REVIEW article

Front. Nutr., 16 February 2023

Sec. Nutrition and Food Science Technology

Volume 10 - 2023 | https://doi.org/10.3389/fnut.2023.1102146

Advances in health-promoting effects of natural polysaccharides: Regulation on Nrf2 antioxidant pathway

  • 1. School of Public Health and Health Management, Gannan Medical University, Ganzhou, China

  • 2. Key Laboratory of Environment and Health of Ganzhou, Gannan Medical University, Ganzhou, China

  • 3. Key Laboratory of Pollution Exposure and Health Intervention of Zhejiang, College of Biology and Environmental Engineering, Zhejiang Shuren University, Hangzhou, China

  • 4. State Key Laboratory of Food Science and Technology, Nanchang University, Nanchang, China

Article metrics

View details

42

Citations

5,2k

Views

2k

Downloads

Abstract

Natural polysaccharides (NPs) possess numerous health-promoting effects, such as liver protection, kidney protection, lung protection, neuroprotection, cardioprotection, gastrointestinal protection, anti-oxidation, anti-diabetic, and anti-aging. Nuclear factor erythroid 2-related factor 2 (Nrf2) antioxidant pathway is an important endogenous antioxidant pathway, which plays crucial roles in maintaining human health as its protection against oxidative stress. Accumulating evidence suggested that Nrf2 antioxidant pathway might be one of key regulatory targets for the health-promoting effects of NPs. However, the information concerning regulation of NPs on Nrf2 antioxidant pathway is scattered, and NPs show different regulatory behaviors in their different health-promoting processes. Therefore, in this article, structural features of NPs having regulation on Nrf2 antioxidant pathway are overviewed. Moreover, regulatory effects of NPs on this pathway for health-promoting effects are summarized. Furthermore, structure-activity relationship of NPs for health-promoting effects by regulating the pathway is preliminarily discussed. Otherwise, the prospects on future work for regulation of NPs on this pathway are proposed. This review is beneficial to well-understanding of underlying mechanisms for health-promoting effects of NPs from the view angle of Nrf2 antioxidant pathway, and provides a theoretical basis for the development and utilization of NPs in promoting human health.

Introduction

Oxidative stress, an imbalance between production of oxidants and antioxidant defenses, participates in the occurrences and progressions of many diseases (1). Nuclear factor erythroid 2-related factor 2 (Nrf2) is one of the most important endogenous anti-oxidative stress pathways, which has been demonstrated to involve in modulating oxidative stress for maintaining body health, like cardioprotection (2), neuroprotection (3), anti-aging (4), gastrointestinal protection (5), and kidney protection (6). As shown in Figure 1 (7, 8), under basal conditions, Nrf2 binds to Kelch-like epichlorohydrin-associated protein-1 (Keap1) in the cytoplasm through Cul3 ubiquitin ligase containing E3 to maintain cell homeostasis. In response to oxidative stress, Nrf2 is activated upon dissociation from Keap1. Then, Nrf2 translocates quickly into nucleus and forms a necessary region for the dimer by binds to small musculoaponeurotic fibrosarcoma oncogene homolog (sMaf) protein. Subsequently, this region binds to antioxidant response elements (ARE) and activates the expressions of target genes, thereby regulates the transcriptional activities of phase II metabolic enzymes, antioxidant enzymes or drug transporters, for restoring intracellular redox homeostasis. Recently, a variety of natural products, such as polyphenols, flavonoids and polysaccharides, have been considered as modulators of Nrf2 antioxidant pathway (9, 10).

FIGURE 1

FIGURE 1

Molecular mechanism of Nrf2 signaling pathway regulating oxidative stress (7, 8). This figure is adapted from Transcriptional Regulation by Nrf2 by Claudia Tonelli et al., and NRF2, a Transcription Factor for Stress Response and Beyond by He et al., under CC BY 4.0.

Polysaccharides, a kind of biological macromolecules, are widely distributed in natural sources such as plants, algae and animals (11). Polysaccharides have attracted increasing attention owing to their diverse health-promoting effects, non-toxicity, extensive accessibility and renewability (12). Polysaccharides from natural resources (NPs) have been reported to play key roles in regulating excessive oxidative stress (13). In the past few decades, regulations of NPs on Nrf2 antioxidant pathway have been extensively studied in their health-promoting effects, such as liver protection (14), antioxidant (15), gastrointestinal protection (16), anti-diabetic (17), anti-aging (18), cardioprotection (19), lung protection (20), kidney protection (21), neuroprotection (22), anti-inflammation (23), immunomodulation (24), anti-depression (25), anti-cancer (26), improving reproductive function (27), anti-radiation (28), and anti-atherosclerosis (29). However, the information concerning regulation of NPs on Nrf2 antioxidant pathway is scattered, and NPs show different regulatory behaviors in their different health-promoting processes. Therefore, it is necessary to draw a summary on the recent developments on health-promoting effects of NPs from the viewing angle of regulation on Nrf2 antioxidant pathway.

In this review, structural features of NPs, having regulation on Nrf2 antioxidant pathway, from herbs, woody plants, algae, fungi, animals and bacteria, are overviewed. Moreover, regulatory effects of these NPs on the pathway for health-promoting effects in vitro and in vivo are systematically summarized. Furthermore, influences of structural characteristics like molecular weight (Mw), functional group, monosaccharide composition and side chains on the regulatory effects of NPs on Nrf2 antioxidant pathway are preliminarily discussed. Otherwise, the prospects on future work for regulation of NPs on Nrf2 antioxidant pathway are proposed.

Structural features of NPs having regulation on Nrf2 antioxidant pathway

According to Supplementary Table 1, NPs having regulation on Nrf2 antioxidant pathway can be isolated by water extraction (16, 30–33), ultrasonic-assisted extraction (34–36), ethanol precipitation (37–41) and enzymatic hydrolysis (24, 42–44). For acquiring homogeneous fractions, NPs can be further purified by stepwise ethanol precipitation (36, 45–47) and/or column chromatography (31, 42, 43, 48–53). Structural features including Mw, monosaccharide composition, glycosidic bond types, backbone, and side chains of the obtained NPs are shown in Supplementary Table 1.

Structural features of NPs from herbs

In terms of NPs having regulation on Nrf2 antioxidant pathway from herbs, Mw values of them have been determined to range from 2.273 to 2,617 kDa (41, 54–56). The polysaccharides were composed of fucose (Fuc), ribose (Rib), mannose (Man), glucose (Glc), arabinose (Ara), galactose (Gal), rhamnose (Rha), xylose (Xyl), glucuronic acid (GlcA), galacturonic acid (GalA), glucosamine (GlcN), and/or galactosamine (GalN) (18, 56–58). Moreover, Glc, Ara, Gal, and Rha were four monosaccharide types widely discovered in the polysaccharides (18, 41, 54, 55, 57–62).

Manp, Glcp, Rhap, Araf, Arap, Galp, GalAp, and Ribp sugar residues have been detected in the NPs from herbs. Manp residues exhibited as T-Manp-(1→, →3)-Manp-(1→, →4)-Manp-(1→, →6)-Manp-(1→, →3,6)-Manp-(1→ and →4,6)-Manp-(1→ (16, 47, 63). Glcp residues revealed as T-Glcp-(1→, →3)-Glcp-(1→, →4)-Glcp-(1→, →6)-Glcp-(1→, →2,4)-Glcp-(1→, →2,6)-Glcp-(1→, →3,4)-Glcp-(1→, →3,6)-Glcp-(1→ and →4,6)-Glcp-(1→ (16, 47, 57, 63). Rhap residues displayed as T-Rhap-(1→, →2)-Rhap-(1→, →3)-Rhap-(1→ and →2,4)-Rhap-(1→ (48, 54, 55, 57, 62, 64–66). Araf and Arap residues expressed as T-Araf-(1→, →2)-Araf-(1→, →4)-Araf-(1→, →5)-Araf-(1→, →3,5)-Araf-(1→ and T-Arap-(1→ (47, 48, 54, 55, 57, 62–66). Galp residues showed as T-Galp-(1→, →3)-Galp-(1→, →4)-Galp-(1→, →6)-Galp-(1→, →2,6)-Galp-(1→ and →3,6)-Galp-(1→ (47, 48, 54, 55, 57, 62, 64–66). GalAp residues manifested as T-GalAp-(1→ and →4)-GalAp-(1→ (48, 54, 55, 62, 66). Ribp residue exhibited as →4)-Ribp-(1→ (47). Moreover, T-Araf-(1→ (48, 54, 55, 57, 62–65), →5)-Araf-(1→ (48, 54, 55, 62, 64–66), →3)-Galp-(1→ (48, 55, 57, 62, 64–66), →3,6)-Galp-(1→ (48, 54, 55, 62, 64–66) and →4)-GalAp-(1→ (48, 54, 55, 62, 66) were five frequently determined residues in the polysaccharides.

Backbone of some polysaccharides with regulation on Nrf2 antioxidant pathway from herbs were composed of T-α-D-Glcp-(1→ (57), →4)-α/β-D-Glcp-(1→ (20, 63, 67–69), →6)-α-D-Glcp-(1→ (57), →3,4)-α-D-Glcp-(1→ (57), →3)-β-D-Galp-(1→ (64, 65), T-α-D-Araf-(1→ (57), →4)-β-D-Manp-(1→ (20, 40, 63, 67, 68), →4)-α-GalAp-(1→ (48, 54) and/or →2,4)-α-Rhap-(1→ (48) units as well as homogalacturonan (HG) (55, 62, 66) and/or rhamnogalacturonan I (RG-I) (62, 66) structures. While, side chains of them were made up of →3)-β-D-Glcp-(1→ (20, 63, 67, 68), →3)-β-D-Manp-(1→ (20, 63, 67, 68), →4)-α-D-Glcp-(1→ (69), →5)-β-D-Araf-(1→ (64, 65), →5)-α-L-Araf-(1→ (62), →2)-β-D-Araf-(1→ (64, 65), →6)-β-D-Galp-(1→ (64, 65), →3)-β-D-Galp-(1→ (64, 65), →2,4)-α-L-Rhap-(1→ (64, 65), T-α-L-Araf-(1→ (64, 65) and/or →3)-α-Rhap-(1→ (48) as well as RG-I (55), type I arabinogalactan (AG-I) (62, 66) and/or type II arabinogalactan (AG-II) (48, 62, 66) structures, which branched at O-6 or C-4 position of backbones.

Structural features of NPs from woody plants

To NPs having regulation on Nrf2 antioxidant pathway from woody plants, Mw of them were in the range of 4.568–3,440 kDa (70–74). The polysaccharides consisted of Fuc, Rib, Man, Glc, Ara, Gal, Rha, Xyl, GlcA, GalA, mannuronic acid (ManA), GlcN, and/or GalN (30, 75–78). Moreover, Man, Glc, Ara, Gal, and Rha were five monosaccharide types widely founded in the polysaccharides (45, 46, 76, 79–86).

Araf, Arap, Rhap, Galp, Glcp, Manp, Xylp, GalAp, and GlcAp sugar residues have been determined in the polysaccharides from woody plants. Araf residues exhibited as T-Araf-(1→, →2)-Araf-(1→, →4)-Araf-(1→, →5)-Araf-(1→, →2,5)-Araf-(1→ and →3,5)-Araf-(1→ (30, 46, 73, 74). Arap residues reflected as T-Arap-(1→, →4)-Arap-(1→, →3,4)-Arap-(1→ and →2,3,4)-Arap-(1→ (73, 74, 87–90). Rhap residues showed as T-Rhap-(1→, →2)-Rhap-(1→, →3)-Rhap-(1→ and →2,4)-Rhap-(1→ (30, 45, 87–90). Galp residues exerted as T-Galp-(1→, →2)-Galp-(1→, →3)-Galp-(1→, →4)-Galp-(1→, →6)-Galp-(1→, →2,6)-Galp-(1→, →3,4)-Galp-(1→, →3,6)-Galp-(1→ and →4,6)-Galp-(1→ (30, 45, 70, 87, 88, 91–96). Glcp residues revealed as T-Glcp-(1→, →2)-Glcp-(1→, →4)-Glcp-(1→, →6)-Glcp-(1→, →3,4)-Glcp-(1→ and →4,6)-Glcp-(1→ (49, 50, 93, 94). Manp residues behaved as T-Manp-(1→, →2)-Manp-(1→, →4)-Manp-(1→, →6)-Manp-(1→ and →3,6)-Manp-(1→ (46, 73, 74, 92). Xylp residues manifested as T-Xylp-(1→, →3)-Xylp-(1→ and →4)-Xylp-(1→ (73, 74, 87, 88). GalAp residues appeared as T-GalAp-(1→, →4)-GalAp-(1→, →2,4)-GalAp-(1→, →3,4)-GalAp-(1→ and →4,6)-GalAp-(1→ (77, 78, 91). GlcAp residue expressed as T-GlcAp-(1→ (91). Moreover, →4)-Glcp-(1→ (49, 50, 70, 73, 74, 87, 88, 91–96), T-Glcp-(1→ (49, 50, 70, 73, 74, 89–96), T-Araf-(1→ (30, 45, 72–74, 91, 93–96) and →3,4)-Galp-(1→ (30, 72, 77, 78, 91–96) were four residues commonly detected in the polysaccharides.

Backbone of some polysaccharides with regulation on Nrf2 antioxidant pathway from woody plants were comprised of →2)-α-D-Glcp-(1→ (49, 50), →4)-α-D-Glcp-(1→ (49, 50, 70, 95, 96), →6)-β-D-Glcp-(1→ (89, 90), →3)-α/β-D-Galp-(1→ (72, 77, 78, 95, 96), →4)-β-D-Galp-(1→ (70), →3,4)-α-D-Galp-(1→ (77, 78), →3)-β-D-Arap-(1→ (77, 78), →4)-α-L-Arap-(1→ (89, 90), →3,4)-α-L-Arap-(1→ (89, 90), →3,6)-Manp-(1→ (73, 74), →3)-α-L-Rhap-(1→ (89, 90), →2,4)-α-L-Rhap-(1→ (30) and/or →4)-α-D-GalAp-(1→ (30, 93, 94). While, the side chains of them were composed of α/β-D-Glcp-(1→ (49, 50, 70, 89, 90, 95, 96), →6)-α-D-Glcp-(1→ (49, 50), β-D-Galp-(1→ (72), →6)-α-D-Galp-(1→ (77, 78), →3,5,6)-β-D-Galf-(1→ (72), α-D-Manp-(1→ (70), →6)-β-D-Manp-(1→ (77, 78), α-L-Araf-(1→ (30, 72, 95, 96),→5)-α-L-Araf-(1→ (30), →3,5)-α-L-Araf-(1→ (30), and/or →4)-α-D-GalAp-6-OMe-(1→ (77, 78) residues, which branched at O-2, O-3, O-4, O-5, O-6, or C-4 position of backbones.

