The Contribution of the Nrf2/ARE System to Mechanotransduction in Musculoskeletal and Periodontal Tissues

Int J Mol Sci. 2023 Apr 23;24(9):7722. doi: 10.3390/ijms24097722.

Abstract

Mechanosensing plays an essential role in maintaining tissue functions. Across the human body, several tissues (i.e., striated muscles, bones, tendons, ligaments, as well as cartilage) require mechanical loading to exert their physiological functions. Contrary, mechanical unloading triggers pathological remodeling of these tissues and, consequently, human body dysfunctions. At the cellular level, both mechanical loading and unloading regulate a wide spectrum of cellular pathways. Among those, pathways regulated by oxidants such as reactive oxygen species (ROS) represent an essential node critically controlling tissue organization and function. Hence, a sensitive balance between the generation and elimination of oxidants keeps them within a physiological range. Here, the Nuclear Factor-E2-related factor 2/Antioxidant response element (Nrf2/ARE) system plays an essential role as it constitutes the major cellular regulation against exogenous and endogenous oxidative stresses. Dysregulations of this system advance, i.a., liver, neurodegenerative, and cancer diseases. Herein, we extend our comprehension of the Nrf2 system to the aforementioned mechanically sensitive tissues to explore its role in their physiology and pathology. We demonstrate the relevance of it for the tissues' functionality and highlight the imperative to further explore the Nrf2 system to understand the physiology and pathology of mechanically sensitive tissues in the context of redox biology.

Keywords: Keap1; Nrf2; mechanobiology; mechanosensitive tissue; oxidants; reactive oxygen species; redox signaling.

Publication types

  • Review

MeSH terms

  • Antioxidant Response Elements*
  • Humans
  • Kelch-Like ECH-Associated Protein 1 / metabolism
  • Mechanotransduction, Cellular
  • NF-E2-Related Factor 2* / metabolism
  • Oxidants
  • Oxidative Stress
  • Reactive Oxygen Species / metabolism

Substances

  • Kelch-Like ECH-Associated Protein 1
  • NF-E2-Related Factor 2
  • Oxidants
  • Reactive Oxygen Species
  • NFE2L2 protein, human

Grants and funding

This work was supported by a grant from the Interdisciplinary Centre for Clinical Research within the faculty of Medicine at the RWTH Aachen University (project numbers: OC1-1, OC1-2 and OC1-11).