PI3K/Akt-Nrf2 and Anti-Inflammation Effect of Macrolides in Chronic Obstructive Pulmonary Disease

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BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a systematic inflammatory disease, and smoking is an important risk factor for COPD. Macrolide can reduce COPD inflammation. However, the inflammatory mechanism of COPD remains unclear and the anti-inflammatory mechanism of Macrolide is complex and not exactly known.

METHODS: We read and analysed thirty-eight articles, including original articles and reviews.

RESULTS: The expression of Nrf2 was lower in COPD patients and might have a protective role against apoptosis caused by CSE-induced oxidative stress. Nrf2 may play an important role in COPD inflammation. Nrf2 is a key factor in downstream of PI3K/Akt and is involved in the regulation of oxidative stress and inflammatory response. Therefore, PI3K/Akt pathway may play an important role in the activation of Nrf2 and COPD inflammation. Macrolide reduces lung and systemic inflammation of COPD by regulating PI3K/Akt pathway.

CONCLUSION: This review indicates that PI3K/Ak-Nrf2 may play an important role in COPD inflammation and macrolides may reduce lung and systemic inflammation of COPD by regulating PI3K/Akt-Nrf2 pathway. However, many crucial and essential questions remain to be answered. Further understanding of the mechanisms of macrolide efficacy and PI3K/Akt-Nrf2-mediated inflammatory responses may provide a new clue for exploring COPD treatment in the future.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Current drug metabolism - 20(2019), 4 vom: 27., Seite 301-304

Sprache:

Englisch

Beteiligte Personen:

Sun, Xuejiao [VerfasserIn]
Chen, Lin [VerfasserIn]
He, Zhiyi [VerfasserIn]

Links:

Volltext

Themen:

Chronic obstructive pulmonary disease
EC 2.7.1.-
EC 2.7.11.1
Inflammation
Journal Article
Macrolides
NF-E2-Related Factor 2
NFE2L2 protein, human
Nrf2 protein
Oxidative stress.
PI3K/Akt pathway
Phosphatidylinositol 3-Kinases
Proto-Oncogene Proteins c-akt
Review

Anmerkungen:

Date Completed 27.11.2019

Date Revised 27.11.2019

published: Print

Citation Status MEDLINE

doi:

10.2174/1389200220666190227224748

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294515194