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. 2022 Jul;25(7):789–798. doi: 10.22038/IJBMS.2022.61986.13719

Table 1.

Protective effects of saffron and its constituents on the different organs mediated by the Nrf2 signaling pathway

References Results/mechanisms Study design Dosage Constituents
(72) ↑Anti-colitis effects
↓Nrf2, HO-1, and anti-inflammatory macrophages
Pro-inflammatory macrophages
in vivo /DSS-induced acute colitis C57BL/6 7.5, 15, 20, 25 mg/kg/8 days Aqueous extract of Saffron
(58) ↓LDH, creatine kinase, oxidative stress, apoptosis, inflammation, Bax, Caspase, MDA, and SOD
↑Nrf2
in vivo /Isoproterenol-induced myocardial infarction in Wistar rats 50, 100, and 200 mg/kg/ day/15 days Crocetin
(56) Heart protective
↓UPR
↑Nrf2, HO-1, NQO1, and NADPH
ex vivo/IR injury in Sprague-Dawley rats 10 μM, 20 μM, and 40 μM Crocetin
(70) ↓Arthritic pain, inflammation, oxidative stress, NF-κB, iNOS, COX-2, IL-6, IL-10, IL-1β, and TNF-α
↑Nrf2 and HO-1
in vitro/ LPS induced arthritis in mouse macrophages (RAW 264.7)
And in vivo / CFA-induced arthritis in rats
in vitro: 12.5, 25, 50, 100, 200, and 400 mg/ml/24 hours
in vivo : 5 mg/kg, 10 mg/kg, and 20 mg/kg/28 days
Crocetin
(62) ↑Cytotoxicity in cancer cells, ROS, oxidative stress, Nrf2, HO-1, NQO1, and NQO2
↓LDHA, membrane potential, and ATP level
in vitro/A549, HepG2, HCT-116, HeLa, and SK-OV-3 cancer cell lines -6 hours hours Crocetin and crocin
(78) ↓Toxicity, ROS, oxidative stress, mitochondrial membrane potential loss, and Nrf2 translocation in vitro/ cyclosporine A-induced toxicity in HEK-293 200, 400, and 600 μM/24 hours Crocetin and crocetin-loaded lipid nanoparticles
(50) Hepatoprotective effects
↑SOD, CAT, GPx, and Nrf2
↓ROS
in vivo /Liver ischemia-reperfusion injury in male Wistar rats 200 mg/kg/7 days Crocin
(51) Hepatoprotective effects
↓Oxidative stress, and ROS
↑Nrf2, HO-1, and NQO1
in vivo /ATO-induced hepatic injury in rats 25 or 50 mg/kg/7 days Crocin
(52) ↑Tissue blood flow, rate of survival, hemodynamic parameters, liver function, Nrf2, HO-1, SOD, GSH, and CAT
↓Oxidative stress and ROS
in vivo /THS-induced hepatic injury Sprague-Dawley rats 60 mg/kg/- Crocin
(77) ↓Liver injury and oxidative stress
↑Nrf2, SOD, CAT, and GPx
in vivo /IR-induced hepatic injury in male Wistar rats 200 mg/kg/7 days Crocin
(54) ↓Cardiac injury, ROS, and NF-κB
↑Nrf2, HO-1, NQO1, Bcl-2, SOD, CAT, and GPx
in vivo /ATO-induced cardiac injury in male adult Sprague-Dawley rats 40 mg/kg/day and 80 mg/kg/day/7 days Crocin
(57) ↓Cardioprotective
ER stress, GRP78, CHOP, apoptosis, and miR-34a
↑Nrf2, HO-1, and Sirt1
in vivo /C57BL/6 mice undergoing ER stress and IR injury 50 mg/kg/d for 7
days
Crocin
(59) ↓Malignancy, oxidative stress, inflammation, MDA, and c-JNK
↑TAA, BAX, Bcl-2, TRAIL, p53 expression, Nrf2, HO-1, Keap1, SOD, GPx, GST, and GSH
in vivo /TAA-induced HCC in Sprague-Dawley rats 200 mg/kg, IP/daily for 4 weeks Crocin
(60) ↓Development of adenocarcinoma and colitis, oxidative stress, inflammation, NF-κB, COX-2, iNOS, IL-1β, and TNF-α