Structural features of NPs from algae

Regarding to NPs having regulation on Nrf2 antioxidant pathway from algae, structural features of them from Laminaria japonica (97, 98), Enteromorpha prolifera (24, 31), Sargassum fusiforme (99), Sargassum kjellmanianum (17), and Hizikia fusiforme (44) have been characterized. Their Mw values ranged from 4.929 to 250 kDa (24, 97). They were made up of Fuc, Man, Rha, Ara, Gal, Glc, Xyl, GlcA, GalA, ManA, and guluronic acid (GulA) (17, 44, 99). Comparatively, Fuc and Rha were two monosaccharide types widely detected in the polysaccharides (31, 44, 97, 99). Glycosidic bond types of above-mentioned polysaccharides have yet been ascertained. ESI-CID-MS/MS and NMR analysis have indicated that the sulfated polysaccharide from Enteromorpha prolifera possessed a backbone consisting of D-GlcUAp-α-(1→4)-3-sulfate-L-Rhap-β-(1→4)-3-sulfate-L-Rhap and D-GlcUAp-α-(1→4)-3-sulfate-L-Rhap-β-(1→4)-D-Xylp-β-(1→4)-3-sulfate-L-Rhap (100).

Structural features of NPs from fungi

For NPs having regulation on Nrf2 antioxidant pathway from fungi, Mw of them were in the range of 1.206–3,011.47 kDa (39, 51, 52, 101, 102). The polysaccharides were composed of Fuc, Man, Ara, Rha, Gal, Glc, Xyl, Rib, GalA, and GlcA (39, 103, 104). Moreover, Man, Gal, and Glc were three monosaccharide types commonly determined in the polysaccharides (32–35, 103–113).

Araf, Arap, Rhap, Galp, Glcp, Manp, Xylp, GalAp, GlcAp, and Ribp sugar residues have been characterized in the polysaccharides from fungi. Manp residues expressed as T-Manp-(1→, →2)-Manp-(1→, →3)-Manp-(1→, →4)-Manp-(1→ and →6)-Manp-(1→ (51, 52, 103). Glcp residues showed as T-Glcp-(1→, →3)-Glcp-(1→, →4)-Glcp-(1→, →6)-Glcp-(1→, →2,4)-Glcp-(1→, →3,4)-Glcp-(1→, →3,6)-Glcp-(1→ and →4,6)-Glcp-(1→ (32, 33, 51, 52, 103). Galp residues revealed as T-Galp-(1→, →2)-Galp-(1→, →3)-Galp-(1→, →4)-Galp-(1→, →6)-Galp-(1→, →2,6)-Galp-(1→, →3,6)-Galp-(1→ and →4,6)-Galp-(1→ (109, 111–113). Rhap residues exhibited as →4)-Rhap-(1→ and →6)-Rhap-(1→ (51, 52, 101). Arap, Xylp and GalAp residues displayed as →3)-Arap-(1→ (111), T-Xylp-(1→ (51, 52) and →4)-GalAp-(1→ (112, 113), successively. Moreover, T-Glcp-(1→ (32, 33, 51, 52, 103, 109, 112, 113), →3)-Glcp-(1→ (51, 52, 103, 110–113), →6)-Glcp-(1→ (101, 103, 110–113) and →6)-Galp-(1→ (32, 33, 39, 101, 103, 109–111) were four residues commonly detected in the polysaccharides.

Backbone of some polysaccharides with regulation on Nrf2 antioxidant pathway from fungi were made up of →3)-Glcp-(1→ (51, 52, 111–113), →4)-Glcp-(1→ (32, 33, 39), →6)-β-D-Glcp-(1→ (111–113), →3,4)-Glcp-(1→ (51, 52), →1,4)-Glcp-(6→ (39), →3)-α-D-Galp-(1→ (111), →4)-α-Galp-(1→ (112, 113), →6)-Galp-(1→ (32, 33, 39), →2)-α-Manp-(1→ (112, 113) and/or →4)-α-Manp-(1→ (112, 113). While, side chains of them were comprised of α/β-Glcp-(1→ (32, 33, 39, 112, 113), →3)-β-Glcp-(1→ (111–113), →6)-β-Glcp-(1→ (112, 113), T-α-D-Galp-(1→ (111),→4)-α-Galp-(1→ (112, 113), →3)-α-D-Manp-(1→ (111), →6)-β-D-Manp-(1→ (32, 33), →1)-Rhaf-(2→ (39), →3)-α-L-Arap-(1→ (111) and/or →4)-α-GalAp-(1→ (112, 113) units, which branched at O-3 and/or O-6 positions.

Structural features of NPs from animals and bacteria

In terms of NPs having regulation on Nrf2 antioxidant pathway from animals, structural features of polysaccharides from Holothuria leucospilota (114), Acaudina leucoprocta (115), and Ostrea talienwhanensis Crosse (42, 43) have been determined. Polysaccharide with a Mw of 52.80 kDa from Holothuria leucospilota was composed of GalN, Fuc, GlcA, Gal, Glc, and Xyl in a mass ratio of 39.08: 35.72: 10.72: 8.43: 4.23: 1.83 (114). Polysaccharide with a Mw of 202 kDa from Acaudina leucoprocta consisted of Man, GlcN, Rha, GlcA, GalN, Gal, and Fuc in a mass ratio of 2.04: 1.30: 3.57: 5.70: 18.73: 15.12: 65.81 (115). Polysaccharide with a Mw of 58 kDa from O. talienwhanensis Crosse was solely made up of Glc, which contained T-Glcp-(1→, →3)-Glcp-(1→, →4)-Glcp-(1→, →6)-Glcp-(1→, →2,4)-Glcp-(1→ and →4,6)-Glcp-(1→ residues (42, 43).

Regarding to NPs having regulation on Nrf2 antioxidant pathway from bacteria, structural features of high (37, 38) and low (53) Fuc polysaccharides from Bacillus megaterium have been characterized. The former was composed of Fuc, Glc, Man, Gal and GlcNAc in a relative percentage of 41.9: 26.6: 15.8: 12.2: 3.5, which possessed a backbone consisted of →4,6)-α-D-Manp-(1→, →2,4)-α-D-Manp-(1→, →4)-β-D-Glcp-(1→, →2,4)-β-D-Glcp-(1→ and →4)-β-D-GlcNAc with a branch composed of →2,4)-β-D-Galp-(1→, →4)-β-D-Galp-(1→ and →3)-α-L-Fuc4SO3p-(1→ (37, 38). The latter was composed of Gal, Ara, Man, Glc, Fuc and GlcNAc in a relative percentage of 37.6: 20.2: 19.3: 14.0: 4.9: 4.0, which had a backbone consisted of →4,6)-α-D-Manp-(1→, →4)-α-D-Manp-(1→, →4,6)-β-D-Glcp-(1→ and →2,4)-β-D-Glcp-(1→ with a branch composed of →1)-β-D-GlcNAcp, →1)-α-L-Fuc4SO3p, →4)-β-D-Galp(1→, →4,6)-β-D-Galp-(1→, →2,4)-β-D-Galp-(1→, →3,4)-β-L-Arap-(1→ and →3)-β-L-Arap-(1→ (53).

General information on structural features of NPs having regulation on Nrf2 antioxidant pathway

With above-mentioned summarizations, it could be concluded that the Mw of NPs having regulation on Nrf2 antioxidant pathway were in the range of 1.206–3,440 kDa. The NPs were mostly composed of Fuc, Rha, Ara, Gal, Glc and/or Man, and frequently consisted of T-Araf-(1→, →5)-Araf-(1→, →3)-Galp-(1→, →6)-Galp-(1→, →3,4)-Galp-(1→, →3,6)-Galp-(1→, T-Glcp-(1→, →3)-Glcp-(1→, →4)-Glcp-(1→, →6)-Glcp-(1→ and →4)-GalAp-(1→ residues. Moreover, →4)-Glcp-(1→, →6)-Glcp-(1→, →3)-Galp-(1→ and →4)-D-Manp-(1→ residues were commonly detected in their backbones, while α-L-Araf-(1→, →5)-α-L-Araf-(1→ and →6)-β-D-Galp-(1→ residues were usually found in side chains of NPs from herbs and woody plants. Some possible repeating structural units of NPs having regulation on Nrf2 antioxidant pathway, such as pectin, arabinogalactan, 2-O-acetylglucomannan, glucan and glucogalactan, have been speculated. A predicted structure of the repeating units for pectin purified from Codonopsis tangshen roots comprised HG as the backbone and RG-I structure as the side chains (55). An arabinogalactan structure from Lycium ruthenicum fruits possessed a backbone of →3)-β-Galp-(1→ residues, with branches of →5)-β-D-Araf-(1→, →2)-β-D-Araf-(1→, →6)-β-D-Galp-(1→, →3)-β-D-Galp-(1→, →2,4)-α-L-Rhap-(1→ and T-α-L-Araf-(1→ at O-6 position (64). A 2-O-acetylglucomannan from Dendrobium officinale stem had a backbone of →4)-β-D-Manp-(1→ and →4)-β-D-Glcp-(1→ residues, with branches at O-6 consisting of →3)-β-D-Glcp-(1→ and →3)-β-D-Manp-(1→, and substituted with acetyl groups at O-2 (63). A glucan units from Apios americana tubers was characterized to possess a main chain of →4)-α-D-Glcp-(1→ residues with a branched →4)-α-D-Glcp-(1→ chain (69). A glucogalactan from Anoectochilus zhejiangensis was determined to have a backbone consisted of →4)-β-D-Galp-(1→, →4,6)-α-D-Glcp-(1 → and →4)-α/β-D-Glcp-(1→, which branched with a single α-D-Glcp-(1→ at O-6 position (70).

However, the obtained purified NPs usually exhibited different structural features, owing to different methods and protocols used in above isolation and purification processes. Acidic polysaccharides (CPP-1 and CPSP-1; CTP-1 and CTSP-1) purified respectively from roots (55) and stems (66) of Codonopsis pilosula and Codonopsis tangshen had different Mw, monosaccharide composition, glycosidic bond types, backbone and side chains. Two purified fractions (TTP-1 and TVP) acquired from tubers (71) and vines (86) of Tetrastigma hemsleyanum revealed differences in Mw and monosaccharide composition. A low-fucose-content polysaccharide (LFC) (53) and a high-fucose-content one (HFC) (37, 38) were purified from the glucose mineral salts medium (GMSM) and one in GMSM-supplemented jute culture of Bacillus megaterium, and they displayed different Mw, monosaccharide composition, glycosidic bond types, backbone and side chains. Two polysaccharides (PNP80b-2 and PNP40c-1) were purified from water extracts of Pinus koraiensis pine nut by ethanol (80 and 40%, respectively) precipitation and same column chromatography procedures, and they were different in Mw, monosaccharide composition and glycosidic bond types (87–90). Two purified fractions (EPP80 and EPPS-3) from Echinacea purpurea were obtained by ultrasonic extraction and stepwise ethanol precipitation (36), and water extraction and column chromatography (116), respectively. EPP80 and EPPS-3 exhibited different Mw and monosaccharide composition. Two fractions (DRP1 and DRP2) from Dandelion root polysaccharides were obtained by column chromatography with water and 0.1 M NaCl elution, respectively, and they showed differences in Mw, monosaccharide composition, glycosidic bond types and backbone (57). Five purified fractions (PS-1, PS-2, PS-3, PS-4, and PS-5) were gained from Athyrium multidentatum subsequently eluted with 0, 0.1, 0.2, 0.3, and 0.4 M NaCl solutions, and they possessed different Mw and monosaccharide composition ratios (85). Two purified polysaccharides (CPP0.05 and CPP0.1) were obtained by eluting with 0.05 M and 0.1 M NaCl from Cyclocarya paliurus, and they behaved differences in Mw, monosaccharide composition, glycosidic bond types, backbone and side chains (72, 95, 96).

Regulation of NPs on Nrf2 antioxidant pathway for health-promoting effects

Regulation of NPs from herbs

Cell experiments have demonstrated that NPs from herbs could regulate Nrf2 antioxidant pathway for liver protection (14, 117–120), kidney protection (59, 60), lung protection (20), neuroprotection (22, 65, 121–123), cardioprotection (19, 124, 125), gastrointestinal protection (48, 55, 61, 62, 66, 126–128), anti-oxidation (85, 129–134), anti-diabetic (135–137), anti-aging (138–141), anti-inflammation (67, 69), anti-radiation (28, 142), and immunomodulation (143), as illustrated in Table 1.

