Literature DB >> 23633659

Transcription factor Nrf2-mediated antioxidant defense system in the development of diabetic retinopathy.

Qing Zhong1, Manish Mishra, Renu A Kowluru.   

Abstract

PURPOSE: Increase in reactive oxygen species (ROS) is one of the major retinal metabolic abnormalities associated with the development of diabetic retinopathy. NF-E2-related factor 2 (Nrf2), a redox sensitive factor, provides cellular defenses against the cytotoxic ROS. In stress conditions, Nrf2 dissociates from its cytosolic inhibitor, Kelch like-ECH-associated protein 1 (Keap1), and moves to the nucleus to regulate the transcription of antioxidant genes including the catalytic subunit of glutamylcysteine ligase (GCLC), a rate-limiting reduced glutathione (GSH) biosynthesis enzyme. Our aim is to understand the role of Nrf2-Keap1-GCLC in the development of diabetic retinopathy.
METHODS: Effect of diabetes on Nrf2-Keap1-GCLC pathway, and subcellular localization of Nrf2 and its binding with Keap1 was investigated in the retina of streptozotocin-induced diabetic rats. The binding of Nrf2 at GCLC was quantified by chromatin immunoprecipitation technique. The results were confirmed in isolated retinal endothelial cells, and also in the retina from human donors with diabetic retinopathy.
RESULTS: Diabetes increased retinal Nrf2 and its binding with Keap1, but decreased DNA-binding activity of Nrf2 and also its binding at the promoter region of GCLC. Similar impairments in Nrf2-Keap1-GCLC were observed in the endothelial cells exposed to high glucose and in the retina from donors with diabetic retinopathy. In retinal endothelial cells, glucose-induced impairments in Nrf2-GCLC were prevented by Nrf2 inducer tBHQ and also by Keap1-siRNA.
CONCLUSIONS: Due to increased binding of Nrf2 with Keap1, its translocation to the nucleus is compromised contributing to the decreased GSH levels. Thus, regulation of Nrf2-Keap1 by pharmacological or molecular means could serve as a potential adjunct therapy to combat oxidative stress and inhibit the development of diabetic retinopathy.

Entities:  

Keywords:  Nrf2; antioxidant defense; diabetic retinopathy

Mesh:

Substances:

Year:  2013        PMID: 23633659      PMCID: PMC3676188          DOI: 10.1167/iovs.13-11598

Source DB:  PubMed          Journal:  Invest Ophthalmol Vis Sci        ISSN: 0146-0404            Impact factor:   4.799


  40 in total

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Authors:  Aileen M Erickson; Zulimar Nevarea; Jerry J Gipp; R Timothy Mulcahy
Journal:  J Biol Chem       Date:  2002-06-17       Impact factor: 5.157

Review 8.  Regulation of glutathione synthesis.

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  67 in total

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Review 2.  Epigenetic regulation of redox signaling in diabetic retinopathy: Role of Nrf2.

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Journal:  Free Radic Biol Med       Date:  2016-12-22       Impact factor: 7.376

3.  Role of PARP-1 as a novel transcriptional regulator of MMP-9 in diabetic retinopathy.

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Journal:  Biochim Biophys Acta Mol Basis Dis       Date:  2017-05-03       Impact factor: 5.187

Review 4.  Diabetic Microvascular Disease: An Endocrine Society Scientific Statement.

Authors:  Eugene J Barrett; Zhenqi Liu; Mogher Khamaisi; George L King; Ronald Klein; Barbara E K Klein; Timothy M Hughes; Suzanne Craft; Barry I Freedman; Donald W Bowden; Aaron I Vinik; Carolina M Casellini
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Review 5.  Therapeutic targets for altering mitochondrial dysfunction associated with diabetic retinopathy.

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7.  The stress response protein REDD1 promotes diabetes-induced oxidative stress in the retina by Keap1-independent Nrf2 degradation.

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Review 9.  A proposal for early and personalized treatment of diabetic retinopathy based on clinical pathophysiology and molecular phenotyping.

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Review 10.  Combating oxidative stress in diabetic complications with Nrf2 activators: how much is too much?

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