NRF2 activator 
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  • ||||||||||  Clinical, Review, Journal:  Activators and Inhibitors of NRF2: A Review of Their Potential for Clinical Development. (Pubmed Central) -  Jan 5, 2020   
    This review describes the electrophilic and nonelectrophilic NRF2 activators with clinical projection in various chronic diseases. We also analyze the status of NRF2 inhibitors, which at this time provide proof of concept for blocking NRF2 activity in cancer therapy.
  • ||||||||||  Preclinical, Journal:  Protection against HEMA-Induced Mitochondrial Injury In Vitro by Nrf2 Activation. (Pubmed Central) -  Dec 23, 2019   
    This protective effect on mitochondria could be related to peroxisome proliferator-activated receptor γ coactivator 1α (PGC1α)/nuclear respiratory factor 1 (NRF1) pathway. These results contribute to the understanding of the function of Nrf2 and the development of novel therapies to counteract the adverse effects of dental resin monomers.
  • ||||||||||  Journal:  HDAC5 Catalytic Activity Suppresses Cardiomyocyte Oxidative Stress and NRF2 Target Gene Expression. (Pubmed Central) -  Dec 20, 2019   
    These results contribute to the understanding of the function of Nrf2 and the development of novel therapies to counteract the adverse effects of dental resin monomers. Histone deacetylase 5 (HDAC5) and HDAC9 are class IIa HDACs that function as signal-responsive repressors of the epigenetic program for pathological cardiomyocyte hypertrophy.  The conserved deacetylase domains of HDAC5 and HDAC9 are not required for inhibition of cardiac hypertrophy.  Thus, the biological function of class IIa HDAC catalytic activity in the heart remains unknown.  Here, we demonstrate that catalytic activity of HDAC5, but not HDAC9, suppresses mitochondrial reactive oxygen species (ROS) generation and subsequent induction of NF-E2 Related Factor 2 (NRF2)-dependent antioxidant gene expression in cardiomyocytes.  Treatment of cardiomyocytes with TMP195 or TMP269, which are selective class IIa HDAC inhibitors, or shRNA-mediated knockdown of HDAC5 but not HDAC9, leads to stimulation of NRF2-mediated transcription in a ROS-dependent manner.  Conversely, ectopic expression of catalytically active HDAC5 decreases cardiomyocyte oxidative stress and represses NRF2 activation.  These findings establish a role for the catalytic domain of HDAC5 in the control of cardiomyocyte redox homeostasis, and define TMP195 and TMP269 as a novel class of NRF2 activators that function by suppressing the enzymatic activity of an epigenetic regulator.
  • ||||||||||  Preclinical, Journal:  Sulforaphane improves endothelial function and reduces placental oxidative stress in vitro. (Pubmed Central) -  Dec 6, 2019   
    As such, our report underscores the importance of p90RSK regulation in monocytes/macrophages as a viable biomarker and therapeutic target for preventing CVD, especially in HIV patients treated with cART. In reducing placental and endothelial oxidative stress, sulforaphane may offer a new adjuvant therapeutic approach for the treatment of preeclampsia.
  • ||||||||||  Preclinical, Journal:  Use of Primary Mouse Embryonic Fibroblasts in Developmental Toxicity Assessments. (Pubmed Central) -  Nov 29, 2019   
    After collection, MEFs were pretreated with the Nrf2 activator, dithiol-3-thione (D3T; 10 μM) for 12 h, and then treated with either hydrogen peroxide (0-2000 μM) or mercury (0-100 μM) for another 24 h. Viability was measured via MTT assay after 24 h of treatment.
  • ||||||||||  Vincerinone (vatiquinone) / Sumitomo Dainippon, PTC Therapeutics
    Journal:  New developments in pharmacotherapy for Friedreich ataxia. (Pubmed Central) -  Nov 24, 2019   
    These trials have been directed at the augmentation of mitochondrial function and/or alleviation of symptoms and are not regarded as potential cures in FRDA. Either a combination of therapies or a drug that replaces or increases the pathologically low levels of frataxin better represent potential cures in FRDA.
  • ||||||||||  Licensing / partnership, Review, Journal:  Therapeutic targeting of the NRF2 and KEAP1 partnership in chronic diseases. (Pubmed Central) -  Nov 14, 2019   
    One NRF2 activator has received clinical approval and several electrophilic modifiers of the cysteine-based sensor KEAP1 and inhibitors of its interaction with NRF2 are now in clinical development. However, challenges regarding target specificity, pharmacodynamic properties, efficacy and safety remain.