TABLE 1

Polysaccharide sourceExperimental modelHealth-promoting effectsRegulation on Nrf2 antioxidant pathwayDetermination methodReferences
Lycium barbarumHyperoxia-induced miceLung protectionActivities and protein expressions of Nrf2 and HO-1 in lung tissues ↑; protein expression of Keap1 in lung tissues ↓; protein expressions of Nrf2 in PMVECs isolated from lung ↑Assay kits and WB(158)
Ethanol-induced L02 cellsLiver protectionProtein expression of nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB(117)
Protein expression of HO-1, NQO1 and GCLC along with nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB(118)
H2O2-induced chondrocytesAnti-agingmRNA and protein expressions of Nrf2, HO-1 and NQO1 ↑WB and RT-PCR(138)
H2O2-induced ARPE-19 cellsProtein expressions of HO-1 and nuclear Nrf2 ↑WB(139)
High-fat diet-induced miceAnti-diabeticProtein expressions of p-Nrf2/Nrf2, HO-1, SOD2 and CAT in liver tissues ↑WB(135)
Palmitate-induced HepG2 cellsProtein expressions of p-Nrf2/Nrf2, HO-1, SOD2 and CAT ↑; nuclear translocation of p-Nrf2 ↑WB and IF
Light exposure-induced miceAnti-oxidationmRNA expressions of Nrf2 and TrxR1 in retinas ↑RT-PCR(163)
ID-8 cells bearing-miceAnti-cancermRNA and protein expressions of Keap1, Nrf2 and HO-1 in liver and kidney tissues ↑WB and RT-PCR(168)
UVB-induced HSF cellsAnti-radiationProtein expressions of Nrf2 and p-Nrf2 ↑WB(28)
UVB-induced HaCaT cellsAnti-radiationProtein expression of SOD and nuclear Nrf2 ↑; mRNA expressions of AKR1C2, APOE, GCLC, GCLM, HBEGF, HO-1 and NQO1 ↑WB and RT-qPCR(142)
Cerulein-induced miceAnti-inflammationNuclear Nrf2 protein expression and HO-1 activity in pancreas ↑Assay kit and WB(23)
Mycoplasma-infected splenic lymphocytesImmunomodulationmRNA and protein expressions of Nrf2, HO-1 and NQO1 ↑WB and RT-PCR(143)
Ischemia-reperfusion-induced ratsNeuroprotectionProtein expressions of HO-1 and nuclear Nrf2 in retina ↑WB and IF(171)
H2O2-induced PC12 cellsNeuroprotectionProtein expressions of Nrf2 and HO-1 ↑; mRNA expression of HO-1 ↑WB, RT-qPCR and ChIP(121)
CoCl2-induced ratsmRNA expressions of Nrf2 and HO-1 in brain tissues ↑RT-qPCR
LPS-induced ratsKidney protectionmRNA and protein expressions of Nrf2, HO-1 and NQO1 in kidney tissues ↑; mRNA and protein expressions of Keap1 in kidney tissues ↓WB and RT-qPCR(154)
mRNA and protein expressions of Nrf2 in kidney tissues ↑; mRNA and protein expressions of Keap1 in kidney tissues ↓; mRNA expressions of HO-1 and NQO1 in kidney tissues ↑WB, RT-qPCR and IHC(155)
Lead-induced miceKidney protectionProtein expression of Keap1 in kidney tissues ↓; protein expressions of Nrf2, HO-1 and NQO1 in kidney tissues ↑WB(156)
CTX-induced ratsImproving reproductive functionProtein expressions of Nrf2, HO-1 and NQO1 in ovarian tissues ↑WB(169)
Ischemia/reperfusion-induced ratsCardioprotectionProtein expressions of nuclear and cytosol Nrf2 in myocardial tissues ↑; protein expressions of HO-1 and NQO1 in myocardial tissues ↑WB(124)
Hypoxia/reoxygenation-induced H9c2 cellsProtein expressions of nuclear and cytosol Nrf2 ↑; protein expressions of HO-1 and NQO1 ↑WB and IF
Ischemia/reperfusion-induced H9c2 cellsCardioprotectionProtein expression of nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB(19)
Dendrobium officinaleDSS-induced miceLiver protectionmRNA expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑; protein expressions of Keap1, Nrf2 and HO-1 in liver tissues ↑WB and RT-PCR(67)
Lung protectionProtein expression of nuclear Nrf2 in lung tissues ↑; protein expression of cytosol Nrf2 in lung tissues ↑; protein expressions of HO-1 and NQO1 in lung tissues ↑WB(20)
LPS-induced BEAS-2B cellsNuclear/cytosol Nrf2 ↑; protein expressions of HO-1 and NQO1 ↑WB and IF
Acetaminophen-induced miceLiver protectionProtein expression of nuclear Nrf2 in liver tissues ↑; Protein expression of cytosol Keap1 in liver tissues ↓; mRNA expressions of HO-1, NQO1, GCLC and GCLM in liver tissues ↑WB and RT-PCR(147)
LPS-induced RAW264.7 cellsAnti-inflammationmRNA expressions of Nrf2, HO-1 and NQO1 ↑; protein expressions of Keap1, Nrf2 and HO-1 ↑WB and RT-PCR(67)
Ovariectomy or D-Gal-induced miceAnti-agingProtein expressions of hippocampal Nrf2 and HO-1 ↑IF(68)
D-Gal-induced micemRNA expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑RT-qPCR(18)
ADM, ODM, ADM + H2O2 or ODM + H2O2-induced BMSCs cellsAnti-agingmRNA and protein expressions of Nrf2 ↑; mRNA expressions of HO-1 and NQO1 ↑WB and RT-qPCR(140)
Cisplatin-induced miceImproving reproductive functionmRNA expressions of Nrf2, HO-1 and NQO1 in testis ↑; Protein expressions of HO-1 and NQO1 in testis ↑WB and RT-PCR(170)
MNNG-induced ratsGastrointestinal protectionProtein expressions of Nrf2, nuclear Nrf2, HO-1 and NQO1 in stomach tissues ↑; mRNA expressions of Nrf2, HO-1 and NQO1 in stomach tissues ↑WB, RT-PCR and IHC(161)
Astragalus membranaceusTilmicosin-induced ratsLiver protectionmRNA expressions of Nrf2 and HO-1 in liver tissues ↑RT-qPCR(149)
CCl4-induced ratsmRNA expressions of Nrf2, SOD1 and GPX1 in liver tissues ↑RT-qPCR(150)
AD model APP/PS1 miceAnti-agingmRNA and protein expressions of Keap1 in brain tissues ↓; mRNA expression of Nrf2 in brain tissues ↑; protein expression of nuclear Nrf2 in brain tissues ↑; protein expression of cytosol Nrf2 in brain tissues ↓WB, RT-PCR and IF(167)
Oxalate-induced HK-2 cellsKidney protectionProtein expressions of Nrf2, SOD1 and CAT ↑; protein expression of Keap1 ↓WB(60)
Adjuvant arthritis ratsCardioprotectionmRNA expressions of Keap1, MAF and Nrf2 in heart tissues ↓; protein expressions of HO-1 and γ-GCS in heart tissues ↓RT-qPCR(159)
RSL3-induced Caco-2 cellsGastrointestinal protectionProtein expressions of Nrf2 and HO-1 ↓WB(127)
DSS-induced miceProtein expressions of Nrf2 and HO-1 ↓
Echinacea purpureaEthanol-induced miceLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑WB(36)
CCl4-induced miceProtein expressions of Nrf2 and HO-1 in liver tissues ↑; protein expressions of Keap1 in liver tissues ↓WB(116)
Dandelion rootAcetaminophen-induced miceLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑; protein expressions of Keap1 in liver tissues ↓ELISA(57)
Sagittaria sagittifoliaIsoniazid + rifampicin-induced miceLiver protectionProtein and mRNA expressions of Nrf2, HO-1 and GCLC in liver tissues ↑; protein and mRNA expressions of Keap1 in liver tissues ↓WB, RT-PCR and IHC(151)
Isoniazid + rifampicin-induced HepG2 cellsLiver protectionProtein and mRNA expressions of Nrf2 ↑; protein and mRNA expressions of Keap1 ↓WB and RT-PCR(119)
Methionine and choline deficient diet-induced miceLiver protectionProtein expressions of Nrf2 in liver tissues ↑WB and IHC(152)
Mixture of Cd + Cr + Pb + Mn + Zn + Cu-induced miceLiver protectionProtein expressions of Nrf2 and NQO1 in liver tissues ↑; protein expression of HO-1 in liver tissues ↓WB, RT-qPCR and IHC(14)
Mixture of Cd + Cr + Pb + Mn + Zn + Cu-induced L02 cellsProtein expressions of Nrf2, HO-1 and NQO1 ↓; mRNA expressions of Nrf2 and HO-1 ↓
Salvia miltiorrhizaLPS-induced miceLiver protectionProtein expressions of Nrf2 and HO-1 in liver tissues ↑WB(153)
Florfenicol-induced chicksKidney protectionmRNA and protein expressions of Nrf2 and HO-1 in kidney tissues ↑; mRNA expression of NQO1 in kidney tissues ↑WB and RT-qPCR(21)
Panax notoginsengEthanol-induced miceLiver protectionmRNA expressions of Nrf2, NQO1 and Cu/Zn-SOD in liver tissues ↑; mRNA and protein expressions of CAT in liver tissues ↓; protein expression of Nrf2 in liver tissues ↑WB and RT-PCR(54)
Triticum aestivum sproutEthanol-induced miceLiver protectionmRNA expressions of p67phox, p47phox and p22phox in liver tissues ↓; mRNA expressions of Nrf2 and HO-1 in liver tissues ↑RT-PCR(148)
Dicliptera chinensisHigh-fat diet-induced miceLiver protectionProtein expression of Nrf2 in liver tissues ↑WB(41)
Angelica sinensis5-Fu-induced miceLiver protectionProtein expressions of Nrf2 and HO-1 along with nuclear Nrf2 in liver tissues ↑; protein expressions of Keap1 and cytosol Nrf2 in liver tissues ↓WB, IHC and IF(120)
5-Fu-induced MIHA cellsProtein expressions of Nrf2 and HO-1 along with nuclear Nrf2 ↑; protein expressions of Keap1 and cytosol Nrf2 ↓WB and IF
Athyrium multidentatumD-Gal-induced miceAnti-agingmRNA and protein expressions of Nrf2 and HO-1 in liver tissues ↑WB and RT-PCR(84)
H2O2-induced HUVECsAnti-oxidationmRNA expressions of Nrf2 and HO-1 ↑RT-qPCR(85)
Portulaca oleracea L.H2O2-induced MC3T3-E1 cellsAnti-agingProtein expressions of Keap1, Nrf2, HO-1 and NQO1 ↑WB(141)
Codonopsis lanceolataHigh fat/high sucrose diet-induced miceAnti-diabeticProtein expressions of nuclear and cytosol Nrf2 in liver tissues ↑; protein expressions of nuclear and cytosol Keap1 in liver tissues ↓; mRNA expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑WB and RT-PCR(58)
PumpkinHigh-fat diet + STZ-induced miceAnti-diabeticProtein expressions of HO-1 and nuclear Nrf2 in liver tissues ↑WB(56)
Abelmoschus esculentusHigh-fat diet + STZ-induced miceAnti-diabeticProtein expressions of Nrf2, HO-1 and SOD2 kidney tissues ↑WB(165)
Protein expressions of HO-1, SOD2 and Nrf2 liver tissues ↑; protein expressions of NOX2 in liver tissues ↓WB and IHC(166)
Cassia seedsHigh glucose-induced HRECsAnti-diabeticProtein expressions of Nrf2 and HO-1 ↑; mRNA expression of HO-1 ↑WB and RT-qPCR(146)
Polygonatum sibiricumHigh glucose-induced ARPE-19 cellsAnti-diabeticProtein expressions of HO-1 and nuclear Nrf2 ↑WB(136)
High-glucose- and high-insulin-induced 3T3-L1 adipocytesAnti-diabeticProtein expressions of Nrf2 and HO-1 ↑(137)
MPTP-induced miceNeuroprotectionProtein expressions of Nrf2 and NQO1 ↑WB(22)
MPP+-induced N2a cellsProtein expressions of Nrf2, HO-1, NQO1, GCLC and GCLM ↑
Codonopsis pilosulaEthanol-induced miceAnti-oxidationmRNA expressions of Keap1 and Nrf2 in liver tissues ↑RT-PCR(164)
H2O2-induced RAW264.7 cellsAnti-oxidationProtein expressions of Keap1 ↓; protein expressions of Nrf2, HO-1, NQO1, GCLM and GCLC ↑WB(131)
H2O2-induced IPEC-J2 cellsGastrointestinal protectionmRNA expressions of GPX, SOD1, CAT, Nrf2, NQO1 and HO-1 ↑RT-qPCR(55)
mRNA expressions of GPXs, SOD1 and CAT ↑(66)
Taraxacum mongolicumJian carpAnti-oxidationmRNA expression of Keap1 in spleen ↓; mRNA expressions of Nrf2, HO-1, Cu/Zn-SOD, GPX, CAT and Mn-SOD in spleen ↑RT-qPCR(15)
Taraxacum officinaleLPS-induced RAW264.7 cellsAnti-oxidationProtein expressions of Nrf2 and HO-1 ↑WB(132)
AlfalfaH2O2-induced MEFs cellsAnti-oxidationProtein expressions of nuclear and cytosol Nrf2 ↑WB and IF(133)
Hosta ventricosaTert-butyl hydroperoxide-induced HepG2 cellsAnti-oxidationmRNA expressions of Keap1, Nrf2, HO-1, NQO1 and GST ↑; protein expressions of HO-1, NQO1 and nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB and RT-qPCR(130)
Cistanche deserticolaH2O2-induced HEMsAnti-oxidationProtein expressions of nuclear and cytosol Nrf2 along with nuclear/cytosol Nrf2 ↑; protein expression of HO-1 ↑WB and IF(134)
Fermented wheat branZebrafishAnti-oxidationmRNA expressions of CAT, GPX-3, GST, Nrf2 and p38 in intestines ↑RT-qPCR(162)
Thymus quinquecostatusAAPH-induced zebrafishAnti-oxidationmRNA expression of Keap1 in larvae ↓; mRNA expressions of Nrf2, SOD, CAT and HO-1 in larvae ↑RT-qPCR(47)
Wheat germOleic acid-induced HepG2 cellsAnti-oxidationProtein expression of Nrf2, HO-1 and nuclear Nrf2 ↑ELISA and WB(129)
Apios americanaLPS-induced RAW264.7 cellsAnti-inflammationProtein expressions of Keap1 and Nrf2 ↑WB(69)
Polygonatum cyrtonemaLPS and CUMS-induced miceAnti-depressionProtein expressions of Nrf2 and HO-1 in hippocampal tissues ↑WB and IF(25)
Aloe veraUVB-induced PC12 cellsNeuroprotectionmRNA and protein expressions of Keap1, Nrf2, GCLC and GSTP1 ↑WB and RT-PCR(122)
DSS-induced miceGastrointestinal protectionProtein expressions of Nrf2, HO-1 and NQO1 in colon tissues ↑WB(40)
Lycium ruthenicumOGD/R-induced primary cortical neuronsNeuroprotectionProtein expressions of HO-1 and nuclear Nrf2 ↑WB(65)
Perilla frutescensH2O2-induced HT22 cellsNeuroprotectionProtein expressions of HO-1, NQO1 and nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB(123)
Potentilla anserinaCadmium-induced HEK293 cellsKidney protectionProtein expressions of Nrf2 and PGC-1α↓WB(59)
Cadmium-induced miceProtein expressions of Nrf2 and PGC-1α in kidney tissues ↓
Momordica charantiaSTZ-induced ratsKidney protectionProtein expressions of Nrf2 and HO-1 in kidney tissues ↑WB(157)
Blood coraH2O2-induced H9c2 cellsCardioprotectionmRNA expressions of Nrf2, HO-1, NQO1 and nuclear Nrf2 ↓; protein expressions of Nrf2 and HO-1 ↓WB and RT-PCR(125)
Dendrobium fimbriatumDSS-induced miceGastrointestinal protectionProtein expression of Nrf2 in colon tissues ↑; protein expression of Keap1 in colon tissues ↓WB(16)
Nelumbo nucifera leavesAged miceGastrointestinal protectionmRNA expressions of Nrf2, SOD1, SOD2, CAT and GPX1 in jejunum and colon ↑RT-qPCR(48)
H2O2-induced IPEC-J2 cellsmRNA expression of Nrf2 ↑
Rheum tanguticumRadiation-induced ratsGastrointestinal protectionProtein expressions of nuclear and cytosol Nrf2 along with cytosol HO-1 in jejunum ↑; mRNA expressions of Nrf2, nuclear Nrf2, cytosol Nrf2, HO-1 and cytosol HO-1 in jejunum ↑WB, RT-PCR and IHC(128)
Radiation-induced IEC-6 cellsProtein expressions of nuclear and cytosol Nrf2 along with cytosol HO-1 ↑WB and IF
Platycodon grandiflorusH2O2-induced IPEC-J2 cellsGastrointestinal protectionmRNA expressions of Nrf2, NQO1, CAT and GPX ↑RT-qPCR(62)
Codonopsis tangshenH2O2-induced IPEC-J2 cellsGastrointestinal protectionmRNA expressions of GPXs, SOD1, CAT, Nrf2, NQO1 and HO-1 ↑RT-qPCR(55)
Hemp seedCTX-induced miceGastrointestinal protectionmRNA expressions of Nrf2, HO-1, NQO1, SOD and GPX in ileum tissues ↑; protein expression of Nrf2 in ileum tissues ↑; protein expression of Keap1 in ileum tissues ↓WB and RT-qPCR(160)
H2O2-induced IPEC-1 cellsGastrointestinal protectionmRNA expressions of SOD, GPX, CAT, HO-1, NQO1 and Nrf2 ↑; protein expression of Nrf2 ↑; protein expression of Keap1 ↓WB and RT-PCR(61)
Corn silkH2O2-induced IEC-6 cellsGastrointestinal protectionprotein expression of Keap1 ↓; protein expressions of Nrf2 and HO-1 ↑WB(126)

Regulation of NPs from herbs on Nrf2 antioxidant pathway for health-promoting effects.

