Review Article

The Role of Nrf2 in Cardiovascular Function and Disease

Table 2

The effect of Nrf2 activation on CVD.

ActivatorAnimal model/cell lineEffectsReference

Bardoxolone methyl derivative dh404Male Akita mice at 26 weeks of age & human aortic endothelial cells (HAECs)Attenuation of endothelial dysfunction
Downregulation of inflammatory and prooxidant genes
Reduction in systemic and vascular oxidative stress
[188]
Streptozotocin- (STZ-) induced diabetic ApoE−/− micePrevention of atherosclerosis[189]

SulforaphaneVascular smooth muscle cells (VSMCs)Suppression of VSMC proliferation[190]
HUVECsProtection against oxidized low-density lipoprotein- (oxLDL-) induced endothelial damage[191]
High-fat diet- (HFD-) induced type 2 diabetic micePrevention of aortic damage[192]
Low-dose STZ diabetic micePrevention of diabetic cardiomyopathy[154]
Multiple low dose STZ-induced type 1 diabetic micePrevents aortic oxidative damage, fibrosis, and inflammation[193]

MiltironeEA.hy926 endothelial cellsProtects against oxLDL-derived oxidative stress[194]

Epigallocatechin-3-gallateHUVECsProtects against PM2.5-induced oxidative stress[195]

Barleria lupulina alkyl catechols (4-ethylcatechol, 4-vinylcatechol, and 4-methylcatechol)Human dermal microvascular endothelial cellsImproves organization of the cytoskeleton
Organizes tight cell junctions
Reduces inflammation and vascular leakage
[196]

Small molecule glycomimeticsHUVECsAttenuates palmitate-induced oxidative stress and endothelial dysfunction.
Increases NO production.
[104]

RutinHUVECsPrevents hydrogen peroxide- (H2O2-) induced oxidative stress[197]

1,25-DihydroxycholecalciferolHUVECsPrevents leptin-induced oxidative stress and inflammation[198]

Willow bark extractHUVECs and Caenorhabditis elegansPrevents ROS-induced cytotoxicity of HUVECs and death of C. elegans[199]

Aged garlic extractHUVECsEnhances HO-1 and glutamate-cysteine ligase modifier subunit expression (GCLM)[200]

CelastrolHUVECsAttenuates angiotensin II mediated endothelial damage[201]

PaeotangHUVECsPrevents TNF-α-induced vascular inflammation[202]

Cyanidin-3-O-glucosideHUVECsAmeliorates palmitate-induced insulin resistance and endothelial derived vasoactive factors[203]
Attenuates palmitate-induced inflammation[204]
EA.hy926 endothelial cellsAttenuates angiotensin II-induced oxidative stress and inflammation[205]

PiceatannolHUVECsAttenuates homocysteine-induced endoplasmic reticulum stress and cell damage[206]

EquolApoE−/− miceAttenuates atherosclerosis and inhibits endoplasmic reticulum stress[207]
HUVECsAbrogates apoptosis induced by t-BHP

Sheep/goat whey proteinEA.hy926 endothelial cellsIncreases antioxidant defences[208]

QuercetinHAECsInhibits LPS-induced adhesion molecule expression and ROS production[209]

Panax notoginseng saponins and Ginsenoside Rb1HUVECsSuppresses monocyte adhesion and inhibits ROS[210]

BortezomibHuman microvascular endothelial cells (HMECs)Induces expression of HO-1[211]

SofalconeHUVECsSuppresses endothelial dysfunction[212]

SalidrosideHUVECsSuppresses ROS-induced damage[213]

Caffeic acidHUVECsAttenuates high glucose-induced endothelial dysfunction[214]

MyricitrinH9c2 cardiomyocytesAttenuates high glucose-induced apoptosis[215]
STZ-induced diabetic mice & AGE-induced H9c2 cardiomyocytesAlleviates oxidative stress-induced inflammation, apoptosis, and cardiomyopathy[216]

AndrographolideEA.hy926 endothelial cellsInhibits hypoxia-induced HIF-1α-driven endothelin 1 secretion[217]

Tanshinone IIAHUVECsInhibits cyclic strain-induced expression of interleukin 8[218]

LycopeneHUVECsInhibits cyclic strain-induced endothelin-1 expression and oxidative stress[219]

Withaferin AEA.hy926 endothelial cells & HUVECsInduces HO-1 expression[220]

Copper diethyldithiocarbamateBovine aortic endothelial cellsInhibits proteasome and Nrf2 binding to Kelch-like ECH-associated protein 1[221]

ClopidogrelHAECsHinders TNF-α-induced VCAM-1 expression[222]

Hericium erinaceusEA.hy926 endothelial cellsInhibits TNF-α-induced angiogenesis and ROS generation[223]

AndrographolidePrimary cerebral endothelial cellsPrevents middle cerebral artery occlusion- (MCAO-) induced ischemic stroke[224]

ButinC57/BL6J diabetic micePrevents ischemia/reperfusion-induced myocardial injury[225]

AspalathinH9c2 cardiomyocytes and diabetic db/db miceProtects against hyperglycemia-induced oxidative damage and apoptosis[146]

Broccoli sproutDiabetic db/db micePrevents diabetic cardiomyopathy[226]

OleuropeinSpontaneously hypertensive ratsAttenuates oxidative stress and improves mitochondrial function in the hypothalamic paraventricular nucleus[227]

Aralia taibaiensisH9c2 cardiomyocytesProtects against high glucose-induced oxidative stress and apoptosis[228]

Compound C66STZ-induced diabetic mice aortaPrevents oxidative and nitrative stress, inflammation, apoptosis, cell proliferation, and fibrosis[229]

Dimethyl fumarateVSMCsAttenuates vascular calcification[127]

GemigliptinVSMCsPrevents proliferation and migration of VSMCs[230]

L6H9 (chalcone)H9c2 cardiomyocytesPrevents hyperglycemia-induced oxidative stress and inflammation[231]

Magnesium lithospermate BVSMCsPrevents proliferation and migration of VSMCs[232]

4-O-methylhonokiolHFD-induced obese micePrevents cardiac pathogenesis[233]

ResveratrolCoronary arterial endothelial cellsProtects against high glucose-induced endothelial protection[234]
VSMCsAmeliorates vascular calcification[126]
db/db miceAmeliorates vascular inflammation[235]
STZ-induced type 2 diabetic ratsAmeliorates vascular inflammation[236]

MG132OVE26 type 1 diabetic micePrevents aortic oxidative damage and inflammatory response[237]
Prevents cardiomyopathy[238]