  • ||||||||||  omaveloxolone (RTA 408) / AbbVie, Reata
    Journal, Orphan drug:  Orphan Drugs In Development For The Treatment Of Friedreich's Ataxia: Focus On Omaveloxolone. (Pubmed Central) -  Nov 8, 2019   
    Friedreich's Ataxia (FRDA) is a devastating and progressive ataxia, marked by mitochondrial dysfunction and oxidative stress. Nrf2 activators such as omaveloxolone (Omav) modulate antioxidative mechanisms, and thus may be viable therapeutic agents in FRDA.
  • ||||||||||  Tecfidera (dimethyl fumarate) / Biogen
    Genetic Activation of NRF2 By KEAP1 Inhibition Induces Fetal Hemoglobin Expression and Triggers Anti-Oxidant Stress Response in Erythroid Cells (W414AB, Level 4 (Orange County Convention Center)) -  Nov 7, 2019 - Abstract #ASH2019ASH_1574;    
    Additionally, treatment with CDDO-Me, an NRF2 activator compound, resulted in a 4-fold induction in γ-globin mRNA levels in primary SCD patient derived CD34+ cells (by ddPCR), a 2.5-fold induction in HbF (by flow cytometry), and a 2.5-fold up-regulation in both Aγ and Gγ globin levels (by ultra-performance liquid chromatography)...In conclusion, KEAP1 inhibition in erythroid cell lineage and subsequent NRF2 activation leads to HbF induction and improvement in the antioxidant stress enzymes . Overall these data demonstrate a multi-faceted potential benefit of NRF2 activation in sickle cell disease.
  • ||||||||||  Journal:  Interleukin-17D and Nrf2 mediate initial innate immune cell recruitment and restrict MCMV infection. (Pubmed Central) -  Nov 2, 2019   
    Interestingly, we were able to artificially induce innate leukocyte infiltration by applying the Nrf2 activator tert-butylhydroquinone (tBHQ), which rendered mice less susceptible to MCMV infection. Our results implicate the Nrf2/IL-17D axis as a sensor of viral infection and suggest therapeutic benefit in boosting this pathway to promote innate antiviral responses.
  • ||||||||||  Tecfidera (dimethyl fumarate) / Biogen
    Journal:  Dimethyl fumarate accelerates wound healing under diabetic condition. (Pubmed Central) -  Oct 29, 2019   
    However, in spite of the activation of NRF2, DMF lost this capability under the NG condition. The findings of this study demonstrate that ROS activate the protective effect of DMF on the diabetic wound healing.
  • ||||||||||  bardoxolone methyl (RTA 402) / Kyowa Hakko Kirin, Reata, Jynarque (tolvaptan) / Otsuka
    Tolvaptan and Bardoxolone Methyl Synergistically Activate the Nrf2/HO-1 Pathway (Exhibit Hall, Walter E. Washington Convention Center) -  Oct 14, 2019 - Abstract #KIDNEYWEEK2019KIDNEY_WEEK_2578;    
    Tolvaptan is a potential therapeutic candidate in renal disease. Funding Government Support - Non-U.S.
  • ||||||||||  bardoxolone methyl (RTA 402) / Kyowa Hakko Kirin, Reata
    Journal:  Nrf2 Activator RS9 Suppresses Pathological Ocular Angiogenesis and Hyperpermeability. (Pubmed Central) -  Oct 11, 2019   
    The effects of Nrf2 activators, bardoxolone methyl (BARD) and RS9, were evaluated against vascular endothelial growth factor (VEGF)-induced cell migration in human retinal microvascular endothelial cells (HRMECs)...Furthermore, RS9 showed a tendency toward decreasing CNV lesions, and improved vascular leakage in a CNV monkey model. These data indicate that a Nrf2 activator might be a candidate for treatment of ocular diseases characterized by pathophysiological angiogenesis and hyperpermeability.
  • ||||||||||  Journal:  Construction of a novel quinoxaline as a new class of Nrf2 activator. (Pubmed Central) -  Oct 3, 2019   
    It is observed that rat has comparable metabolic profile with human, thus, rat could be used as an in vivo model for prediction of pharmacokinetics and metabolism profiles of NQC in human. NQC is a new class of NRF2 activator with potent in vitro anti-inflammatory activity and good metabolic stability.
  • ||||||||||  bardoxolone methyl (RTA 402) / Kyowa Hakko Kirin, Reata
    Journal:  Glucoraphanin: A broccoli sprout extract that ameliorates obesity-induced inflammation and insulin resistance. (Pubmed Central) -  Sep 28, 2019   
    A recent study demonstrated that glucoraphanin, a precursor of the Nrf2 activator sulforaphane, ameliorates obesity by enhancing energy expenditure and browning of white adipose tissue, and attenuates obesity-related inflammation and insulin resistance by polarizing M2 macrophages and reducing metabolic endotoxemia. Thus, this review focuses on the efficiency and safety of glucoraphanin in alleviating obesity, insulin resistance, and NAFLD.
