4.5 Review

Therapeutic potential of Nrf-2 pathway in the treatment of diabetic neuropathy and nephropathy

Journal

MOLECULAR BIOLOGY REPORTS
Volume 48, Issue 3, Pages 2761-2774

Publisher

SPRINGER
DOI: 10.1007/s11033-021-06257-5

Keywords

Type-2 diabetes; Diabetic neuropathy; Diabetic nephropathy; Nrf-2 activation; Nrf-2 activators; Nrf-2-Keap-1 association

Ask authors/readers for more resources

Type 2 diabetes is a widely spread metabolic disorder with the number of affected individuals expected to increase. Targeted therapies are needed to maintain glucose levels and improve insulin sensitivity. The regulation of Nrf-2 activity may offer therapeutic benefits and emerge as a novel therapy in the treatment of diabetes and its associated complications.
Type 2 diabetes (T2D) is one of the most widely spread metabolic disordersand is also referred as a 'lifestyle' disorder. According toa study conducted by IDB, the number of individuals affected with diabetes is expected to increase from 463 to 700 million by the end of year 2045. Thus, there is a great need to developed targeted therapies that can maintain homeostasis of glucose levels and improving insulin sensitivity which can overcome hurdles associated with conventional medicine. Detailed analysis was conducted by analyzing various research and review papers which were searched using MEDLINE and EMBASE using various keywords. This search retrieved the most appropriate content on these molecules targeting Nrf-2 functions and Nrf-2 pathway associated with diabetic neuropathy and nephropathy. In this review article, we have highlighted the role of Nrf-2 in diabetic associated complications of neuropathy and nephropathy. Since hyperglycemia is associated with oxidative stress and inflammation, regulating Nrf-2 activity through various synthetic and natural activators whichmay provide therapeutic benefits for the treatment and mitigation of diabetic neuropathy and nephropathy as well. Based on the available literature on Nrf-2 activity and despite some controversies in the association of Nrf-2 activity and its therapeutic usage, it can be concluded that regulation of this pathway is a trigger in the development of diabetes-associated complications. Thus, targeting this pathway with various activators may emerge as a novel therapy in the treatment of diabetes and diabetes-associated complications.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Cell Biology

AChE as a spark in the Alzheimer's blaze-Antagonizing effect of a cyclized variant

Tapan Behl, Ishnoor Kaur, Aayush Sehgal, Sukhbir Singh, Neelam Sharma, Sumeet Gupta, Mohammed Albratty, Asim Najmi, Hassan A. Alhazmi, Simona Bungau

Summary: This review discusses the association of amyloid precursor protein, presenilin 1, amyloid beta, and GSK3 with Alzheimer's Disease (AD) and the impact of acetylcholinesterase on AD pathology. It highlights the significance of AChE inhibitors in AD therapeutics and the potential role of the AChE peptide variant NBP14 in mitigating neurodegeneration associated with AD.

AGEING RESEARCH REVIEWS (2023)

Review Medicine, Research & Experimental

Plants-based medicine implication in the evolution of chronic liver diseases

Monica Foghis, Simona Gabriela Bungau, Alexa Florina Bungau, Cosmin Mihai Vesa, Anamaria Lavinia Purza, Alexandra Georgiana Tarce, Delia Mirela Tit, Annamaria Pallag, Tapan Behl, Syed Shams ul Hassan, Andrei-Flavius Radu

Summary: Hepatic disorders are significant health problems with high incidence and increased risk of chronicling or death. Many patients with chronic liver diseases use herbal medicines in parallel with allopathic treatment. This paper provides a thorough analysis of studies on medicinal plants, bioactive compounds, and the activity of herbal medicines in the evolution of chronic liver diseases. However, there is often a lack of comprehensive data on illness progression and patient living standards, which should be considered when evaluating the long-term effects of herbal treatments on the health and quality of life of individuals with liver disease. Bioactive phytocomponents may be a valuable source for developing novel medications, but further research is needed to assess safety, effectiveness, and standardization for therapeutic management of liver illnesses.

BIOMEDICINE & PHARMACOTHERAPY (2023)

Article Medicine, Research & Experimental

Immune recovery among Romanian HIV/AIDS patients receiving darunavir/ritonavir or darunavir/cobicistat regimens in cART management: A three-year study

Ruxandra-Cristina Marin, Simona Gabriela Bungau, Delia Mirela Tit, Paul Andrei Negru, Andrei-Flavius Radu, Radu Dumitru Moleriu

Summary: Approximately two-thirds of Romanian HIV patients were parenterally infected with the F subtype of HIV in early childhood. They are now facing immunological aging, with immunosuppression posing an additional challenge in developing effective and well-tolerated regimens. A retrospective study compared the immune recovery of 462 HIV-infected patients who received different treatment regimens, showing normal immune response but a significant difference between groups. The study also assessed the relationship between immune and virological responses to therapy, finding an association at the final visit.

