4.5 Review

Unfolding Nrf2 in diabetes mellitus

Journal

MOLECULAR BIOLOGY REPORTS
Volume 48, Issue 1, Pages 927-939

Publisher

SPRINGER
DOI: 10.1007/s11033-020-06081-3

Keywords

Nrf2; Keap1; ACE; Type II diabetes mellitus; Hyperglycaemia; Oxidative stress; Reactive oxygen species

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Studies suggest that the Nrf2 pathway shows promise in diabetes treatment by reversing the condition through counteracting oxidative stress. The Nrf2 gene plays a crucial role in various diseases, exhibiting preventive and prognostic effects.
In spite of much awareness, diabetes mellitus continues to remain one of major reasons for mortality and morbidity rate all over the globe. Free radicals cause oxidative stress which is responsible for causing diabetes. The recent advancements in elucidation of ARE/keap1/Nrf2 pathway can help in better understanding of diabetes mellitus. Various clinical trials and animal studies have shown the promising effect of Nrf2 pathway in reversing diabetes by counteracting with the oxidative stress produced. The gene is known to dissociate from Keap1 on coming in contact with such stresses to show preventive and prognosis effect. The Nrf2 gene has been marked as a molecular player in dealing with wide intracellular as well as extracellular cellular interactions in different diseases. The regulation of this gene gives some transcription factor that contain antioxidant response elements (ARE) in their promoter region and thus are responsible for encoding certain proteins involved in regulation of metabolic and detoxifying enzymes.

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