  • ||||||||||  Preclinical, Journal:  ROLE OF NRF2 IN PREVENTING OXIDATIVE STRESS INDUCED CHLORIDE CURRENT ALTERATION IN HUMAN LUNG CELLS. (Pubmed Central) -  Sep 26, 2019   
    Immunochemical and immunocytochemical results showed Nrf2 activation with both substances that lead to prevent OS effect on Cl- current. These data bring new insights on the mechanisms involved in OS induced lung tissue damage , pointing out the role of H2 O2 in chloride current alteration and the ability of Nfr2 activation in preventing this effect.
  • ||||||||||  Hydralazine protects nigrostriatal dopaminergic neurons from MPP+ and MPTP induced neurotoxicity: Roles of Nrf2-ARE signaling pathway (Les Muses Terrace, Level 3) -  Sep 24, 2019 - Abstract #MDSCongress2019MDS_745;    
    These data bring new insights on the mechanisms involved in OS induced lung tissue damage , pointing out the role of H2 O2 in chloride current alteration and the ability of Nfr2 activation in preventing this effect. This study shows that hydralazine as a potent Nrf2 activator, increases the expression of Nrf2 downstream ARE target genes and confers strong neuroprotection in model of PD both in vitro and vivo in a Nrf2 -independent manner.
  • ||||||||||  Preclinical, Journal:  Tert-butylhydroquinone post-treatment attenuates neonatal hypoxic-ischemic brain damage in rats. (Pubmed Central) -  Sep 12, 2019   
    These beneficial effects were accompanied by improved neurological reflex and motor coordination as well as amelioration of spatial learning and memory deficits. Overall, our results provide the first documentation of the beneficial effects of TBHQ in neonatal HI model, in part conferred by activation of Nrf2 mediated antioxidative signaling pathways.
  • ||||||||||  oxaliplatin / generics
    Journal:  Luteolin Shifts Oxaliplatin-Induced Cell Cycle Arrest at G₀/G₁ to Apoptosis in HCT116 Human Colorectal Carcinoma Cells. (Pubmed Central) -  Sep 6, 2019   
    Moreover, luteolin treatment was found to reduce oxaliplatin-treated p53-null cell viability and colony counts further, thereby demonstrating an additional effect of luteolin in the killing of human colorectal tumor HCT116 cells not expressing functional p53 protein. The findings suggest that luteolin can induce p53-mediated apoptosis regardless of oxaliplatin treatment and may eliminate oxaliplatin-resistant p53-null colorectal cells.
  • ||||||||||  Sulforadex (sulforafan alfadex) / Evgen Pharma
    Journal:  SFX-01 reduces residual disability after experimental autoimmune encephalomyelitis. (Pubmed Central) -  Aug 10, 2019   
    In first-in-man and phase II clinical trials for other indications, SFX-01 was found to be well-tolerated. A trial comparing BG-12 and SFX-01 would address whether SFX-01 can offer RRMS patients a better option with respect to efficacy and tolerability.
  • ||||||||||  low molecular weight dextran sulfate (ILB) / TikoMed
    Journal:  Berberine upregulates P-glycoprotein in human Caco-2 cells and in an experimental model of colitis in the rat via activation of Nrf2-dependent mechanisms. (Pubmed Central) -  Aug 7, 2019   
    ...In this study, we used a dextran sulfate sodium (DSS)-induced colitis rat model to evaluate the effect of berberine on P-gp and explore its mechanism of action...Luciferase assays using Caco-2 cells showed a dose-dependent increase in Nrf2 reporter gene activity following berberine treatment, with a significant twofold elevation at 2.5 μM berberine, suggesting that berberine is a strong Nrf2 activator. These results suggest the possible involvement of Nrf2-mediated upregulation of P-gp in the therapeutic effect of berberine on colitis and highlight the potential of P-gp and/or Nrf2 as new therapeutic targets for IBD.
  • ||||||||||  Journal:  Ketone body 3-hydroxybutyrate mimics calorie restriction via the Nrf2 activator, fumarate, in the retina. (Pubmed Central) -  Aug 1, 2019   
    Importantly, the upregulation of nuclear factor erythroid 2 p45-related factor 2 (Nrf2), a regulator of G6PD, and elevation of the tricarboxylic acid cycle's Nrf2 activator, fumarate, were also shared. Together, our findings suggest that CR provides retinal antioxidative defense by 3HB through the antioxidant Nrf2 pathway via modification of a tricarboxylic acid cycle intermediate during 3HB metabolism.