↑Nrf2 expression
in vivo /AOM and DSS-induced colonic adenocarcinoma 0, 50, 100, and 200 ppm/15 weeks Crocin
(63) ↓Lung injury and oxidative stress
↑Nrf2, P21, HO-1, CAT, and SOD
in vivo / MCT-induced PAH in Sprague-Dawley rats 7.5, 15, and 30 mg/kg, intraperitoneal, 21 days Crocin
(64) ↓Lung damage, oxidative stress, inflammation, ROS, IL-6, and TNF-α
↑Nrf2, HO-1, PI3K, MAPK, PKC, GCLc, and GSH
in vivo /Cigarette smoke-induced COPD in Sprague-Dawley rats 50 mg/kg/2 months Crocin
(65) ↓Inflammation, oxidative stress, fibrosis, TLR4, IL-10, TNF-α, TGF-β1
↑HO-1, and Nrf2
in vivo /BLM-induced pulmonary fibrosis in Sprague-Dawley rats 20 mg/kg, orally/5 weeks Crocin
(71) Anti-ulcerogenic and colon-protective properties
↓Inflammation, oxidative stress, apoptosis, TNF-α, Ca2+, and lipid peroxidation
↑Nrf2, HO-1, and GSH
in vivo /AA-induced UC in Sprague Dawley rats 20 mg/kg/8 days Crocin
(73) ↓Hypoglycemic, hypolipidemic, and renal protective effects
↓Fasting blood glucose, hemoglobin A1, ROS, MDA, and NF-κB
↑SOD, GSH, CAT, Nrf2
in vivo /Old db/db mice 50 mg/kg/8 weeks Crocin
(2) Pancreas protective effects
↓Inflammation, oxidative stress, amylase, lipase, MDA, IL-1β, IL-17, TNF-α, IL-6, and NF-κB
↑GSH and Nrf2 signaling pathway
in vivo /Cerulein-induced AP in male Swiss albino mice 30 mg/kg and 100 mg/kg/7 days Crocin
(75) ↓Blood pressure, urine proteins, and symptoms of gestational hypertension
↑Nrf2/HO-1 signaling pathway
in vivo /L-NAME-induced gestational hypertension in rats 50, 100, and 200 mg/kg/day Crocin
(61) ↓Invasion, migration, malignancy, TAZ, and YAP
↑Nrf2, Bcl-2/Bax ratio, and Caspase
in vitro/Human gastric mucosa epithelial cell line GES-1 induced by MNNG 0–100 μM/6 weeks Crocin
(66) ↓Oxidative stress, inflammation, lipid peroxidation, ROS, 4-HNE, and O2·- and ·OH
↑Nrf2 and GCL
in vitro/Cigarette smoke-induced lung cellular toxicity in A549 cells 500 μM/48 hours Crocin
(74) ↓Inflammation
↑HO-1, [Ca2+]i, Ca2+/calmodulin dependent protein kinase IV, Akt, and Nrf2 signaling pathway
↓iNOS and NF-κB
in vitro/LPS- stimulated RAW 264.7 macrophages 500 𝜇M/24 hours- Crocin
(67) ↓Neurotoxicity, Keap1, apoptosis, and oxidative stress
↑Nrf2
in vitro/Rotenone-induced neurotoxicity dopaminergic neurons - Safranal
(68) ↓Neurotoxicity, oxidative stress, ROS, and cell apoptosis
↑Nrf2, GST, NQO1, GCLc, and HO-1
in vitro/Rotenone-induced PD in Sprague-Dawley rats 10, 15, 20, and 50 μg/ml/7 days Safranal
(76) Anti-NLRP3 inflammasome properties
↓IL-6, TNF-α, NF-κB, and pro-IL-1β
↑Nrf2 signaling pathway
in vitro/ATP and LPS primed stimulated J774A.1 cells 6.25, 12.5, 25, 50 mg/kg/0.5 hours Safranal
(55) ↓Cardiac injury, Inflammation, ROS, MDA, NT, and GSK3b
↑Nrf2, HO-1, NQO1, MnSOD, GSH, NADPH, Akt, and ERK1/2
in vivo and in vitro/IR-induced injury in Wild-Type (WT) and ischemic myocardial tissue 60 µg/kg bolus 15 min and 60 mg/kg/day/4 weeks Saffron aqueous extract 
(53) ↓Liver injury and ROS
↑keap1, Nrf2, HO-1, SOD, GSH, and CAT
in vitro/Rat liver cell line (BRL-3A) 300 μg/ml/1 day TFESP, TFESS, and TFEMS