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Acta Physiologica Sinica , April 25, 2007, 59 (2): 117-127 117
Brief Review
Nrf2/ARE regulated antioxidant gene expression in endothelial and smooth
muscle cells in oxidative stress: implications for atherosclerosis and
preeclampsia
1,* 1 1 1 2 1
Giovanni E. Mann , Jörg Niehueser-Saran , Alan Watson , Ling Gao , Tetsuro Ishii , Patricia de Winter , Richard
C. M. Siow1
1Cardiovascular Division, School of Medicine, King’s College London, 150 Stamford Street, London SE1 9NH, United Kingdom;
2Department of Molecular and Cellular Physiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba,
Ibaraki 305-8577, Japan
Abstract: Increased generation of reactive oxygen species (ROS) in vascular diseases such as atherosclerosis, diabetes, chronic renal
failure and preeclampsia readily leads to impaired endothelium-dependent relaxation and vascular injury. To counteract ROS- and
electrophile-mediated injury, cells can induce a number of genes encoding phase II detoxifying enzymes and antioxidant proteins. A cis-
acting transcriptional regulatory element, designated as antioxidant response element (ARE) or electrophile response element (EpRE),
mediates the transcriptional activation of genes such as heme oxygenase-1, γ-glutamylcysteine synthethase, thioredoxin reductase,
glutathione-S-transferase and NAD(P)H:quinone oxidoreductase. Other antioxidant enzymes such as superoxide dismutase and cata-
lase and non-enzymatic scavengers such as glutathione are also involved in scavenging ROS. Nuclear factor-erythroid 2-related factor
2 (Nrf2), a member of the Cap ‘n’ Collar family of basic region-leucine zipper (bZIP) transcription factors, plays an important role in
ARE-mediated antioxidant gene expression. Kelch-like ECH-associated protein-1 (K
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