Wu Zhenyu, Yang Zhouxin, Liu Luying, Xiao Yong
First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
First Clinical Medical College of Gannan Medical University, Ganzhou, China.
Front Pharmacol. 2023 May 30;14:1188215. doi: 10.3389/fphar.2023.1188215. eCollection 2023.
Osteoarthritis (OA), a chronic joint cartilage disease, is characterized by the imbalanced homeostasis between anabolism and catabolism. Oxidative stress contributes to inflammatory responses, extracellular matrix (ECM) degradation, and chondrocyte apoptosis and promotes the pathogenesis of OA. Nuclear factor erythroid 2-related factor 2 (NRF2) is a central regulator of intracellular redox homeostasis. Activation of the NRF2/ARE signaling may effectively suppress oxidative stress, attenuate ECM degradation, and inhibit chondrocyte apoptosis. Increasing evidence suggests that the NRF2/ARE signaling has become a potential target for the therapeutic management of OA. Natural compounds, such as polyphenols and terpenoids, have been explored to protect against OA cartilage degeneration by activating the NRF2/ARE pathway. Specifically, flavonoids may function as NRF2 activators and exhibit chondroprotective activity. In conclusion, natural compounds provide rich resources to explore the therapeutic management of OA by activating NRF2/ARE signaling.
骨关节炎(OA)是一种慢性关节软骨疾病,其特征在于合成代谢和分解代谢之间的体内平衡失衡。氧化应激会导致炎症反应、细胞外基质(ECM)降解和软骨细胞凋亡,并促进OA的发病机制。核因子红细胞2相关因子2(NRF2)是细胞内氧化还原稳态的核心调节因子。NRF2/ARE信号通路的激活可有效抑制氧化应激、减轻ECM降解并抑制软骨细胞凋亡。越来越多的证据表明,NRF2/ARE信号通路已成为OA治疗管理的潜在靶点。天然化合物,如多酚和萜类化合物,已被探索通过激活NRF2/ARE途径来预防OA软骨退变。具体而言,黄酮类化合物可能作为NRF2激活剂发挥作用,并表现出软骨保护活性。总之,天然化合物为通过激活NRF2/ARE信号通路探索OA的治疗管理提供了丰富的资源。