PMID- 37840813 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231020 IS - 2673-6217 (Electronic) IS - 2673-6217 (Print) IS - 2673-6217 (Linking) VI - 4 DP - 2023 TI - The untapped potential of targeting NRF2 in neurodegenerative disease. PG - 1270838 LID - 10.3389/fragi.2023.1270838 [doi] LID - 1270838 AB - Since its initial discovery almost three decades ago, the transcription factor nuclear factor erythroid 2-related factor 2 (NRF2) has been shown to regulate a host of downstream transcriptional responses and play a critical role in preventing or promoting disease progression depending on the context. Critically, while the importance of proper nuclear factor erythroid 2-related factor 2 function has been demonstrated across a variety of pathological settings, the ability to progress NRF2-targeted therapeutics to clinic has remained frustratingly elusive. This is particularly true in the case of age-related pathologies, where nuclear factor erythroid 2-related factor 2 is a well-established mitigator of many of the observed pathogenic effects, yet options to target this pathway remain limited. Along these lines, loss of nuclear factor erythroid 2-related factor 2 function has clearly been shown to enhance neuropathological outcomes, with enhancing nuclear factor erythroid 2-related factor 2 pathway activation to prevent neurodegenerative/neurological disease progression continuing to be an active area of interest. One critical obstacle in generating successful therapeutics for brain-related pathologies is the ability of the compound to cross the blood brain barrier (BBB), which has also hampered the implementation of several promising nuclear factor erythroid 2-related factor 2 inducers. Another limitation is that many nuclear factor erythroid 2-related factor 2 activators have undesirable off-target effects due to their electrophilic nature. Despite these constraints, the field has continued to evolve, and several viable means of targeting nuclear factor erythroid 2-related factor 2 in a neuropathological context have emerged. In this perspective, we will briefly discuss the key findings and promising therapeutic options that have been discovered to date, as well as highlight emerging areas of NRF2-neurodegeneration research that provide hope for successfully targeting this pathway in the future. CI - Copyright (c) 2023 Chen and Dodson. FAU - Chen, Wei-Tai AU - Chen WT AD - Department of Pharmacology and Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ, United States. FAU - Dodson, Matthew AU - Dodson M AD - Department of Pharmacology and Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ, United States. LA - eng PT - Journal Article DEP - 20230928 PL - Switzerland TA - Front Aging JT - Frontiers in aging JID - 9918231199706676 PMC - PMC10569223 OTO - NOTNLM OT - KEAP1 OT - Nrf2 OT - neurodegeneration OT - oxidative stress OT - therapeutics COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/10/16 06:48 MHDA- 2023/10/16 06:49 PMCR- 2023/09/28 CRDT- 2023/10/16 04:22 PHST- 2023/08/01 00:00 [received] PHST- 2023/09/18 00:00 [accepted] PHST- 2023/10/16 06:49 [medline] PHST- 2023/10/16 06:48 [pubmed] PHST- 2023/10/16 04:22 [entrez] PHST- 2023/09/28 00:00 [pmc-release] AID - 1270838 [pii] AID - 10.3389/fragi.2023.1270838 [doi] PST - epublish SO - Front Aging. 2023 Sep 28;4:1270838. doi: 10.3389/fragi.2023.1270838. eCollection 2023.