Natural polysaccharides from herbs exerted liver protection against ethanol- (117, 118) or mixture of Cd + Cr + Pb + Mn + Zn + Cu-induced (14) L02 cells, isoniazid + rifampicin-induced HepG2 cells (119) and 5-fluorocrail (5-Fu)-induced MIHA cells (120), partly through modulating protein and mRNA expressions of Nrf2, HO-1, and NQO1, increasing protein expressions of GCLC and nuclear Nrf2, and decreasing protein and/or mRNA expressions of Keap1 and cytosol Nrf2. Those from Astragalus membranaceus (60) and Potentilla anserine (59) exhibited kidney protection on oxalate-induced HK-2 cells and cadmium-induced HEK293 cells, respectively, whose actions were related to regulation of Nrf2 protein expression, reduction of Keap1 and PGC-1α protein expressions and increment of SOD1 and CAT protein expressions. Polysaccharide from Dendrobium officinale showed lung protection in LPS-induced BEAS-2B cells involved with increases of HO-1 and NQO1 protein expressions as well as nuclear/cytosol Nrf2 ratio (20). NPs from herbs displayed neuroprotection against MPP+-induced N2a cells (22), H2O2- (121), UVB- (122), and OGD/R-induced (144) PC12 cells, OGD/R-induced primary cortical neurons (65), and H2O2-induced microglia BV2 cells (145) or HT22 cells (123), which were correlated with promotions of mRNA and protein expressions of Keap1, Nrf2, HO-1, NQO1, GCLC, GCLM, and GSTP1 along with nuclear Nrf2, and reduction of cytosol Nrf2 protein expression. Moreover, Salvia miltiorrhiza polysaccharides protected PC12 cells from OGD/R-induced ferroptosis and lipid peroxidation by activating Nrf2/HO-1 pathway (144). Polygonatum cyrtonema Hua polysaccharides alleviated ferroptosis in H2O2-induced microglia BV2 cells by activating Nrf2/HO-1 signaling pathway (145). NPs from herbs revealed cardioprotection on hypoxia/reoxygenation- (124), ischemia/reperfusion- (19) or H2O2-induced (125) H9c2 cells by modulating protein and mRNA expressions of Nrf2, HO-1, and NQO1 as well as nuclear and cytosol Nrf2. Those of herbs appeared gastrointestinal protection against RSL3-induced Caco-2 cells (127), H2O2- (126) or radiation-induced (128) IEC-6 cells and H2O2-induced IPEC-J2 cells (48, 55, 62, 66) or IPEC-1 cells (61), partly through modulating protein and mRNA expressions of Nrf2 and HO-1, elevating protein and mRNA expressions of NQO1, SOD, SOD1, CAT, GPX, nuclear, and cytosol Nrf2 along with cytosol HO-1, and decreasing Keap1 protein expression. Moreover, Astragalus polysaccharide exhibited inhibitory effect on ferroptosis in RSL3-induced Caco-2 cells and this effect was associated with the Nrf2/HO-1 pathway (127). NPs from herbs possessed anti-oxidation on H2O2-induced HUVECs (85), H2O2- (131) or LPS-induced (132) RAW264.7 cells, H2O2-induced MEFs cells (133), tert-butyl hydroperoxide- (130) or oleic acid-induced (129) HepG2 cells and H2O2-induced HEMs (134) via enhancing protein and mRNA expressions of Nrf2, HO-1, NQO1, GCLM, GCLC, and GST along with nuclear/cytosol Nrf2, and regulating protein and mRNA expressions of Keap1. Those from herbs exhibited anti-diabetic effect on palmitate-induced HepG2 cells (135), high glucose-induced ARPE-19 cells (136) or HRECs (146), and high-glucose- and high-insulin-induced 3T3-L1 adipocytes (137) by augmenting protein or mRNA expressions of p-Nrf2/Nrf2, Nrf2, HO-1, SOD2, CAT, and nuclear Nrf2 as well as nuclear translocation of p-Nrf2. NPs from herbs showed anti-aging activity against H2O2-induced chondrocytes (138), H2O2-induced ARPE-19 cells (139), ADM, ODM, ADM + H2O2, or ODM + H2O2-induced BMSCs cells (140), H2O2-induced MC3T3-E1 cells (141) through rising mRNA and/or protein expressions of Keap1, Nrf2, HO-1, and NQO1 as well as nuclear Nrf2. Polysaccharides from Dendrobium officinale (67) and Apios americana (69) produced anti-inflammation on LPS-induced RAW264.7 cells partly by adding protein and/or mRNA expressions of Keap1, Nrf2, HO-1 and NQO1. Polysaccharides from Lycium barbarum produced anti-radiation action on UVB-induced HSF and HaCaT cells via enlarging protein and/or mRNA expressions of Nrf2, p-Nrf2, HO-1, NQO1, GCLC, GCLM, SOD, AKR1C2, APOE, and HBEGF along with nuclear Nrf2 (28, 142). Meanwhile, Lycium barbarum polysaccharide caused immunomodulation in mycoplasma-infected splenic lymphocytes through increments of mRNA and protein expressions of Nrf2, HO-1, and NQO1 (143).

Animals experiments have demonstrated that NPs from herbs could regulate Nrf2 antioxidant pathway for liver protection (14, 36, 41, 54, 57, 67, 116, 120, 147–153), kidney protection (21, 59, 154–157), lung protection (20, 158), neuroprotection (22, 121), cardioprotection (124, 159), gastrointestinal protection (16, 40, 48, 127, 128, 160, 161), anti-oxidation (15, 47, 162–164), anti-diabetic (56, 58, 135, 146, 165, 166), anti-aging (18, 68, 84, 167), anti-inflammation (23), anti-depression (25), anti-cancer (168), and improving reproductive function (169, 170), as implied in Table 1.

Natural polysaccharides from herbs exerted liver protection against DSS- (67), acetaminophen- (57, 147), tilmicosin- (149), CCl4- (116, 150), ethanol- (36, 54, 148), isoniazid + rifampicin- (151), methionine and choline deficient diet- (152), mixture of Cd + Cr + Pb + Mn + Zn + Cu- (14), LPS- (153), high-fat diet- (41), and 5-Fu-induced (120) mice or rats, through increasing mRNA and protein expressions of Nrf2, nuclear Nrf2, NQO1, GCLC, GCLM, Cu/Zn-SOD, SOD1, and GPX1 in liver tissues, modulating protein and/or mRNA expressions of Keap1 and HO-1, and decreasing protein and/or mRNA expressions of cytosol Keap1, CAT, cytosol Nrf2, p67phox, p47phox, and p22phox in liver tissues. NPs from herbs exhibited kidney protection on LPS- (154, 155), lead- (156), florfenicol- (21), cadmium- (59), and STZ-induced (157) mice, rats or chicks via elevating mRNA and protein expressions of HO-1 and NQO1, regulating Nrf2 expression, and down-regulating mRNA and protein expressions of Keap1 and PGC-1α in kidney tissues. Those from herbs showed lung protection hyperoxia- (158) and DSS-induced (20) mice by enhancing activities and/or protein expressions of Nrf2, cytosol Nrf2, nuclear Nrf2, HO-1, and NQO1 in lung tissues as well as protein expressions of Nrf2 in PMVECs isolated from lung, and reducing protein expression of Keap1 in lung tissues. NPs from herbs reflected neuroprotection against ischemia-reperfusion- (171), CoCl2- (121), and MPTP-induced (22) mice or rats, which is related to increments of protein and/or mRNA expressions of nuclear Nrf2, Nrf2, HO-1 and NQO1 in retina or brain tissues. Those from herbs displayed cardioprotection on ischemia/reperfusion-induced (124) and adjuvant arthritis rats (159), involving with aggrandizement of protein expressions of nuclear and cytosol Nrf2, HO-1 and NQO1 in myocardial tissues, and declination of mRNA and/or protein expressions of Keap1, MAF, Nrf2, HO-1, and γ-GCS in heart tissues. NPs from herbs appeared gastrointestinal protection against MNNG- (161), DSS- (16, 40, 127), radiation- (128), and CTX-induced (160) mice or rats as well as aged mice (48), via up-regulating protein and/or mRNA expressions of nuclear and cytosol Nrf2, cytosol HO-1, NQO1, SOD, SOD1, SOD2, CAT, GPX, and GPX1, modulating protein and/or mRNA expressions of Nrf2 and HO-1, and down-regulating Keap1 protein expression in stomach, colon or jejunum tissues. Meanwhile, Astragalus polysaccharide inhibited ferroptosis of colonic tissue through Nrf2/HO-1 pathway in DSS-induced mice (127). NPs from herbs generated anti-oxidation effects on light exposure-induced mice (163), ethanol-induced mice (164), AAPH-induced zebrafish (47) as well as Jian carp (15) and zebrafish (162) through adding mRNA expressions of Nrf2, HO-1, Cu/Zn-SOD, GPX, GPX-3, CAT, SOD, Mn-SOD, GST, TrxR1, and p38, and modulating Keap1 mRNA expression in retinas, spleen or liver tissues. NPs from herbs produced anti-diabetic activity against high-fat diet- (135), high fat/high sucrose diet- (58) and high-fat diet + STZ-induced (56, 165, 166) mice via increasing protein and/or mRNA expressions of p-Nrf2/Nrf2, nuclear and cytosol Nrf2, Nrf2, HO-1, NQO1, SOD2, and CAT in liver or kidney tissues, and decreasing protein expressions of nuclear and cytosol Keap1 and NOX2 in liver tissues. Those from herbs caused anti-aging effects on ovariectomy or D-Gal-induced mice (18, 68, 84) and AD model APP/PS1 mice (167), through elevating mRNA and protein expressions of nuclear Nrf2, Nrf2, HO-1 and NQO1 in hippocampal, brain, and liver tissues, and reducing mRNA and/or protein expressions of Keap1 and cytosol Nrf2 in brain tissues. Lycium barbarum polysaccharide revealed anti-inflammation against cerulein-induced mice by adding nuclear Nrf2 protein expression and HO-1 activity in pancreas (23). Meanwhile, this polysaccharide implied anti-cancer action against ID-8 cells bearing-mice through up-regulation of mRNA and protein expressions of Keap1, Nrf2 and HO-1 in liver and kidney tissues (168). Polygonatum cyrtonema polysaccharide had anti-depression activity on LPS and CUMS-induced mice via increasing protein expressions of Nrf2 and HO-1 in hippocampal tissues (25). NPs from herbs possessed improving reproductive function against CTX-induced rats (169) and cisplatin-induced mice (170) by elevating protein and/or mRNA expressions of Nrf2, HO-1 and NQO1 in ovarian or testis tissues.

Regulation of NPs from woody plants

Cell experiments have indicated that NPs from woody plants could regulate Nrf2 antioxidant pathway for liver protection (30, 45, 46, 50, 70, 92, 172), kidney protection (173), gastrointestinal protection (86), neuroprotection (75), cardioprotection (78), anti-aging (74), anti-diabetic (174), anti-oxidation (72, 96, 175), and anti-inflammation (71), as showed in Table 2.

