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健康与疾病中的Keap1/Nrf2信号通路:从实验室到临床

The Keap1/Nrf2 pathway in health and disease: from the bench to the clinic.

作者信息

O'Connell Maria A, Hayes John D

机构信息

School of Pharmacy, University of East Anglia, Norwich Research Park, Norwich, NR4 7TJ, U.K.

Jacqui Wood Cancer Centre, Division of Cancer Research, Medical Research Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee DD1 9SY, U.K.

出版信息

Biochem Soc Trans. 2015 Aug;43(4):687-9. doi: 10.1042/BST20150069. Epub 2015 Aug 3.

Abstract

The transcription factor nuclear factor-erythroid 2 p45-related factor 2 (Nrf2, with gene called NFE2L2) is a master regulator of the antioxidant response. In the last decade, interest has intensified in this research area as its importance in several physiological and pathological processes has become widely recognized; these include redox signalling and redox homoeostasis, drug metabolism and disposition, intermediary metabolism, cellular adaptation to stress, chemoprevention and chemoresistance, toxicity, inflammation, neurodegeneration, lipogenesis and aging. Regulation of Nrf2 is complex and although much attention has focussed on its repression by Kelch-like ECH-associated protein-1 (Keap1), recently it has become increasingly apparent that it is also controlled by cross-talk with other signalling pathways including the glycogen synthase kinase-3 (GSK-3)-β-transducin repeat-containing protein (β-TrCP) axis, ERAD (endoplasmic reticulum-associated degradation)-associated E3 ubiquitin-protein ligase (Hrd1, also called synoviolin), nuclear factor-kappa B (NF-κB), Notch and AMP kinase. Due to its beneficial role in several diseases, Nrf2 has become a major therapeutic target, with novel natural, synthetic and targeted small molecules currently under investigation to modulate the pathway and in clinical trials.

摘要

转录因子核因子红系2 p45相关因子2(Nrf2,基因名为NFE2L2)是抗氧化反应的主要调节因子。在过去十年中,随着其在多种生理和病理过程中的重要性得到广泛认可,该研究领域的关注度日益提高;这些过程包括氧化还原信号传导和氧化还原稳态、药物代谢与处置、中间代谢、细胞应激适应、化学预防和化疗耐药性、毒性、炎症、神经退行性变、脂肪生成和衰老。Nrf2的调节是复杂的,尽管很多注意力都集中在其被 Kelch样ECH相关蛋白1(Keap1)抑制上,但最近越来越明显的是,它也受到与其他信号通路相互作用的控制,包括糖原合酶激酶-3(GSK-3)-β-转导素重复序列包含蛋白(β-TrCP)轴、内质网相关降解(ERAD)相关的E3泛素蛋白连接酶(Hrd1,也称为滑膜素)、核因子κB(NF-κB)、Notch和AMP激酶。由于其在多种疾病中的有益作用,Nrf2已成为一个主要的治疗靶点,目前正在研究新型天然、合成和靶向小分子以调节该通路,并已进入临床试验阶段。

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