Nrf2and Cardiovascular Defense
The cardiovascular system is susceptible to a group of diseases that are responsible for a larger proportion of morbidity and mortality than any other disease. Many cardiovascular diseases are associated with a failure of defenses against oxidative stress-induced cellular damage and/or death, leading to organ dysfunction. The pleiotropic transcription factor, nuclear factor-erythroid (NF-E) 2-related factor 2 (Nrf2), regulates the expression of antioxidant enzymes and proteins through the antioxidant response element.Nrf2is an important component in antioxidant defenses in cardiovascular diseases such as atherosclerosis, hypertension, and heart failure.Nrf2is also involved in protection against oxidant stress during the processes of ischemia-reperfusion injury and aging. However, evidence suggests thatNrf2activity does not always lead to a positive outcome and may accelerate the pathogenesis of some cardiovascular diseases (e.g., atherosclerosis). The precise conditions under whichNrf2acts to attenuate or stimulate cardiovascular disease processes are unclear. Further studies on the cellular environments related to cardiovascular diseases that influenceNrf2pathways are required beforeNrf2can be considered a therapeutic target for the treatment of cardiovascular diseases.