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  4. Nrf2 Activation: Involvement in Central Nervous System Traumatic Injuries. A Promising Therapeutic Target of Natural Compounds

Nrf2 Activation: Involvement in Central Nervous System Traumatic Injuries. A Promising Therapeutic Target of Natural Compounds

Int. J. Mol. Sci., 2023 · DOI: 10.3390/ijms24010199 · Published: December 22, 2022

PharmacologyNeurologyGenetics

Simple Explanation

Central nervous system (CNS) trauma, like traumatic brain injury (TBI) and spinal cord injury (SCI), is a growing health problem. These injuries often lead to neurodegeneration, marked by oxidative stress, mitochondrial issues, and neuron death. The body's defense against oxidative stress is regulated by a protein called nuclear factor erythroid 2-related factor 2 (Nrf2). Research shows that certain natural substances can activate Nrf2, which helps protect against damage. This article reviews studies that show natural compounds have positive effects in SCI and TBI by activating the Nrf2 pathway. These compounds could be promising treatments for these conditions.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

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    Several natural compounds can activate Nrf2 through multiple pathways, inducing a strong antioxidant response against CNS trauma.
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    Activation of Nrf2 mediated by several natural compounds promotes its translocation within the nucleus and induces the transcription of enzymes involved in counteracting oxidative stress, the mitochondrial response, and neuronal apoptosis.
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    The experimental studies have shown that the Nrf2 activation signaling pathway mediated by these compounds protects against oxidative damage mitochondrial dysfunction, apoptosis, and inflammation.

Research Summary

This review provides an overview of preclinical studies that highlight the positive effects of natural bioactive compounds in SCI and TBI experimental models through the activation of the Nrf2 pathway. Several natural compounds can activate Nrf2 through multiple pathways, inducing a strong antioxidant response against CNS trauma, and could represent promising therapeutic strategies for these pathological conditions. Nrf2 activation strategies are likely effective in preventing disease and slowing its progression.

Practical Implications

Therapeutic Potential

Nrf2 activation via natural compounds offers a promising therapeutic avenue for managing CNS traumatic injuries like SCI and TBI.

Drug Development

The review supports further research into developing Nrf2-activating compounds as effective treatments for TBI and SCI, focusing on their mechanisms of action.

Clinical trials

Clinical trials are needed to evaluate the therapeutic implications of these compounds in patients with SCI and TBI.

Study Limitations

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