PMID- 33241490 OWN - NLM STAT- MEDLINE DCOM- 20220202 LR - 20221108 IS - 1937-5395 (Electronic) IS - 1937-5387 (Linking) VI - 14 IP - 3 DP - 2021 Jun TI - NRF2 in Cardiovascular Diseases: a Ray of Hope! PG - 573-586 LID - 10.1007/s12265-020-10083-8 [doi] AB - Heart failure is a worldwide pandemic influencing 26 million individuals worldwide and is expanding. Imbalanced redox homeostasis in cardiac cells alters the structure and function of the cells, which leads to contractile dysfunction, myocardial hypertrophy, and fibrosis in chronic heart failure. Various targets and agents acting on these such as siRNA, miRNA, interleukin-1, opioids, vasodilators, and SGLT2 inhibitors are being evaluated for heart failure, and nuclear factor erythroid 2-related factor 2 (NRF2) is one of them. NRF2 is a master transcription factor which is expressed in most of the tissues and exhibits a major role in amplification of the antioxidant pathways associated with the enzymes present in myocardium. Increased ROS generation and PI3K-Akt signaling can activate the receptor NRF2. Various in vitro and in vivo and few clinical studies suggested NRF2 may possess a potential for targeting oxidative stress-induced cardiovascular diseases including heart failures. All these studies collectively propose that upregulation of NRF2 will attenuate the increase in hemodynamic stress and provide beneficial role in cardiovascular diseases. The current review shall familiarize readers about the regulations and functions of NRF2. We have also discussed the current evidences suggesting beneficial role of NRF2 activators in heart failure. Graphical abstract. FAU - Vashi, Ruju AU - Vashi R AD - Institute of Pharmacy, Nirma University, Sarkhej-Gandhinagar Highway, Ahmedabad, Gujarat, 382481, India. FAU - Patel, Bhoomika M AU - Patel BM AUID- ORCID: 0000-0003-0594-5452 AD - Institute of Pharmacy, Nirma University, Sarkhej-Gandhinagar Highway, Ahmedabad, Gujarat, 382481, India. drbhoomikampatel@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20201125 PL - United States TA - J Cardiovasc Transl Res JT - Journal of cardiovascular translational research JID - 101468585 RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) SB - IM MH - Animals MH - Gene Expression Regulation MH - Heart Diseases/genetics/*metabolism/pathology/physiopathology MH - Hemodynamics MH - Humans MH - Myocytes, Cardiac/*metabolism/pathology MH - NF-E2-Related Factor 2/genetics/*metabolism MH - Recovery of Function MH - *Regeneration MH - Signal Transduction MH - Ventricular Remodeling OTO - NOTNLM OT - Diabetic cardiomyopathy OT - Heart failure OT - Ischemic reperfusion injury OT - Keap-1 OT - Myocardial infarction OT - NRF2 OT - NRF2 activators OT - Oxidative stress OT - Reactive oxygen species (ROS) EDAT- 2020/11/27 06:00 MHDA- 2022/02/03 06:00 CRDT- 2020/11/26 05:50 PHST- 2020/08/06 00:00 [received] PHST- 2020/10/29 00:00 [accepted] PHST- 2020/11/27 06:00 [pubmed] PHST- 2022/02/03 06:00 [medline] PHST- 2020/11/26 05:50 [entrez] AID - 10.1007/s12265-020-10083-8 [pii] AID - 10.1007/s12265-020-10083-8 [doi] PST - ppublish SO - J Cardiovasc Transl Res. 2021 Jun;14(3):573-586. doi: 10.1007/s12265-020-10083-8. Epub 2020 Nov 25.