Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Adolescent Adult Cells, Cultured Child Female Fibroblasts - drug effects Fibroblasts - metabolism Friedreich Ataxia - metabolism Friedreich Ataxia - pathology Humans Iron-Binding Proteins - genetics Isothiocyanates - pharmacology Isothiocyanates - therapeutic use Male Motor Neurons - drug effects Motor Neurons - metabolism Motor Neurons - pathology Neuroprotective Agents - pharmacology Neuroprotective Agents - therapeutic use NF-E2-Related Factor 2 - genetics NF-E2-Related Factor 2 - metabolism Oxidative Stress
Oxidative stress is actively involved in Friedreich's Ataxia (FA), thus pharmacological targeting of the antioxidant machinery may have therapeutic value. Here, we analyzed the relevance of the antioxidant phase II response mediated by the transcription factor Nrf2 on frataxin-deficient cultured motor neurons and on fibroblasts of patients. The in vitro treatment of the potent Nrf2 activator sulforaphane increased Nrf2 protein levels and led to the upregulation of phase II antioxidant enzymes. The neuroprotective effects were accompanied by an increase in neurites' number and extension. Sulforaphane (SFN) is a natural compound of many diets and is now being used in clinical trials for other pathologies. Our results provide morphological and biochemical evidence to endorse a neuroprotective strategy that may have therapeutic relevance for FA. The findings of this work reinforce the crucial importance of Nrf2 in FA and provide a rationale for using Nrf2-inducers as pharmacological agents.