TABLE 2

Polysaccharide sourceExperimental modelHealth-promoting effectsRegulation on Nrf2 antioxidant pathwayDetermination methodReferences
Chestnut shellH2O2-induced primary hepatocytes from hybrid grouperLiver protectionmRNA expressions of GPX, Mn-SOD and Nrf2 ↑; mRNA expression of GR ↓RT-PCR(30)
H2O2-induced hybrid groupermRNA expressions of CAT, GPX and GR in liver tissues ↑
Smilax china L.Acetaminophen-induced miceLiver protectionProtein expressions of Nrf2, HO-1, NQO1 and GCLC along with nuclear translocation of Nrf2 in liver tissues ↑WB and EMSA(50)
H2O2-induced AML12 cellsProtein expression of Nrf2 and nuclear translocation of Nrf2 ↑; mRNA and protein expressions of HO-1, NQO1 and GCLC ↑WB and RT-PCR
Anoectochilus zhejiangensisCCl4-induced HepG2 cellsLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 ↑WB(70)
Malpighia emarginataHigh-fat diet-induced miceLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑WB(79)
Wild jujubeCCl4-induced miceLiver protectionProtein expressions of HO-1, GSTα and NQO1 along with nuclear Nrf2 in liver tissues ↑WB(80)
Anoectochilus roxburghiiHigh-fat diet-induced miceLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑WB(176)
Pine nutCCl4-induced miceLiver protectionmRNA expression of Nrf2 in liver tissues ↑; protein and mRNA expression of Keap1 in liver tissues ↓; protein and mRNA expressions of HO-1, NQO1 and GCLC in liver tissues ↑; protein expressions of MKP1 and nuclear Nrf2 in liver tissues ↑; protein expression of cytosol Nrf2 in liver tissues ↓WB and RT-PCR(90)
mRNA expressions of Nrf2 and HO-1 in liver tissues ↑RT-PCR(87)
Ethanol-induced mice
Acetaminophen-induced mice
Ethanol-induced miceProtein expressions of Nrf2 and HO-1 in liver tissues ↑WB(88)
Sonneratia apetalaAcetaminophen-induced miceLiver protectionProtein expression of nuclear Nrf2 in liver tissues ↑; Protein expressions of cytosol Keap1 and Nrf2 in liver tissues ↓; protein and mRNA expressions of HO-1, NQO1, GCLC and GCLM in liver tissues ↑WB and RT-PCR(91)
Schisandra chinensisAcetaminophen-induced miceLiver protectionProtein expressions of Nrf2 and HO-1 in liver tissues ↑WB(82)
Cyclosporin A-induced LX-2 cellsProtein expression of nuclear Nrf2 ↑(92)
Concanavalin A-induced miceProtein expressions of Nrf2 and HO-1 in liver tissues ↑; protein expression of Keap1 in liver tissues ↓(83)
293T cellsKidney protectionProtein expressions of Nrf2, NQO1 and HO-1, and NQO1-antioxidant response element-luciferase activity ↑; protein expressions of cytosol Keap1 and Nrf2 ↓; protein expression of nuclear Nrf2 ↑WB and IF(173)
Morinda citrifolia L.High-fat diet-induced miceLiver protectionNrf2 level in liver tissues ↑ELISA(94)
Pomelo fruitletHepatocytes isolated from High-fat diet-induced hybrid grouperLiver protectionmRNA expressions of Nrf2, Mn-SOD, CAT and GPX ↑RT-PCR(172)
Mulberry fruitPalmitic acid-induced HepG2 cellsLiver protectionmRNA expressions of HO-1, NQO1 and γ-GCL ↑; protein expressions of p-Nrf2 and nuclear Nrf2 ↑WB and RT-PCR(45)
Black mulberryPalmitate-induced HepG2 cellsLiver protectionmRNA expressions of HO-1, NQO1, γ-GCL, GPX and CAT ↑; protein expressions of NQO1, p-Nrf2 and nuclear Nrf2 ↑WB and RT-PCR(46)
Aronia melanocarpaD-Gal-induced miceAnti-agingProtein expressions of nuclear Nrf2 and HO-1 in brain tissues ↑WB(76)
Taxus chinensis var. maireiD-Gal-induced miceAnti-agingProtein expressions of Nrf2 and SOD in brain tissues ↑WB(74)
D-Gal-induced BV2 cellsProtein expressions of Nrf2 and SOD ↑
Opuntia milpa altaAlloxan-induced INS-1 cellsAnti-diabeticProtein expressions of Nrf2 and γ-GCSc ↑WB(174)
Cyclocarya paliurusH2O2-induced DCsAnti-oxidationmRNA expressions of CAT, GPX1, SOD, HO-1 and NQO1 ↑; protein expression of Nrf2 ↑; protein expression of Keap1 ↓WB and RT-qPCR(72)
Protein expression of Nrf2 ↑; protein expression of Keap1 ↓WB(96)
Artemisia ordosicaLPS-induced broilersAnti-oxidationmRNA and protein expressions of Nrf2, GPX, CAT and SOD in liver tissues ↑; mRNA and protein expressions of Keap1 in liver tissues ↓WB and RT-PCR(178)
Pistachio hullLPS-induced Nile tilapiaAnti-oxidationmRNA expressions of Nrf2, SOD and CAT in liver tissues ↑RT-PCR(179)
Chimonanthus nitens OlivCTX-induced miceAnti-oxidationmRNA expressions of Nrf2, SOD1, CAT, GPX, NQO1 and HO-1 in liver tissues ↑; mRNA and protein expressions of Keap1 in liver tissues ↓; protein expressions of Nrf2, NQO1 and HO-1 in liver tissues ↑WB and RT-qPCR(177)
Rice bran293T cellsAnti-oxidationProtein expressions of Nrf2, NQO1 and HO-1 ↑WB(175)
Tetrastigma hemsleyanumLPS-induced RAW264.7 cellsAnti-inflammationProtein expressions of Keap1 and Nrf2 ↑WB(71)
Ethyl carbamate-induced Caco-2 cellsGastrointestinal protectionProtein expressions of Keap1 and Nrf2 ↑WB(86)
Pyracantha fortuneanaMiceImmunomodulationmRNA and protein expressions of Nrf2 in splenocytes ↑WB and RT-PCR(180)
Selenium-enriched green teaMiceImmunomodulationmRNA and protein expressions of Nrf2 in splenocytes ↑WB and RT-PCR(181)
Annona muricataH2O2-induced HT22 cellsNeuroprotectionProtein expressions of HO-1, NQO1 and nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB(75)
Fructus AurantiiIsoproterenol-induced ratsCardioprotectionProtein expressions of HO-1, NQO1, GCLM and γ-GCS in cardiac muscle tissues ↑; Protein expressions of nuclear and cytosol Nrf2 in cardiac muscle tissues ↑WB(77)
Hypoxia/reoxygenation-induced H9c2 cellsProtein expressions of HO-1 and Nrf2 ↓(78)

Regulation of NPs from woody plants on Nrf2 antioxidant pathway for health-promoting effects.

Natural polysaccharides from woody plants exhibited liver protection against H2O2-induced primary hepatocytes from hybrid grouper (30), H2O2-induced AML12 cells (50), CCl4- (70) and palmitic acid-induced (45, 46) HepG2 cells, cyclosporin A-induced LX-2 cells (92), and hepatocytes isolated from high-fat diet-induced hybrid grouper (172), involving with increments of mRNA and protein expressions of p-Nrf2, nuclear Nrf2, Nrf2, HO-1, NQO1, γ-GCL, GCLC, Mn-SOD, GPX, and CAT as well as nuclear translocation of Nrf2, and reduction of GR mRNA expression. Schisandra chinensis polysaccharide generated kidney protection on 293T cells through increasing protein expressions of nuclear Nrf2, Nrf2, NQO1, and HO-1 along with NQO1-antioxidant response element-luciferase activity, and decreasing protein expressions of cytosol Keap1 and Nrf2 (173). NPs from Tetrastigma hemsleyanum showed gastrointestinal protection against ethyl carbamate-induced Caco-2 cells, by elevating protein expressions of Keap1 and Nrf2 (86). Polysaccharide from Annona muricata (75) caused neuroprotection on H2O2-induced HT22 cells via adding protein expressions of HO-1, NQO1 and nuclear Nrf2, and reducing cytosol Nrf2 protein expression. Fructus Aurantii polysaccharide produced cardioprotection against hypoxia/reoxygenation-induced H9c2 cells through lowering protein expressions of HO-1 and Nrf2 (78). Taxus chinensis var. mairei polysaccharide exerted anti-aging action on D-Gal-induced BV2 cells by promoting protein expressions of Nrf2 and SOD (74). Polysaccharide Opuntia milpa alta (174) revealed anti-diabetic activities against alloxan-induced INS-1 cells, which was related to enhancements of protein expressions of Nrf2 and γ-GCSc. NPs from woody plants displayed anti-oxidation effects on H2O2-induced DCs (72, 96) and 293T cells (175), partly by rising protein and/or mRNA expressions of Nrf2, CAT, GPX1, SOD, HO-1, and NQO1, and reducing Keap1 protein expression. Tetrastigma hemsleyanum polysaccharide reflected anti-inflammation on LPS-induced RAW264.7 cell via through improving protein expressions of Keap1 and Nrf2 (71).

Animal experiments have indicated that NPs from woody plants could regulate Nrf2 antioxidant pathway for liver protection (30, 50, 79, 80, 82, 83, 87, 88, 90, 91, 94, 172, 176), cardioprotection (77), anti-aging (74, 76), anti-oxidation (177–179), and immunomodulation (180, 181), as reflected in Table 2.

NPs from woody plants had liver protection against H2O2-induced hybrid grouper (30), acetaminophen-induced mice (50, 82, 87), high-fat diet-induced mice (79, 94, 176), CCl4-induced mice (80, 90), ethanol-induced mice (87, 88), and concanavalin A-induced mice (83), involving with increment of protein and/or mRNA expressions of nuclear Nrf2, Nrf2, HO-1, NQO1, GCLC, CAT, GSTα, GPX, GR, and MKP1 along with nuclear translocation of Nrf2, and reduction of protein and/or mRNA expressions of Keap1 and cytosol Nrf2 in liver tissues. Fructus Aurantii polysaccharide exerted cardioprotection against isoproterenol-induced rats via enhancing protein expressions of HO-1, NQO1, GCLM, γ-GCS, nuclear Nrf2, and cytosol Nrf2 in cardiac muscle tissues (77). Polysaccharides from Aronia melanocarpa (76) and Taxus chinensis var. mairei (74) revealed anti-aging activity on D-Gal-induced mice by up-regulating protein expressions of nuclear Nrf2, Nrf2, HO-1, and SOD in brain tissues. NPs from woody plants generated anti-oxidation effect against LPS-induced broilers (178) or Nile tilapia (179) and CTX-induced mice (177), which was related to enhancement of mRNA and protein expressions of Nrf2, NQO1, HO-1, GPX, CAT, SOD1, and SOD in liver tissues, intestines or larvae, and reduction of mRNA and protein expressions of Keap1 in liver tissues or larvae. Polysaccharides from Pyracantha fortuneana (180) and selenium-enriched green tea (181) reflected immunomodulation on mice through adding mRNA and protein expressions of Nrf2 in splenocytes.

Regulation of NPs from algae

The regulations of NPs on Nrf2 antioxidant pathway from algae in cell and animal experiments are revealed in Table 3.

TABLE 3

Polysaccharide sourceExperimental modelHealth-promoting effectsRegulation on Nrf2 antioxidant pathwayDetermination methodReferences
Ecklonia caveLPS-induced miceLung protectionProtein expressions of Nrf2 and HO-1 in lung tissues ↑WB(186)
Laminaria digitataH2O2-induced MRC-5 cellsLung protectionmRNA expressions of Nrf2, HO-1, NQO1 and GCLC ↑; mRNA expression of Keap1 ↓; protein expression of nuclear Nrf2 ↑; Nuclear translocation of Nrf2 ↑WB, RT-qPCR and IF(183)
Laminaria japonicaCTX-induced miceLiver protectionProtein expressions of Nrf2, HO-1, GCLM and NQO1 in liver or kidney tissues ↑WB(97)
Kidney protection
Rotenone-induced ratsAnti-agingProtein expressions of Nrf2 and PGC-1α in ventral midbrain ↑WB(98)
Enteromorpha proliferaCCl4-induced miceLiver protectionProtein expressions of p-Nrf2 and HO-1 along with p-Nrf2/Nrf2 in liver tissues ↑; mRNA expression of NQO1 in liver tissues ↑WB and RT-qPCR(31)
Heat stress-induced Gallus gallus domesticusAnti-oxidationmRNA expressions of SOD2, GSTO1 and HO-1 in spleen ↑; protein expression of total Nrf2 in spleen ↑WB and RT-qPCR(190)
Aflatoxin B1-induced broilersImmunomodulationmRNA expressions of SOD1, SOD2, GPX1, GPX3, CAT1, GSTT1, GSTO1, GSTA3, Nrf2 and HO-1 in bursa of fabricius ↑; protein expressions of Nrf2 and HO-1 in bursa of fabricius ↑WB and RT-qPCR(24)
Heat stress-induced broilersGastrointestinal protectionmRNA expressions of Nrf2, HO-1, GPX1 and GSTT1 in duodenum ↑RT-qPCR(187)
Sargassum fusiformeHigh-fat diet-induced miceLiver protectionProtein expressions of nuclear and cytosol Nrf2 in liver tissues ↑; protein expression of Keap1 in liver tissues ↓; mRNA expressions of Nrf2, NQO1, HO-1, CAT, SOD2, Slc7a11, G6pd2, Prdx1, GPX2 and GPX4 in liver tissues ↑WB and RT-qPCR(185)
Heat stress-induced Drosophila melanogasterAnti-agingmRNA expressions of CncC, HO and GCLC ↑; mRNA expression of Keap1 ↓RT-qPCR(99)
D-Gal-induced miceProtein expressions of Nrf2 and NQO1 in liver tissues ↑; mRNA and protein expressions of Keap1 in liver tissues ↑; mRNA expressions of Cu/Zn-SOD and GPX1 in liver tissues ↑WB and RT-PCR(211)
Aged miceGastrointestinal protectionProtein expression of Nrf2 in intestinal tissues ↑; mRNA expressions of Nrf2, NQO1, HO-1, CAT and SOD2 in intestinal tissues ↑WB and RT-PCR(188)
Brown seaweedAcetaminophen-induced HL-7702 cellsLiver protectionProtein expressions of Nrf2 and nuclear Nrf2 ↑WB and IF(182)
Sargassum kjellmanianumH2O2-induced HUVECsAnti-diabeticProtein expressions of Nrf2 and nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB and IF(17)
Antarctic ice microalgaeD-Gal-induced miceAnti-oxidationmRNA and protein expressions of Cu/Zn-SOD, Mn-SOD and CAT in liver and spleen tissues ↑; mRNA expressions of Nrf2, HO-1, γ-GCS and NQO1 in liver and spleen tissues ↑; protein expressions of Nrf2, HO-1 and NQO1 in liver and spleen tissues ↑WB and RT-PCR(191)
Padina boryanaH2O2-induced Vero cellsAnti-oxidationProtein expressions of CAT and SOD ↑; protein expression of cytosol Nrf2 ↑; protein expression of cytosol Keap1 ↓WB(184)
Hizikia fusiformeH2O2-treated Vero cellsAnti-oxidationProtein expressions of Nrf2, CAT and SOD ↑WB(44)
Fucus vesiculosusCa9-22 and CAL27 cellsAnti-cancermRNA expressions of Nrf2, TXN and HO-1 ↓RT-qPCR(26)
Coccomyxa GloeobotrydiformisLPS-induced RAW264.7 cellsAnti-inflammationProtein expressions of HO-1 and nuclear Nrf2 ↑; protein expression of cytosol Nrf2 ↓WB(212)
Padina tetrastromaticaIsoproterenol-induced ratsCardioprotectionmRNA expressions of Nrf2 in heart tissues ↑; protein expression of cytosol Nrf2 in heart tissues ↓; protein expression of nuclear Nrf2 in heart tissues ↑RT-PCR and IF(189)

Regulation of NPs from algae on Nrf2 antioxidant pathway for health-promoting effects.

Cell experiments have showed that NPs from algae could regulate Nrf2 antioxidant pathway for liver protection (182), lung protection (183), anti-diabetic (17), anti-oxidation (44, 184), and anti-cancer (26). Brown seaweed polysaccharide produced liver protection on acetaminophen-induced HL-7702 cells through increasing protein expressions of Nrf2 and nuclear Nrf2 (182). Laminaria digitate polysaccharide generated lung protection against H2O2-induced MRC-5 cells by up-regulating protein and/or mRNA expressions of nuclear Nrf2, Nrf2, HO-1, NQO1 and GCLC as well as nuclear translocation of Nrf2, and down-regulating Keap1 mRNA (183). Sargassum kjellmanianum polysaccharide exhibited anti-diabetic effect on H2O2-induced HUVECs via elevating protein expressions of Nrf2 and nuclear Nrf2, and declining cytosol Nrf2 protein expression (17). Polysaccharides from Padina boryana (184) and Hizikia fusiforme (44) showed anti-oxidation action against H2O2-induced Vero cells via adding protein expressions of cytosol Nrf2, Nrf2, CAT, and SOD, and reducing protein expression of cytosol Keap1. Fucus vesiculosus polysaccharide revealed anti-cancer activity on Ca9-22 and CAL27 cells through lowering mRNA expressions of Nrf2, TXN and HO-1 (26).

