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. 2018 Nov 28;21:101059. doi: 10.1016/j.redox.2018.11.017

Table 1.

NRF2 enhancers for the treatment of oxidative stress-promoted cerebrovascular and neurodegenerative disorders.

NRF2 enhancers Category The role in antioxidative systems Ref.
Sulforaphane Organic isothiocyanate
  • Activates the NRF2-KEAP1 pathway through direct modifications of KEAP1 cysteines.

[8], [19], [160], [172], [180], [181], [182], [183], [184], [185], [186], [187], [188], [189], [190]
  • Promotes the ribosomal internalization of NRF2 mRNA for protein synthesis.

Metformin Biguanide
  • Activates of AMPK related pathways

[75], [77], [194], [195], [196], [197]
  • Activates the NRF2-ARE signaling pathways reducing oxidative stress, inflammation, and loss of BBB integrity

  • Promotes the neurogenesis and spatial memory formation

  • Attenuates BBB disruption and reduces post- ischemic brain injury

Astragaloside IV Bioactive saponin
  • Inhibits ROS generation and activating the NRF2-ARE pathway in neuronal cells

[222], [223]
  • Protects the BBB integrity from LPS-induced disruption by activating the NRF2-ARE pathway

  • Anti-inflammatory activities on BBB endothelial cells

  • Decreases the adhesion of murine dendritic cells JAWS II onto bEnd.3 cells

Curcumin Polyphenol
  • Activates the NRF2-ARE signaling pathways leading to attenuating brain injury in the TBI

[106], [205], [206], [207], [208], [209], [210], [224]
  • Increases the activities of antioxidant enzymes such as superoxide dismutase and glutathione peroxidase

  • Antioxidant, anti-inflammatory and anti-infective properties

EGCG Polyphenol
  • Up-regulates of NRF2/HO-1 via activation of the p38 MAPK and ERK1/2 signaling pathways

[214], [215], [216]
  • Promotes the dissociation of NRF2 from KEAP1 and its nuclear translocation

Genistein Isoflavone
  • Up-regulates NRF2/HO-1 via KEAP1 S-nitrosylation

[225], [226]
  • Activates the NRF2-ARE signaling pathway via modulation of PI3K activity in cerebrovascular endothelial cells

Fisetin Flavonoid
  • Activates of the NRF2– ARE signaling pathway

[227]
  • Includes anti-carcinogenic, anti-inflammatory, anti-viral, and immune-stimulatory activity properties.

Melatonin Hormone
  • Enhances expression and activity of antioxidant enzymes

[194], [228], [229], [230], [231], [232], [233], [234]
  • Attenuates brain injury in TBI, potentially through activation of the NRF2–ARE signaling pathway.