BIOMEDICINE & PHARMACOTHERAPY (2023)

Review Medicine, Research & Experimental

Exploring the molecular pathways and therapeutic implications of angiogenesis in neuropathic pain

Aditi Sharma, Tapan Behl, Lalit Sharma, Om Prakash Shah, Shivam Yadav, Monika Sachdeva, Summya Rashid, Simona Gabriela Bungau, Cristiana Bustea

Summary: Recently, there has been increasing focus on the chronic neuro-inflammatory condition causing neuropathic pain, characterized by thermal hyperalgesia and tactile allodynia, which results from injury or infection in the nervous system. Angiogenesis, chemokines, and cytokines play important roles in the pathophysiology of neuropathic pain, contributing to inflammation and detrimental effects. Various mechanisms, including VEGF signaling, Tie-1 and Tie-2 receptor signaling, and erythropoietin pathway promoting axonal growth, have been identified as potential targets for therapeutic interventions in neuropathic pain associated with angiogenesis. Synthetic and herbal treatments targeting angiogenesis in neuropathic pain have also been explored.

BIOMEDICINE & PHARMACOTHERAPY (2023)

Editorial Material Biochemistry & Molecular Biology

Novel Molecules in Diabetes Mellitus, Dyslipidemia and Cardiovascular Disease

Cosmin Mihai Vesa, Simona Gabriela Bungau

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Article Biochemistry & Molecular Biology

Novel Potential Janus Kinase Inhibitors with Therapeutic Prospects in Rheumatoid Arthritis Addressed by In Silico Studies

Andrei-Flavius Radu, Simona Gabriela Bungau, Andrei Paul Negru, Bogdan Uivaraseanu, Mihaela Alexandra Bogdan

Summary: Rheumatoid arthritis (RA) is a severe autoimmune disease that affects millions of patients worldwide. Despite recent improvements, there are still unmet needs in the treatment of RA. In this study, in silico research was conducted to identify potential active molecules for the treatment of RA. The findings suggest that further research is needed to validate the efficacy and safety profiles of the most promising candidates.

MOLECULES (2023)

Review Health Care Sciences & Services

An Evidence-Based Update on the Potential Association between Rheumatoid Arthritis and Lymphangioleiomyomatosis

Nicoleta Anamaria Pascalau, Andrei-Flavius Radu, Delia Carmen Nistor Cseppento, Felicia Liana Andronie-Cioara, Anamaria Jurcau, Calin Mos, Alexa Florina Bungau, Simona Gabriela Bungau

Summary: Lymphangioleiomyomatosis (LAM) is a rare disease characterized by cystic lung destruction and respiratory failure. There may be a potential association between LAM and rheumatoid arthritis (RA) due to similar pathophysiological mechanisms involving dysregulated immunological function and inflammation. Further research is necessary to understand the connection between these two disorders and develop new therapeutic options.

JOURNAL OF PERSONALIZED MEDICINE (2023)

Article Biochemistry & Molecular Biology

Chitosan-sEPDM and Melatonin-Chitosan-sEPDM Composite Membranes for Melatonin Transport and Release

Florentina Mihaela Pancescu, Abbas Abdul Kadhim Klaif Rikabi, Ovidiu Cristian Oprea, Alexandra Raluca Grosu, Aurelia Cristina Nechifor, Vlad-Alexandru Grosu, Szidonia-Katalin Tanczos, Florina Dumitru, Gheorghe Nechifor, Simona Gabriela Bungau

Summary: This paper presents the preparation and characterization of composite membranes based on chitosan and sulfonated ethylene-propylene-diene terpolymer, and evaluates their performance in the controlled release of melatonin. The prepared membranes can release different amounts of melatonin in dedicated environments.

MEMBRANES (2023)

Review Biology

The Rare Condition of Left Ventricular Non-Compaction and Reverse Remodeling

Cristiana Bustea, Alexa Florina Bungau, Delia Mirela Tit, Diana Carina Iovanovici, Mirela Marioara Toma, Simona Gabriela Bungau, Andrei-Flavius Radu, Tapan Behl, Adrian Cote, Elena Emilia Babes

Summary: Left ventricular non-compaction (LVNC) is a rare disease characterized by a two-layered ventricular wall, and controversies still exist regarding its classification. This review analyzes the diagnosis, treatment, and prognosis of LVNC, as well as the current knowledge regarding reverse remodeling. A case study is presented to illustrate the effectiveness of angiotensin receptor neprilysin inhibitor in LVNC treatment. LVNC is a heterogeneous cardiomyopathy, and while favorable outcomes are not common, some patients respond well to therapy.

