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Review Article

Protective effects of natural compounds against paraquat-induced pulmonary toxicity: the role of the Nrf2/ARE signaling pathway

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 611-624 | Received 07 Aug 2022, Accepted 27 Dec 2022, Published online: 22 Jan 2023
 

ABSTRACT

Paraquat (PQ) is a toxic herbicide to humans. Once absorbed, it accumulates in the lungs. PQ has been well documented that the generation of reactive oxygen species (ROS) is the main mechanism of its toxicity. Oxidative damage of PQ in lungs is represented as generation of cytotoxic and fibrotic mediators, interruption of epithelial and endothelial barriers, and inflammatory cell infiltration. No effective treatment for PQ toxicity is currently available. Several studies have shown that natural compounds (NCs) have the potential to alleviate PQ-induced pulmonary toxicity, due to their antioxidant and anti-inflammatory effects. NCs function as protective agents through stimulation of nuclear factor erythroid 2-related factor 2 (Nrf2)/antioxidant response element (ARE) signaling pathways. Elevation of Nrf2 levels leads to the expression of its downstream enzymes such as SOD, CAT, and HO-1. The hypothesized role of the Nrf2/ARE signaling pathway as the protective mechanism of NCs against PQ-induced pulmonary toxicity is reviewed.

Abbreviations

ARE=

Antioxidant response element

Keap1=

Kelch-like ECH-associated protein 1

GST=

Glutathione S-transferase

NQO1=

NAD(P)H quinone oxidoreductase 1

Nrf2=

Nuclear factor erythroid 2 (NFE2)-related factor 2

HO-1=

Heme oxygenase-1

GPx=

Glutathione peroxidase

XO=

xanthine oxidase

SOD=

Superoxide dismutase

NF-κB=

Nuclear factor-κB

NC=

Natural compounds

PQ=

Paraquat

TRX1=

Thioredoxin-1

NCs=

Natural compounds

TLRs=

Toll like receptors

PPAR-γ=

Peroxisome proliferator-activated receptor-γ

MAPKs=

Mitogen-activated protein kinases

CAT=

Catalase

PRDX3=

Peroxiredoxin 3

PRDX4=

Peroxiredoxin 4

Acknowledgment

The authors are thankful to the Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran, and Mashhad University of Medical Science, Mashhad, Iran.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The authors wish to acknowledge funding received fromMashhad University of Medical sciences and Isfahan University of Medical sciences.

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