PMID- 32505836 OWN - NLM STAT- MEDLINE DCOM- 20210705 LR - 20211204 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 159 DP - 2020 Sep TI - Sestrin2 as a potential therapeutic target for cardiovascular diseases. PG - 104990 LID - S1043-6618(20)31298-6 [pii] LID - 10.1016/j.phrs.2020.104990 [doi] AB - Sestrin2 is a cysteine sulfinyl reductase that plays crucial roles in regulation of antioxidant actions. Sestrin2 provides cytoprotection against multiple stress conditions, including hypoxia, endoplasmic reticulum (ER) stress and oxidative stress. Recent research reveals that upregulation of Sestrin2 is induced by various transcription factors such as p53 and activator protein 1 (AP-1), which further promotes AMP-activated protein kinase (AMPK) activation and inhibits mammalian target of rapamycin protein kinase (mTOR) signaling. Sestrin2 triggers autophagy activity to reduce cellular reactive oxygen species (ROS) levels by promoting nuclear factor erythroid 2 (NF-E2)-related factor 2 (Nrf2) activation and Kelch-like ECH-associated protein 1 (Keap1) degradation, which plays a pivotal role in homeostasis of metabolic regulation. Under hypoxia and ER stress conditions, elevated Sestrin2 expression maintains cellular homeostasis through regulation of antioxidant genes. Sestrin2 is responsible for diminishing cellular ROS accumulation through autophagy via AMPK activation, which displays cardioprotection effect in cardiovascular diseases. In this review, we summarize the recent understanding of molecular structure, biological roles and biochemical functions of Sestrin2, and discuss the roles and mechanisms of Sestrin2 in autophagy, hypoxia and ER stress. Understanding the precise functions and exact mechanism of Sestrin2 in cellular homeostasis will provide the evidence for future experimental research and aid in the development of novel therapeutic strategies for cardiovascular diseases. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Gao, Anbo AU - Gao A AD - Institute of Pharmacy and Pharmacology, Hengyang Medical School, University of South China, Hengyang 421002, Hunan, People's Republic of China; Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, University of South China, Hengyang 421002, Hunan, People's Republic of China. FAU - Li, Feng AU - Li F AD - Medical Shcool, Hunan University of Chinese Medicine, Changsha 410000, Hunan, People's Republic of China. FAU - Zhou, Qun AU - Zhou Q AD - Hunan Province Key Laboratory for Antibody-Based Drug and Intelligent Delivery System, School of Pharmaceutical Sciences, Hunan University of Medicine, Huaihua 418000, Hunan, People's Republic of China. Electronic address: 51281656@qq.com. FAU - Chen, Linxi AU - Chen L AD - Institute of Pharmacy and Pharmacology, Hengyang Medical School, University of South China, Hengyang 421002, Hunan, People's Republic of China; Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, University of South China, Hengyang 421002, Hunan, People's Republic of China; Hunan Provincial Key Laboratory of Tumor Microenvironment Responsive Drug Research, Hunan Provincial Science and Technology Department, 28 Western Changshen Road, Hengyang 421002, Hunan, People's Republic of China. Electronic address: lxchen6@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200604 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Cardiovascular Agents) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nuclear Proteins) RN - 0 (SESN2 protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - *Autophagy/drug effects MH - Cardiovascular Agents/therapeutic use MH - Cardiovascular Diseases/drug therapy/*enzymology/pathology MH - Cardiovascular System/drug effects/*enzymology/pathology MH - Cell Hypoxia MH - Humans MH - Molecular Targeted Therapy MH - NF-E2-Related Factor 2/metabolism MH - Nuclear Proteins/drug effects/*metabolism MH - Oxidative Stress MH - Signal Transduction MH - TOR Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - Autophagy OT - Cardiovascular diseases OT - Endoplasmic reticulum stress OT - Oxidative stress OT - Sestrin2 EDAT- 2020/06/09 06:00 MHDA- 2021/07/06 06:00 CRDT- 2020/06/08 06:00 PHST- 2020/04/17 00:00 [received] PHST- 2020/05/17 00:00 [revised] PHST- 2020/05/31 00:00 [accepted] PHST- 2020/06/09 06:00 [pubmed] PHST- 2021/07/06 06:00 [medline] PHST- 2020/06/08 06:00 [entrez] AID - S1043-6618(20)31298-6 [pii] AID - 10.1016/j.phrs.2020.104990 [doi] PST - ppublish SO - Pharmacol Res. 2020 Sep;159:104990. doi: 10.1016/j.phrs.2020.104990. Epub 2020 Jun 4.