LIFE-BASEL (2023)

Article Biology

Predictors of Readmission after the First Acute Coronary Syndrome and the Risk of Recurrent Cardiovascular Events-Seven Years of Patient Follow-Up

Cristiana Bustea, Delia Mirela Tit, Alexa Florina Bungau, Simona Gabriela Bungau, Vlad Alin Pantea, Elena Emilia Babes, Larisa Renata Pantea-Rosan

Summary: Recurrent hospitalizations after ACS are common, and identifying the risk factors is crucial for management. The study found that complete revascularization and higher left ventricular ejection fraction were independent predictors of reduced readmissions in the first year after an acute coronary event.

LIFE-BASEL (2023)

Article Biology

Simulation-Based Research on Phytoconstituents of Embelia ribes Targeting Proteins with Pathophysiological Implications in Rheumatoid Arthritis

Andrei-Flavius Radu, Paul Andrei Negru, Ada Radu, Alexandra Georgiana Tarce, Simona Gabriela Bungau, Mihaela Alexandra Bogdan, Delia Mirela Tit, Bogdan Uivaraseanu

Summary: This study investigated the potential use of phytoconstituents from Embelia ribes as treatment agents for rheumatoid arthritis (RA) using in silico methodologies. Several compounds were identified with high binding affinities to target proteins involved in RA, suggesting their potential for future therapeutic development.

LIFE-BASEL (2023)

Article Health Care Sciences & Services

Highlighting the Use of the Hepatoprotective Nutritional Supplements among Patients with Chronic Diseases

Monica Foghis, Delia Mirela Tit, Simona Gabriela Bungau, Timea Claudia Ghitea, Csaba Robert Pallag, Andreea Monica Foghis, Tapan Behl, Cristian Bustea, Annamaria Pallag

Summary: Cross-sectional studies provide essential insights about public health through data and statistics. This study investigates the frequency and habits of hepatoprotective nutritional supplement consumption among patients with chronic diseases. The findings reveal that the majority of patients incorporate hepatoprotective supplements into their treatment, with women having a higher usage rate. Moreover, patients who integrate supplements into their daily routine tend to have better overall nutritional status.

HEALTHCARE (2023)

Review Medicine, General & Internal

Micropulse Laser Therapy as an Integral Part of Eye Disease Management

Flaviu Bodea, Simona Gabriela Bungau, Mihaela Alexandra Bogdan, Cosmin Mihai Vesa, Ada Radu, Alexandra Georgiana Tarce, Anamaria Lavinia Purza, Delia Mirela Tit, Cristian Bustea, Andrei-Flavius Radu

Summary: Ocular diseases can have a significant impact on vision and quality of life. Micropulse laser therapy, compared to conventional laser techniques, offers advantages in minimizing collateral damage while effectively treating target tissues. Further research is needed to optimize treatment protocols, evaluate long-term efficacy, and explore the role of micropulse laser therapy in combination therapies.

MEDICINA-LITHUANIA (2023)

Article Medicine, Research & Experimental

Colloidal Gold Immunochromatography and ELISA Traceability of Tetracycline Residues from Raw Milk to its Dairy Products

Alexandrina Fodor, Delia Carmen Nistor Cseppento, Gabriela Elena Badea, Anda Ioana Petrehele, Alina Groze, Delia Mirela Tit, Simona Gabriela Bungau

Summary: The study investigated the transfer of tetracycline (TC) from raw milk to different dairy products. The highest TC content was found in milk from household farmers, while sour milk had TC levels comparable to raw milk. Heat treatment of the milk resulted in a decrease in TC content.

IN VIVO (2023)

Article Medicine, Research & Experimental

Usefulness of the Edmonton Frail Scale in Assessing the Impact of Heart Failure on Frailty

Diana-Carina Iovanovici, Alina-Gariela Negru, Carmen Delia Nistor Cseppento, Calin Florin Bochis, Bombonica Gabriela Dogaru, Anamaria Jurcau, Babes Elena Emilia, Nicoleta Anamaria Pascalau, Timea Claudia Ghitea, Alexa Florina Bungau, Simona Gabriela Bungau

Summary: The aim of this prospective study was to assess the incidence of physical frailty in patients with HF and the role of physical exercise in improving physical performance. The study found that 20.56% of patients enrolled in the study had mild and moderate frailty, and 2.83% had severe frailty. The prevalence of mild and moderate frailty was significantly higher in the HF group compared to the non-HF group. Exercise-based rehabilitation was found to improve physical performance and increase independence in daily activities and functional performance in HF patients.

IN VIVO (2023)

No Data Available