lead to increased necrosis and apoptosis of cardiomyocytes which subsequently induce cardiac remodeling and dysfunction. Nuclear factor-erythroid-2- (NF-E2-) related factor 2 (Nrf2) is a transcription factor that controls the basal and inducible expression of a battery of antioxidant genes and other cytoprotective phase II detoxifying enzymes that are ubiquitously expressed in the cardiovascular system. Emerging evidence has revealed that Nrf2 and its target genes are critical regulators of cardiovascular homeostasis via the suppression of oxidative stress, which is the key player in the development and progression of HF. The purpose of this review is to summarize evidence that activation of Nrf2 enhances endogenous antioxidant defenses and counteracts oxidative stress-associated cardiac remodeling and HF.

摘要

心力衰竭(HF)通常是持续性、异常神经激素和机械应激的结果,并且仍然是全球范围内主要的死亡原因。导致HF的关键病理生理过程是心脏重塑,该术语指的是在分子、细胞、组织和器官水平上对心脏应激的适应不良。HF以及许多易导致HF的病症都与氧化应激有关。心脏中活性氧(ROS)生成增加可直接导致心肌细胞坏死和凋亡增加,进而诱导心脏重塑和功能障碍。核因子红系2-(NF-E2-)相关因子2(Nrf2)是一种转录因子,它控制一系列抗氧化基因以及其他在心血管系统中普遍表达的细胞保护II期解毒酶的基础表达和诱导性表达。新出现的证据表明,Nrf2及其靶基因通过抑制氧化应激,是心血管稳态的关键调节因子,而氧化应激是HF发生和发展的关键因素。本综述的目的是总结证据,即Nrf2的激活增强内源性抗氧化防御,并抵消与氧化应激相关的心脏重塑和HF。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35c5/4102082/8b115af11d43/OMCL2014-260429.001.jpg

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