PMID- 36322291 OWN - NLM STAT- MEDLINE DCOM- 20221129 LR - 20230310 IS - 1724-6059 (Electronic) IS - 1121-8428 (Print) IS - 1121-8428 (Linking) VI - 35 IP - 9 DP - 2022 Dec TI - Transcription factor NRF2 as potential therapeutic target for preventing muscle wasting in aging chronic kidney disease patients. PG - 2215-2225 LID - 10.1007/s40620-022-01484-w [doi] AB - Increased muscle protein catabolism leading to muscle wasting is a prominent feature of the syndrome of protein-energy wasting (PEW) in patients with chronic kidney disease (CKD). PEW and muscle wasting are induced by factors such as inflammation, oxidative stress and metabolic acidosis that activate the ubiquitin-proteasome system, the main regulatory mechanism of skeletal muscle degradation. Whether deficiency of nuclear factor erythroid 2-related factor 2 (NRF2), which regulates expression of antioxidant proteins protecting against oxidative damage triggered by inflammation, may exacerbate PEW has yet to be examined in aging patients with CKD. This review focuses on the hypothesis that NRF2 is involved in the maintenance of muscle mass and explores whether sustained activation of NRF2 by non-pharmacological interventions using nutraceutical activators to improve redox homeostasis could be a plausible strategy to prevent skeletal muscle disorders, including muscle wasting, sarcopenia and frailty associated with PEW in aging CKD patients. CI - (c) 2022. The Author(s). FAU - Gomez-Garcia, Erika F AU - Gomez-Garcia EF AD - Unidad de Investigacion Biomedica 02, Hospital de Especialidades, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. AD - Unidad de Investigacion Biomedica 01, Centro de Investigacion Biomedica de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. AD - Facultad de Medicina y Psicologia, Universidad Autonoma de Baja California, Tijuana, Mexico. FAU - Del Campo, Fabiola Martin AU - Del Campo FM AD - Unidad de Investigacion Biomedica 02, Hospital de Especialidades, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. FAU - Cortes-Sanabria, Laura AU - Cortes-Sanabria L AD - Unidad de Investigacion Biomedica 02, Hospital de Especialidades, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. FAU - Mendoza-Carrera, Francisco AU - Mendoza-Carrera F AD - Unidad de Investigacion Biomedica 01, Centro de Investigacion Biomedica de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. FAU - Avesani, Carla Maria AU - Avesani CM AD - Renal Medicine and Baxter Novum, Clintec, Karolinska Institutet, M99 Karolinska University Hospital Huddinge, 14186, Stockholm, Sweden. FAU - Stenvinkel, Peter AU - Stenvinkel P AD - Renal Medicine and Baxter Novum, Clintec, Karolinska Institutet, M99 Karolinska University Hospital Huddinge, 14186, Stockholm, Sweden. FAU - Lindholm, Bengt AU - Lindholm B AUID- ORCID: 0000-0003-4269-4293 AD - Renal Medicine and Baxter Novum, Clintec, Karolinska Institutet, M99 Karolinska University Hospital Huddinge, 14186, Stockholm, Sweden. bengt.lindholm@ki.se. FAU - Cueto-Manzano, Alfonso M AU - Cueto-Manzano AM AD - Unidad de Investigacion Biomedica 02, Hospital de Especialidades, Centro Medico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20221102 PL - Italy TA - J Nephrol JT - Journal of nephrology JID - 9012268 RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Humans MH - *NF-E2-Related Factor 2/metabolism MH - Muscular Atrophy/etiology/prevention & control MH - *Renal Insufficiency, Chronic/complications/therapy/metabolism MH - Cachexia/complications/metabolism/pathology MH - Aging MH - Muscle, Skeletal/metabolism MH - Inflammation/complications PMC - PMC9700608 OTO - NOTNLM OT - Chronic kidney disease OT - Inflammation OT - Muscle wasting OT - NRF2 OT - Oxidative stress COIS- BL was employed by Baxter Healthcare Corporation. None of the other authors declare relevant financial interests that would represent a conflict of interest. EDAT- 2022/11/03 06:00 MHDA- 2022/11/30 06:00 PMCR- 2022/11/02 CRDT- 2022/11/02 12:19 PHST- 2022/07/19 00:00 [received] PHST- 2022/10/01 00:00 [accepted] PHST- 2022/11/03 06:00 [pubmed] PHST- 2022/11/30 06:00 [medline] PHST- 2022/11/02 12:19 [entrez] PHST- 2022/11/02 00:00 [pmc-release] AID - 10.1007/s40620-022-01484-w [pii] AID - 1484 [pii] AID - 10.1007/s40620-022-01484-w [doi] PST - ppublish SO - J Nephrol. 2022 Dec;35(9):2215-2225. doi: 10.1007/s40620-022-01484-w. Epub 2022 Nov 2.