Eat Your Broccoli: Oxidative Stress, NRF2, and Sulforaphane in Chronic Kidney Disease.

Eat Your Broccoli: Oxidative Stress, NRF2, and Sulforaphane in Chronic Kidney Disease.
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吃西兰花:慢性肾脏疾病中的氧化应激,NRF2和萝卜硫素。

DOI:
10.3390/nu13010266
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发表时间:
2021-01-18
期刊:
影响因子:
5.9
通讯作者:
Le TH
Le TH
中科院分区:
医学2区
文献类型:
--
作者:
Liebman SE;Le TH

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慢性肾脏疾病的主要治疗是通过使用20多年前引入的血管紧张素转换酶抑制剂(ACE-Is)或血管紧张素受体阻滞剂(ARB)控制血压和蛋白尿。然而,许多慢性肾病(CKD)患者仍然进展到终末期肾病-最终在失败的预防。虽然氧化应激增加是CKD进展的主要分子基础,但临床上尚未建立特异性靶向氧化应激的治疗模式。在这里,我们回顾了氧化应激在CKD中的影响,并讨论了Nrf 2通路在肾脏疾病中的作用,这些研究采用了动物模型和临床试验中的遗传和药理学方法。然后,我们将重点关注萝卜硫素的治疗潜力,萝卜硫素是一种来自十字花科蔬菜的异硫氰酸酯,在过去十年中因其有效的Nrf 2激活作用而引起了人们的极大关注,并对精准医学产生了影响。
The mainstay of therapy for chronic kidney disease is control of blood pressure and proteinuria through the use of angiotensin-converting enzyme inhibitors (ACE-Is) or angiotensin receptor blockers (ARBs) that were introduced more than 20 years ago. Yet, many chronic kidney disease (CKD) patients still progress to end-stage kidney disease—the ultimate in failed prevention. While increased oxidative stress is a major molecular underpinning of CKD progression, no treatment modality specifically targeting oxidative stress has been established clinically. Here, we review the influence of oxidative stress in CKD, and discuss regarding the role of the Nrf2 pathway in kidney disease from studies using genetic and pharmacologic approaches in animal models and clinical trials. We will then focus on the promising therapeutic potential of sulforaphane, an isothiocyanate derived from cruciferous vegetables that has garnered significant attention over the past decade for its potent Nrf2-activating effect, and implications for precision medicine.
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