Pall · Sheng li xue bao : [Acta physiologica Sinica] 2015 · narrative review · n=?

Nrf2, a master regulator of detoxification and also antioxidant, anti-inflammatory and other cytoprotective mechanisms, is raised by health promoting factors.

Cited 186 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of mechanistic, animal, and clinical literature without systematic methodology or primary human data.

PubMed 25672622 · record verified 2026-08-29

What was done

This paper is a narrative review summarizing the regulatory mechanisms of the transcription factor Nrf2 (nuclear factor erythroid-2-related factor 2). The author reviews the dietary nutrients, lifestyle interventions, and physiological stimuli that activate Nrf2, its downstream cellular defense pathways, its potential therapeutic role across multiple chronic inflammatory diseases in animal models and humans, and potential risks of excessive activation.

What was found

The abstract reports that Nrf2 regulates the transcription of more than 500 cytoprotective genes, including over two dozen genes governing antioxidant activity, while stimulating mitochondrial biogenesis, autophagy, xenobiotic and metal detoxification, and anti-inflammatory signaling. It identifies activation by phenolic antioxidants, tocopherols, tocotrienols, DHA, EPA, carotenoids, isothiocyanates, allium sulfur compounds, terpenoids, low-level oxidative stress, exercise, and caloric restriction. The author states that Nrf2 activation prevents or treats numerous chronic inflammatory conditions in animal models or humans, with suggestive evidence for 16 other diseases. No quantitative effect sizes or statistical data are reported in the abstract.

Why it matters

The review synthesizes diverse nutritional and physiological interventions into a single mechanistic framework centered on Nrf2-mediated cytoprotection and antioxidant defense.

Limits

As a non-systematic narrative review, the paper provides no primary experimental data, predefined literature search protocol, or quantitative synthesis. Many assertions rely on animal models and mechanistic reasoning that may not directly translate to clinical outcomes in human populations.

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