Animal experiments have showed that NPs from algae could regulate Nrf2 antioxidant pathway for liver protection (31, 97, 185), lung protection (186), kidney protection (97), gastrointestinal protection (187, 188), cardioprotection (189), anti-aging (98, 99), anti-oxidation (190, 191), and immunomodulation (24). NPs from algae possessed liver protection against CTX- (97), CCl4- (31), and high-fat diet-induced (185) mice, through increasing protein and/or expressions of p-Nrf2, nuclear Nrf2, cytosol Nrf2, p-Nrf2/Nrf2, HO-1, GCLM, NQO1, CAT, SOD2, Slc7a11, G6pd2, Prdx1, GPX2, and GPX4, and decreasing Keap1 protein expression in liver tissues. Ecklonia cave polysaccharide had lung protection on LPS-induced mice by enhancing protein expressions of Nrf2 and HO-1 in lung tissues (186). Laminaria japonica polysaccharide exhibited kidney protection against CTX-induced mice via up-regulating protein expressions of Nrf2, HO-1, GCLM, and NQO1 in kidney tissues (97). Meanwhile, this polysaccharide showed anti-aging effect on rotenone-induced rats through rising protein expressions of Nrf2 and PGC-1α in ventral midbrain (98). NPs from algae exerted gastrointestinal protection on heat stress-induced broilers (187) and aged mice (188) by elevating protein and/or mRNA expressions of Nrf2, NQO1, HO-1, CAT, SOD2, GPX1, and GSTT1 in intestinal tissues or duodenum. Padina tetrastromatica polysaccharide generated cardioprotection against isoproterenol-induced rats via enhancing protein and/or mRNA expressions of Nrf2 and nuclear Nrf2, and declining cytosol Nrf2 protein expression in heart tissues (189). Those from algae revealed anti-oxidation activity on heat stress-induced Gallus gallus domesticus (190) and D-gal-induced mice (191), through aggrandizing mRNA and protein expressions of Nrf2, HO-1, γ-GCS, NQO1, Cu/Zn-SOD, Mn-SOD, SOD2, GSTO1, and CAT in liver and spleen tissues. Enteromorpha prolifera polysaccharide reflected immunomodulation against aflatoxin B1-induced broilers by augmenting mRNA and/or protein expressions of SOD1, SOD2, GPX1, GPX3, CAT1, GSTT1, GSTO1, GSTA3, Nrf2, and HO-1 in bursa of fabricius (24).

Regulation of NPs from fungi

The regulations of NPs on Nrf2 antioxidant pathway from fungi in cell experiments and animal experiments are illustrated in Table 4.

TABLE 4

Polysaccharide sourceExperimental modelHealth-promoting effectsRegulation on Nrf2 antioxidant pathwayDetermination methodReferences
Trametes orientalisPM2.5-induced miceLung protectionProtein expressions of Nrf2 and HO-1 in lung tissues ↑WB(35)
Sarcodon aspratusH2O2-induced A549 cellsLung protectionProtein expression of p-Nrf2 and HO-1 ↑; protein expression of Nrf2 ↓WB(105)
Water immersion and restraint stress-induced ratsGastrointestinal protectionProtein expression of Keap1 in gastric tissues ↓; Protein expressions of Nrf2, HO-1, NQO1 and NOX4 in gastric tissues ↑WB and IHC(106)
Morchella esculentaH2O2-induced A549 cellsLung protectionProtein expression of p-Nrf2 and HO-1 ↑; protein expression of Nrf2 ↓WB(33)
Grifola frondosa fruiting bodyLPS/D-GalN-induced miceLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑; protein expression of Keap1 in liver tissues ↓; mRNA expression of Nrf2 in liver tissues ↑WB and RT-qPCR(52)
Pleurotus geesteranus fruiting bodyEthanol-induced miceLiver protectionProtein expressions of Nrf2 and HO-1 in liver tissues ↑WB and IF(103)
Ganoderma lucidumHigh-fat diet-induced diabetic miceLiver protectionProtein expressions of Nrf2 and HO-1 in liver tissues ↑WB and IHC(200)
H2O2-induced HSFsAnti-oxidationmRNA expression of Keap1 ↓; mRNA expressions of Nrf2, Gstm1, Gstt1, GCLC, GCLM, HO-1 and NQO1 ↑RT-qPCR(194)
Doxorubicin-induced H9c2 cellsCardioprotectionProtein expressions of Nrf2 and HO-1 ↑WB(193)
Termitomyces albuminosus myceliumCCl4-induced miceLiver protectionmRNA expressions of Nrf2 and HO-1 in liver tissues ↑RT-qPCR(107)
Inonotus obliquusToxoplasma gondii-induced miceLiver protectionProtein expressions of HO-1 and nuclear Nrf2 in liver tissues ↑WB(104)
Improving reproductive functionProtein expressions of HO-1, NQO1 and nuclear Nrf2 in testicular tissues ↑(27)
AD model APP/PS1 miceAnti-agingProtein expression of Keap1 in brain tissues ↓; protein expressions of Nrf2, SOD-1, HO-1 and GCLC in brain tissues ↑WB(196)
L-Glu-induced HT22 cellsAnti-agingProtein expression of Keap1 ↓; protein expressions of Nrf2, SOD-1, HO-1 and GCLC ↑
Antrodia camphorataLPS/D-GalN-induced miceLiver protectionProtein expressions of Keap1, Nrf2 and γ-GCS in liver tissues ↑WB(192)
LPS-induced Kupffer cellsProtein expressions of Keap1, Nrf2 and γ-GCS ↑WB and IF
Cordyceps militarisPb2+-induced miceKidney protectionProtein expressions of Keap1, Nrf2, HO-1 and NQO1 in kidney tissues ↑WB(39)
Amanita caesareaL-Glu induced HT22 cellsAnti-agingProtein expressions of cytosol Nrf2 ↓; protein expressions of nuclear Nrf2 ↑WB(108)
AD model APP/PS1 miceProtein expressions of Nrf2 and HO-1 in hippocampus ↑; protein expressions of Keap1 ↓(109)
Hericium erinaceus myceliumAD model APP/PS1 miceAnti-agingProtein expressions of Nrf2 and HO-1 hippocampus ↑; protein expressions of Keap1 in hippocampus ↓WB(110)
Tremella fuciformisUVA-induced HDF cellsAnti-agingProtein expressions of NQO1 and nuclear Nrf2 ↑; protein expression Keap1 and cytosol Nrf2 ↓; mRNA expressions of Nrf2, HO-1 and NQO1 ↑; mRNA expression of Keap1 ↓ELISA and RT-qPCR(197)
Suillellus luridusSTZ-induced miceAnti-diabeticmRNA and protein expressions of Nrf2 and HO-1 in liver tissues ↑WB and RT-PCR(111)
Paecilomyces hepialid myceliumdb/db miceAnti-diabeticProtein expressions of Nrf2, HO-1 and CAT in kidney tissues ↑WB(101)
Lentinus edodes myceliumHigh glucose-induced MIN6 cellsAnti-diabeticProtein expression of nuclear Nrf2 ↑WB(198)
High glucose-induced INS-1 cells(102)
Saccharomyces cerevisiaeLPS-induced RAW264.7 cellsAnti-oxidationHO activity ↑; protein expressions of Nrf2 and HO-1 ↑Assay kits, WB and IF(195)
Lachnum sp.HepG2 cellsAnti-cancerProtein expression of Nrf2 ↓; protein expression of Keap1, HO-1, NQO1, GST1, SOD2, GPX and GCLM ↑WB and IF(199)
Antrodia cinnamomeaCTX-induced miceImmunomodulationProtein expression of Keap1 in spleen and thymus ↓; protein expression of Nrf2, HO-1, SOD2 and CAT in spleen and thymus ↑WB(202)
Sarcodon imbricatusCTX-induced miceImmunomodulationProtein expressions of Nrf2, HO-1, SOD1, SOD2, CAT and NQO1 in spleen ↑WB(203)
Poria cocosox-LDL-induced VSMCsAnti-atherosclerosisProtein expressions of HO-1 and nuclear Nrf2 ↑; protein expressions of cytosol Nrf2 ↓WB(29)
5-Fu-treated CT26 tumor-bearing miceGastrointestinal protectionProtein expressions of Nrf2 in colon tissues ↑IHC(201)
Ganoderma atrumLPS-induced Caco-2/RAW264.7 co-culture inflammationGastrointestinal protectionProtein expressions of Keap1 and Nrf2 ↑WB(113)

Regulation of NPs from fungi on Nrf2 antioxidant pathway for health-promoting effects.

Cell experiments have showed that NPs from fungi could regulate Nrf2 antioxidant pathway for liver protection (192), lung protection (33, 105), cardioprotection (193), gastrointestinal protection (113), anti-oxidation (194, 195), anti-aging (108, 196, 197), anti-diabetic (102, 198), anti-cancer (199), and anti-atherosclerosis (29). Antrodia camphorate polysaccharide exhibited liver protection on LPS-induced Kupffer cells by increasing protein expressions of Keap1, Nrf2, and γ-GCS (192). Polysaccharides from Sarcodon aspratus (105) and Morchella esculenta (33) exerted lung protection against H2O2-induced A549 cells via adding protein expressions of p-Nrf2 and HO-1, and reducing Nrf2 protein expression. Ganoderma lucidum polysaccharide showed cardioprotection on doxorubicin-induced H9c2 cells through rising protein expressions of Nrf2 and HO-1 (193). Ganoderma atrum polysaccharide reflected gastrointestinal protection in LPS-induced Caco-2/RAW264.7 co-culture inflammation model by up-regulating protein expressions of Keap1 and Nrf2 (113). NPs from fungi had anti-oxidation activity on H2O2-induced HSFs (194) and LPS-induced RAW264.7 cells (195) through augmenting protein and/or mRNA expressions of Nrf2, Gstm1, Gstt1, GCLC, GCLM, HO-1, and NQO1, and reducing Keap1 mRNA expression. Those from fungi displayed anti-aging effect against L-Glu-induced HT22 cells (108, 196) and UVA-induced HDF cells (197) via aggrandizing protein and/or mRNA expressions of nuclear Nrf2, Nrf2, SOD1, HO-1, NQO1, and GCLC, and lowering protein and/or mRNA expressions of Keap1 and cytosol Nrf2. Lentinus edodes mycelium polysaccharide had anti-diabetic action against high glucose-induced MIN6 or INS-1 cells, which was related to increment of nuclear Nrf2 protein expression (102, 198). Lachnum sp. polysaccharide possessed anti-cancer activity on HepG2 cells involved with reduction of Nrf2 protein expression, and enhancement of protein expression of Keap1, HO-1, NQO1, GST1, SOD2, GPX, and GCLM (199). Poria cocos polysaccharide caused anti-atherosclerosis effect on ox-LDL-induced VSMCs by rising protein expressions of HO-1 and nuclear Nrf2, and declining cytosol Nrf2 protein expression (29).

Animal experiments have demonstrated that NPs from fungi could regulate Nrf2 antioxidant pathway for liver protection (52, 103, 104, 107, 192, 200), lung protection (35), kidney protection (39), gastrointestinal protection (106, 201), anti-aging (109, 110, 196), anti-diabetic (101, 111), improving reproductive function (27), and immunomodulation (202, 203). NPs from fungi exhibited liver protection against LPS/D-GalN- (52, 192), ethanol- (103), high-fat diet- (200), CCl4- (107), and Toxoplasma gondii-induced (104) mice, through increment of protein and/or mRNA expressions of nuclear Nrf2, Nrf2, HO-1, NQO1, and γ-GCS, and modulation of Keap1 protein expression in liver tissues. Trametes orientalis polysaccharide exerted lung protection on PM2.5-induced mice by increasing protein expressions of Nrf2 and HO-1 in lung tissues (35). Cordyceps militaris polysaccharide showed kidney protection against Pb2+-induced mice via enhancing protein expressions of Keap1, Nrf2, HO-1, and NQO1 in kidney tissues (39). NPs from fungi possessed gastrointestinal protection on water immersion and restraint stress-induced rats (106) and 5-Fu-treated CT26 tumor-bearing mice (201), through elevating protein expressions of Nrf2, HO-1, NQO1, and NOX4, and reducing Keap1 protein expression in gastric or colon tissues. Polysaccharides from Inonotus obliquus (196), Amanita caesarea (109) and Hericium erinaceus mycelium (110) revealed anti-aging activity on AD model APP/PS1 mice via elevating protein expressions of Nrf2, SOD-1, HO-1, and GCLC, and reducing Keap1 protein expression in brain tissues or hippocampus. NPs from fungi appeared anti-diabetic function against STZ-induced (111) and db/db mice (101) by promoting mRNA and protein expressions of Nrf2, HO-1 and CAT in liver or kidney tissues. Inonotus obliquus polysaccharide improved reproductive function of Toxoplasma gondii-induced mice through up-regulating protein expressions of HO-1, NQO1 and nuclear Nrf2 in testicular tissues (27). Polysaccharides from Antrodia cinnamomea (202) and Sarcodon imbricatus (203) displayed immunomodulation against CTX-induced mice by increasing protein expressions of Nrf2, HO-1, SOD1, SOD2, CAT, and NQO1, and decreasing Keap1 protein expression in spleen or thymus.

Regulation of NPs from animals and bacteria

Polysaccharides from animals (Ostrea plicatula Gmelin, Holothuria leucospilota, Acaudina leucoprocta, Sepia esculenta ink, and Ostrea rivularis) as well as chitosan could regulate Nrf2 antioxidant pathway for liver protection (114, 204), anti-oxidation (115), improving reproductive function (43, 205, 206), and gastrointestinal protection (207), as summarized in Table 5. Cell experiment indicated that Acaudina leucoprocta polysaccharide exerted anti-oxidation effect on H2O2-induced RAW264.7 cells by increasing mRNA and/or protein expressions of Nrf2, SOD1, and GPX1, and decreasing Keap1 protein expression (115). In animal experiments, polysaccharides from Ostrea plicatula Gmelin (204) and Holothuria leucospilota (114) exhibited liver protection against CTX-induced mice and type 2 diabetic rats respectively, involving with increment of protein and/or mRNA expressions of Nrf2, HO-1, and NQO1 in liver tissues. NPs from animals improved reproductive function against CTX-induced mice (43, 205, 206) through elevating protein and/or mRNA expressions of Nrf2, HO-1, and NQO1, and modulating Keap1 protein expression in ovarian or testis. Chitosan displayed gastrointestinal protection on piglets by adding protein and/or mRNA expressions of GPX1, GPX2, SOD1, SOD2, CAT, Nrf2, NQO1, and HO-1, and declining Keap1 protein expression in ileum (207).

TABLE 5

Polysaccharide sourceExperimental modelHealth-promoting effectsRegulation on Nrf2 antioxidant pathwayDetermination methodReferences
Ostrea plicatula GmelinCTX-induced miceLiver protectionProtein expressions of Nrf2, HO-1 and NQO1 in liver tissues ↑WB(204)
Holothuria leucospilotaType 2 diabetic ratsLiver protectionProtein and mRNA expressions of Nrf2 and HO-1 in liver tissues ↑RT-qPCR and IHC(114)
Acaudina leucoproctaH2O2-induced RAW264.7 cellsAnti-oxidationmRNA expressions of SOD1 and GPX1 ↑; protein expression of Keap1 ↓; protein expression of Nrf2 ↑WB and RT-PCR(115)
Sepia esculenta inkCTX-induced miceImproving reproductive functionProtein expressions of Nrf2, HO-1 and NQO1 in ovarian ↑; protein expression of Keap1 in ovarian ↓WB(205)
Protein expressions of Keap1, Nrf2, HO-1 and NQO1 in testicular tissues ↑WB(206)
Ostrea rivularisCTX-induced miceImproving reproductive functionmRNA expressions of Nrf2, HO-1 and NQO1 in testis ↑; protein expressions of Keap1, Nrf2 and HO-1 in testis ↑WB and RT-PCR(43)
ChitosanpigletsGastrointestinal protectionProtein expression of Keap1 in ileum ↓; protein expression of Nrf2 in ileum ↑; mRNA expressions of GPX1, GPX2, SOD1, SOD2, CAT, Nrf2, NQO1 and HO-1 in ileum ↑WB and RT-PCR(207)
Bacillus megateriumH2O2-induced WI38 cellsLung protectionCytosol: protein expressions of Keap1 and Nrf2 ↑; Nuclear: protein expressions of Keap1 and Nrf2 ↓; Nuclear translocation of Nrf2 ↓WB and IF(38)
A549 cellsAnti-cancerProtein expressions of cytosol Keap1 and Nrf2 ↓; protein expressions of nuclear Keap1 and Nrf2 ↑WB and IF(53)

Regulation of NPs from animals and bacteria on Nrf2 antioxidant pathway for health-promoting effects.

Polysaccharides from Bacillus megaterium could regulate Nrf2 antioxidant pathway for lung protection (38) and anti-cancer (53), as listed in Table 5. Cell experiments have demonstrated that this polysaccharide exerted lung protection on H2O2-induced WI38 cells by enhancing protein expressions of cytosol Keap1 and cytosol Nrf2, and suppressing protein expressions of nuclear Keap1 and Nrf2 as well as nuclear translocation of Nrf2 (38). Meanwhile, the polysaccharide exhibited anti-cancer effect on A549 cells through increasing protein expressions of cytosol Keap1 and Nrf2, and decreasing protein expressions of nuclear Keap1 and Nrf2 (53).

With above analyses, regulations of NPs on Nrf2 antioxidant pathway in health-promoting effects in vitro and in vivo can be summarized in Figures 2, 3, respectively.

FIGURE 2

FIGURE 2

Regulations of NPs on Nrf2 antioxidant pathway in health-promoting effects in vitro.

FIGURE 3

FIGURE 3

Regulations of NPs on Nrf2 antioxidant pathway in health-promoting effects in vivo.

Structure-activity relationship of NPs for health-promoting effects by regulating Nrf2 antioxidant pathway

Structure-activity relationship of NPs for health-promoting effects by regulating Nrf2 antioxidant pathway is unclear. However, the influences of Mw, functional group, monosaccharide composition and side chains on the efficacies of NPs in regulating Nrf2 antioxidant pathway could be preliminarily discussed.

Influence of Mw

There might be two different standpoints concerning the influence of Mw on the regulation of NPs to Nrf2 antioxidant pathway. One standpoint is that polysaccharide with higher Mw generated stronger regulation on Nrf2 antioxidant pathway in vitro and in vivo. Polysaccharide (AZP-1a) with higher Mw (34.1 kDa) from Anoectochilus zhejiangensis exhibited better protection on CCl4-treated HepG2 cells than that (AZP-1d) with lower Mw (4.568 kDa). And, the former enhanced more protein expressions of Nrf2, HO-1 and NQO1 in HepG2 cells (70). Jing et al. (85) have obtained five fractions (PS-1, 14.561 kDa; PS-2, 19.783 kDa; PS-3, 4.973 kDa; PS-4, 15.928 kDa; PS-5, 7.046 kDa) from Athyrium Multidentatum and evaluated theirs cytoprotective activities against H2O2-induced HUVECs. Results indicated that the two higher Mw fractions (PS-2 and PS-4) possessed relatively higher cytoprotections and caused more mRNA expressions of Nrf2 and HO-1 than other three lower Mw fractions. Polysaccharide (PNP40c-1) with higher Mw (206 kDa) from pine nut exerted stronger hepatoprotection against CCl4-induced liver damage in mice and up-regulated more mRNA expressions of Nrf2 and HO-1 in the liver than that (PNP80b-2) with lower Mw (23.0 kDa) (87, 90). Two purified polysaccharides (RGP-1-A and RGP-2-A) were obtained from Rehmannia glutinosa after decolorization using AB-8 macroporous resin and H2O2 respectively, and their Mw values were 18.964 and 3.305 kDa. RGP-1-A showed significantly higher antioxidant capacity on H2O2-induced IPEC-1 cells and caused more up-regulation on mRNA expressions of Nrf2, HO-1 and NQO1 and less Keap1 mRNA expression (208).

Another standpoint is that polysaccharide with lower Mw caused stronger regulation on Nrf2 antioxidant pathway in vitro and in vivo. Polysaccharide (TOP-2) with smaller Mw (<1 kDa) from Taraxacum officinale elevated more protein expressions of Nrf2 and HO-1 than that (TOP-1) with larger Mw (1–9.3 kDa) in LPS-induced RAW264.7 cells, although TOP-2 and TOP-1 had no significance in protecting RAW264.7 cells (132). Polysaccharide (DRP1) with lower Mw (5.695 kDa) from Dandelion root reflected better hepatoprotection on CCl4-induced liver injury in mice than that (DRP2) with higher Mw (8.882 kDa). Meanwhile, DRP1 increased relatively more mRNA expressions of Nrf2 and NQO1 while decreased more mRNA expression of Keap1 in the liver than DRP2 (57). Polysaccharide (FWBP, 21.19 kDa) from fermented wheat bran has been shown to be more effectiveness in positively regulating gut antioxidant-associated gene expression and gut microbiota in zebrafish than that (WBP, 52.03 kDa) from wheat bran. At the same time, FWBP produced more mRNA expressions of CAT, GST, and Nrf2 along with less GPX-3 mRNA expression than than WBP in zebrafish (162). Two different polysaccharides (CPSP-1, 13.1 kDa; CTSP-1, 23.0 kDa) have been obtained from stems of Codonopsis pilosula and Codonopsis tangshen, respectively (66). CPSP-1 showed higher protective effect on H2O2-induced IPEC-J2 cells and had a better promotion on GPXs and SOD1 expressions than CTSP-1. Meanwhile, a polysaccharide (CPP-1) with Mw of 21.0 kDa from Codonopsis pilosula roots showed stronger protection on H2O2-induced IPEC-J2 cells and regulation on Nrf2 antioxidant pathway than that (CTP-1) with Mw of 29.5 kDa from Codonopsis tangshen roots (55).

However, polysaccharide with moderate Mw might be more beneficial to regulate Nrf2 antioxidant pathway. For example, Han et al. (60) have investigated the repair effects of three Astragalus polysaccharides (APS0, APS1, and APS2) with different Mw (11.03, 4.72, and 2.61 KDa) against oxalate-induced HK-2 cells. The findings displayed that APS1 with the moderate Mw provided the strongest repair effect and increased the most protein expressions of Keap1, Nrf2, SOD1, and CAT.

Influence of functional group

Selenization, sulfuration, and acetylation modifications could improve the regulation of NPs on Nrf2 antioxidant pathway, owing to new functional groups have been brought in. Selenizing Codonopsis pilosula polysaccharides (sCPPS5) caused significantly stronger protective effect on H2O2-induced RAW264.7 cells and more increases in protein expressions of Nrf2, HO-1, NQO1, GCLM, and GCLC and declination in Keap1 protein expression than unmodified polysaccharide (CPPS) (131). Selenizing Astragalus polysaccharides (sAPS) exhibited markedly higher protection against CCl4-induced liver injury in rats and up-regulated more mRNA expression levels of GPX1, SOD1 and Nrf2 in the liver than the native one (APS) (150). On the other hand, sulfated Cyclocarya paliurus polysaccharide (S-CPP0.05) showed stronger antioxidant activity to H2O2-induced DCs and generated more increment in Nrf2 protein expression and reduction in Keap1 protein expression in DCs, as compared with the native one (CPP0.05) (96). At the dosages of 100 and 200 mg/kg, sulfated Codonopsis polysaccharide (SCP) produced better hepatoprotective effect on liver in ethanol-induced mice and more decreases in mRNA expressions of Nrf2 and Keap1 than the native one (CP) in the liver (164). Otherwise, acetylated Cyclocarya paliurus polysaccharide (Ac-CPP0.1) generated higher cytoprotection on H2O2-induced DCs and improved more mRNA expressions of SOD1, GPX1, CAT, HO-1, and NQO1 than the native one (CPP0.1) (72). Acetylated Stropharia rugoso-annulata polysaccharides (ASRP) exhibited better action in alleviating non-alcoholic fatty liver in HFD-induced mice and caused more HO-1 protein expression and less Keap1 protein expression in liver tissues (209).

Influence of monosaccharide composition

Natural polysaccharides with higher GalA or GlcA may cause better regulation effect on Nrf2 antioxidant pathway. Two polysaccharides (CPSP-1 and CTSP-1) gained from stems of Codonopsis pilosula and Codonopsis tangshen were determined to contain GalA of 70.1 and 61.3%, respectively. The former was proven to have better protective action on H2O2-induced IPEC-J2 cells and regulation effect on Nrf2 antioxidant pathway (66). Five fractions (PS-1, PS-2, PS-3, PS-4, and PS-4) from Athyrium multidentatum were characterized to contain GlcA content with an order as PS-1 < PS-5 < PS-4 < PS-2 < PS-3 (85). PS-1 showed the lowest cytoprotection on H2O2-induced HUVECs cells and regulation on mRNA expressions of Nrf2 and HO-1. Two purified polysaccharides (RGP-1-A and RGP-2-A) obtained from Rehmannia glutinosa were determined to have GalA contents of 19.02 and 1.1%. RGP-1-A showed significantly better cytoprotection on H2O2-induced IPEC-1 cells and caused observably more increments in mRNA expressions of Nrf2, HO-1 and NQO1 and reduction in Keap1 mRNA expression (208).

On the other hand, higher contents of Ara, Gal, and Rha may have greater regulation effect on Nrf2 antioxidant pathway. The polysaccharides (CPP-1 and CTP-1) from roots of Codonopsis pilosula and Codonopsis tangshen contained Ara+Gal+Rha contents of 41.1 and 39%, respectively. CPP-1 revealed relatively protection on H2O2-induced IPEC-J2 cells and greater regulation on Nrf2 antioxidant pathway (55). Meanwhile, the above-mentioned PS-1 with smallest Ara+Gal+Rha contents showed the lowest cytoprotection on H2O2-induced HUVECs cells and regulation on mRNA expressions of Nrf2 and HO-1, as compared with PS-2, PS-3, PS-4, and PS-5 (85).

Influence of side chains

Shorter AG side chains of NPs can be more effective in promoting Nrf2 antioxidant pathway. A polysaccharide (CPSP-1) with AG-II chains acquired from Codonopsis pilosula stems showed stronger protective effect on H2O2-induced IPEC-J2 cells and promotion on Nrf2 antioxidant pathway than that (CTSP-1) with AG-I and AG-II chains from Codonopsis tangshen stems (66). Moreover, CPP-1 with shorter AG-I chains from Codonopsis pilosula roots revealed better protection on H2O2-induced IPEC-J2 cells and regulation on Nrf2 antioxidant pathway than CTP-1 with longer AG-I chains from Codonopsis tangshen roots (55).

Conclusions and prospects

This review summarizes that NPs from natural sources can regulate Nrf2 antioxidant pathway to exert a wide spectrum of health-promoting effects in vitro and in vivo, such as liver protection, kidney protection, lung protection, neuroprotection, cardioprotection, gastrointestinal protection, anti-oxidation, anti-diabetic, anti-aging, anti-inflammation, anti-radiation, anti-depression, anti-cancer, anti-atherosclerosis, immunomodulation, and improving reproductive function. Moreover, some factors like Keap1, Nrf2, HO-1, NQO1, GCLC, GCLM, γ-GCL, γ-GCS, γ-GCSc, Mn-SOD, SODs, GPXs, CAT, GST, Gstm1, Gstt1, and PGC-1α in Nrf2 antioxidant pathway are modulated in the frequently seen in vitro health-promoting effects (liver protection, kidney protection, lung protection, cardioprotection, gastrointestinal protection, anti-oxidation, anti-diabetic and anti-aging) of NPs (Figure 2). Meanwhile, Keap1, Nrf2, HO-1, NQO1, GCLC, GCLM, γ-GCS, Cu/Zn-SOD, Mn-SOD, SODs, GPXs, GR, CAT, GSTs, NOX2, NOX4, TrxR1, Slc7a11, G6pd2, Prdx1, PGC-1α, MKP1, and p22/47/67phox are regulated in these in vivo health-promoting effects (Figure 3). On the other hand, NPs having regulation on Nrf2 antioxidant pathway can be widely acquired by water extraction and column chromatography methods. Mw of obtained NPs ranges from 1.206 to 3440 kDa, and Fuc, Rha, Ara, Gal, Glc, and/or Man are widely discovered in them. A variety of structures, like pectin, arabinogalactan, 2-O-acetylglucomannan, glucan, and glucogalactan, have been determined in NPs which having regulation on Nrf2 antioxidant pathway. NPs are frequently composed of T-Araf-(1→, →5)-Araf-(1→, →3)-Galp-(1→, →6)-Galp-(1→, →3,4)-Galp-(1→, →3,6)-Galp-(1→, T-Glcp-(1→, →3)-Glcp-(1→, →4)-Glcp-(1→, →6)-Glcp-(1→ and →4)-GalAp-(1→ residues. And →4)-Glcp-(1→, →6)-Glcp-(1→, →3)-Galp-(1→ and →4)-D-Manp-(1→ residues are commonly distributed in their backbones. Noteworthily, structural features of NPs are different owing to different methods and protocols used in extraction and purification processes, thereby structural features included Mw, functional group, monosaccharide composition and side chains have influences on the efficacies of NPs in regulating Nrf2 antioxidant pathway.

Although many studies have disclosed the regulation of NPs on Nrf2 antioxidant pathway, there are still some problems should be explored in future: (i) compared with NPs from herbs and woody plants, less researches have been conducted to the regulative effects of NPs from algae, fungi, animals, and bacteria on Nrf2 antioxidant pathway; (ii) existing evidences are inadequate to establish structure-activity relationship for regulation of NPs on Nrf2 antioxidant pathway in their health-promoting effects; (iii) clinical research on the regulation of NPs on Nrf2 antioxidant pathway is scarce, and regulation of NPs on Nrf2 antioxidant pathway is rarely reported in some health-promoting effects; (iv) Nrf2 antioxidant pathway is activated by NPs in most cases, whilst it is inhibited by NPs in several health-promoting effects like anti-cancer. However, there is few information concerning the classification of NPs as activators and inhibitors; (v) as shown in Tables 1–5, regulation of NPs on Nrf2 antioxidant pathway has been determined by WB, RT-PCR, RT-qPCR, IHC, IF, ChIP, EMSA, and ELISA as well as assay kits. However, Nrf2 antioxidant pathway is a complex network and it has some relations with other pathways. Thus, proteomics, transcriptomics and other methods can be used to explore the regulation of NPs on Nrf2 antioxidant pathway; (vi) there are many genes like PI3K, JNK, ERK, and AKT can regulate Nrf2 antioxidant pathway (10), the effects of NPs on these genes should also be explored; (vii) which procedure is more suitable for preparing NPs with regulation on Nrf2 antioxidant pathway, and which structure has the stronger regulation, cannot be concluded.

Statements

Author contributions

J-HL and JL: investigation, writing—original draft, and visualization. Z-CS, X-FL, and Y-FW: investigation. E-SG: writing—review and editing. QZ: project administration and funding acquisition. X-YW: writing—review and editing, supervision, project administration, and funding acquisition. All authors contributed to the article and approved the submitted version.

Funding

This work was financially supported by Jiangxi Provincial Natural Science Foundation (20202BABL216081); the Open Project Program of State Key Laboratory of Food Science and Technology, Nanchang University (SKLF-KF-202212); the Open Project of Key Laboratory of Prevention and treatment of cardiovascular and cerebrovascular diseases, Ministry of Education (XN202001); and University-Level Scientific Research Projects of Gannan Medical University (QD201913, 201107, and QD202128).

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Supplementary material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fnut.2023.1102146/full#supplementary-material

Abbreviations

p-Nrf2, phosphorylated nuclear factor-erythroid factor 2-related factor 2; Cd, cadmium; Cr, chromium; Pb, plumbum; Mn, manganese; Zn, zinc; Cu, cuprum; HO-1, heme oxygenase-1; NQO1, NAD(P)H quinone dehydrogenase 1; GCLC, glutamate-cysteine ligase catalytic subunit; GCLM, glutamate-cysteine ligase modifier subunit; PGC-1α, peroxisome proliferator-activated receptor-gamma coactivator 1-alpha; SOD, superoxide dismutase; Cu/Zn-SOD, copper, zinc superoxide dismutase; Mn-SOD, manganese superoxide dismutase; CAT, catalase; GST, glutathione S-transferase; GSTP1, glutathione S-transferases P1; GSTT1, glutathione S-transferase theta 1; GSTO1, glutathione S-transferase omega 1; GSTA3, glutathione S-transferase alpha 3; GPX, glutathione peroxidase; ADM, adipogenesis differentiation medium; ODM, osteogenesis differentiation medium; AKR1C2, Aldo-keto reductase family 1 member C2; APOE, Apolipoprotein E; HBEGF, heparin binding EGF like growth factor; DSS, dextran sodium sulfate; H2O2, hydrogen peroxide; CCl4, carbon tetrachloride; PMVECs, pulmonary microvascular endothelial cells; CoCl2, carbonyl chloride; MPTP, 1-methyl-4-phenyl-1,2.3,6-tetrahydropyridine; γ-GCS, γ-glutamylcysteine synthetase; MNNG, N-Methyl-N’-nitro-N-nitrosoguanidine; TrxR1, thioredoxin reductase 1; STZ, streptozotocin; NOX2, nicotinamideadenine-dinucleotide phosphate (NADPH) oxidase 2; NOX4, NADPH oxidase 4; LPS, lipopolysaccharides; CUMS, chronic unpredictable mild stress; CTX, cyclophosphamide; Maf, musculoaponeurotic fibrosarcoma oncogene homolog; γ-GCL, γ-glutamylcysteine ligase; GR, glucocorticoid receptor; MKP1, mitogen-activated protein kinase phosphatase 1; AAPH, 2, 2’-azo-bis-(2-methylpropylimid)-dihydrochloride; TXN, thioredoxin; Slc7a11, solute carrier family 7 member 11; G6pd2, glucose-6-phosphate dehydrogenase 2; Prdx1, peroxiredoxin 1; ox-LDL, oxidized low-density lipoprotein; VSMCs, vascular smooth muscle cells; DCs, dendritic cells.

References

  • 1.

    FormanHJZhangHQ. Targeting oxidative stress in disease: promise and limitations of antioxidant therapy.Nat Rev Drug Discov. (2021) 20:689–709. 10.1038/s41573-021-00233-1

  • 2.

    ZengXLYuJJZengTHLiuYLiB. 3’-daidzein sulfonate protects myocardial cells from hypoxic-ischemic injury via the NRF2/HO-1 signaling pathway.J Thorac Dis. (2021) 13:6897. 10.21037/jtd-21-1909

  • 3.

    HannanMADashRSohagAAHaqueMNMoonIS. Neuroprotection against oxidative stress: phytochemicals targeting TrkB signaling and the Nrf2-ARE antioxidant system.Front Mol Neurosci. (2020) 13:116. 10.3389/fnmol.2020.00116

  • 4.

    BellezzaI. Oxidative stress in age-related macular degeneration: Nrf2 as therapeutic target.Front Pharmacol. (2018) 9:1280. 10.3389/fphar.2018.01280

  • 5.

    YanakaA. Role of NRF2 in protection of the gastrointestinal tract against oxidative stress.J. Clin. Biochem Nutr. (2018) 63:18–25. 10.3164/jcbn.17-139

  • 6.

    NezuMSuzukiN. Roles of Nrf2 in protecting the kidney from oxidative damage.Int J Mol Sci. (2020) 21:2951. 10.3390/ijms21082951

  • 7.

    TonelliCChioIITuvesonDA. Transcriptional regulation by Nrf2.Antioxid Redox Sign. (2018) 29:1727–45. 10.1089/ars.2017.7342

  • 8.

    HeFRuXLWenT. NRF2, a transcription factor for stress response and beyond.Int J Mol Sci. (2020) 21:4777. 10.3390/ijms21134777

  • 9.

    GugliandoloABramantiPMazzonE. Activation of Nrf2 by natural bioactive compounds: a promising approach for stroke?Int J Mol Sci. (2020) 21:4875. 10.3390/ijms21144875

  • 10.

    ZhaoFJCiXXManXXLiJJWeiZTZhangSL. Food-derived pharmacological modulators of the Nrf2/ARE pathway: their role in the treatment of diseases.Molecules. (2021) 26:1016. 10.3390/molecules26041016

  • 11.

    LuXChenJHGuoZBZhengYFReaMCSuHet alUsing polysaccharides for the enhancement of functionality of foods: a review.Trends Food Sci Technol. (2019) 86:311–27.

  • 12.

    YangXLiAQLiXXSunLJGuoYR. An overview of classifications, properties of food polysaccharides and their links to applications in improving food textures.Trends Food Sci Technol. (2020) 102:1–15.

  • 13.

    ChenXXWangYKShenMYYuQChenYHuangLXet alThe water-soluble non-starch polysaccharides from natural resources against excessive oxidative stress: a potential health-promoting effect and its mechanisms.Int J Biol Macromol. (2021) 171:320–30. 10.1016/j.ijbiomac.2021.01.022

  • 14.

    LiuHSZhouMYZhangXLiYLKongJWGaoXet alSagittaria sagittifolia polysaccharide protects against six-heavy-metal-induced hepatic injury associated with the activation of Nrf2 pathway to regulate oxidative stress and apoptosis.J Inorg Biochem. (2022) 232:111810. 10.1016/j.jinorgbio.2022.111810

  • 15.

    YuZZhaoLZhaoJLXuWXGuoZHZhangAZet alDietary Taraxacum mongolicum polysaccharide ameliorates the growth, immune response, and antioxidant status in association with NF-κB, Nrf2 and TOR in Jian carp (Cyprinus carpio var. Jian).Aquaculture. (2022) 547:737522.

  • 16.

    WangYJLiQMZhaXQLuoJP. Dendrobium fimbriatum Hook polysaccharide ameliorates dextran-sodium-sulfate-induced colitis in mice via improving intestinal barrier function, modulating intestinal microbiota, and reducing oxidative stress and inflammatory responses.Food Funct. (2022) 13:143–60. 10.1039/d1fo03003e

  • 17.

    LuXXQinLGuoMGengJJDongSTWangKet alA novel alginate from Sargassum seaweed promotes diabetic wound healing by regulating oxidative stress and angiogenesis.Carbohydr Polym. (2022) 289:119437. 10.1016/j.carbpol.2022.119437

  • 18.

    ChuWHWangPMaZPengLWangZMChenZL. Ultrasonic treatment of Dendrobium officinale polysaccharide enhances antioxidant and anti-inflammatory activity in a mouse D-galactose-induced aging model.Food Sci Nutr. (2022) 10:2620–30. 10.1002/fsn3.2867

  • 19.

    PanHNiuLWuYHChenLYZhouXWZhaoY. Lycium barbarum polysaccharide protects rats and cardiomyocytes against ischemia/reperfusion injury via Nrf2 activation through autophagy inhibition.Mol Med Report. (2021) 24:1–14. 10.3892/mmr.2021.12418

  • 20.

    WenYFXiaoHYLiuYYangYQWangYMXuSJet alPolysaccharides from Dendrobium officinale ameliorate colitis-induced lung injury via inhibiting inflammation and oxidative stress.Chem Biol Interact. (2021) 347:109615. 10.1016/j.cbi.2021.109615

  • 21.

    WangXLiuWJinGZWuZJZhangDBaoYZet alSalvia miltiorrhiza polysaccharides alleviates florfenicol induced kidney injury in chicks via inhibiting oxidative stress and apoptosis.Ecotoxicol Environ Saf. (2022) 233:113339. 10.1016/j.ecoenv.2022.113339

  • 22.

    HuangSYuanHYLiWQLiuXYZhangXJXiangDXet alPolygonatum sibiricum polysaccharides protect against MPP-induced neurotoxicity via the Akt/mTOR and Nrf2 pathways.Oxid Med Cell Longev. (2021) 2021:8843899. 10.1155/2021/8843899

  • 23.

    XiongGFLiDWZhengMBLiuSC. The effects of Lycium barbarum polysaccharide (LBP) in a mouse model of cerulein-induced acute pancreatitis.Med Sci Monit. (2019) 25:3880. 10.12659/MSM.913820

  • 24.

    GuoYBalasubramanianBZhaoZHLiuWC. Marine algal polysaccharides alleviate aflatoxin B1-induced bursa of Fabricius injury by regulating redox and apoptotic signaling pathway in broilers.Poult Sci. (2021) 100:844–57. 10.1016/j.psj.2020.10.050

  • 25.

    ShenFMXiePLiCTBianZJWangXCPengDYet alPolysaccharides from Polygonatum cyrtonema hua reduce depression-like behavior in mice by inhibiting oxidative stress-calpain-1-NLRP3 signaling axis.Oxid Med Cell Longev. (2022) 2022:2566917. 10.1155/2022/2566917

  • 26.

    ShiauJPChuangYTYangKHChangFRSheuJHHouMFet alBrown algae-derived fucoidan exerts oxidative stress-dependent antiproliferation on oral cancer cells.Antioxidants. (2022) 11:841. 10.3390/antiox11050841

  • 27.

    DingXGeBJWangMZhouHYSangRYuYFet alInonotus obliquus polysaccharide ameliorates impaired reproductive function caused by Toxoplasma gondii infection in male mice via regulating Nrf2-PI3K/AKT pathway.Int J Biol Macromol. (2020) 151:449–58. 10.1016/j.ijbiomac.2020.02.178

  • 28.

    LiangBHPengLQLiRXLiHPMoZYDaiXYet alLycium barbarum polysaccharide protects HSF cells against ultraviolet-induced damage through the activation of Nrf2.Cell Mol Biol Lett. (2018) 23:1–13. 10.1186/s11658-018-0084-2

  • 29.

    ZhaoJMNiuXYYuJJXiaoXLiWQZangLLet alPoria cocos polysaccharides attenuated ox-LDL-induced inflammation and oxidative stress via ERK activated Nrf2/HO-1 signaling pathway and inhibited foam cell formation in VSMCs.Int Immunopharmacol. (2020) 80:106173. 10.1016/j.intimp.2019.106173

  • 30.

    LiuHFFangYKLiYFMaLKWangQXiaoGSet alCharacterization of PCS-2A, a polysaccharide derived from chestnut shell, and its protective effects against H2O2-induced liver injury in hybrid grouper.Int J Biol Macromol. (2021) 193:814–22. 10.1016/j.ijbiomac.2021.10.185

  • 31.

    GuoFCZhuangXYHanMYLinWT. Polysaccharides from Enteromorpha prolifera protect against carbon tetrachloride-induced acute liver injury in mice via activation of Nrf2/HO-1 signaling, and suppression of oxidative stress, inflammation and apoptosis.Food Funct. (2020) 11:4485–98. 10.1039/d0fo00575d

  • 32.

    CaiZNLiWMehmoodSPanWJWangYMengFJet alStructural characterization, in vitro and in vivo antioxidant activities of a heteropolysaccharide from the fruiting bodies of Morchella esculenta.Carbohydr Polym. (2018) 195:29–38. 10.1016/j.carbpol.2018.04.069

  • 33.

    LiWCaiZNMehmoodSWangYPanWJZhangWNet alPolysaccharide FMP-1 from Morchella esculenta attenuates cellular oxidative damage in human alveolar epithelial A549 cells through PI3K/AKT/Nrf2/HO-1 pathway.Int J Biol Macromol. (2018) 120:865–75. 10.1016/j.ijbiomac.2018.08.148

  • 34.

    ZhengYWangWDLiY. Antitumor and immunomodulatory activity of polysaccharide isolated from Trametes orientalis.Carbohydr Polym. (2015) 131:248–54. 10.1016/j.carbpol.2015.05.074

  • 35.

    ZhengYFanJChenHWLiuEQ. Trametes orientalis polysaccharide alleviates PM 2.5-induced lung injury in mice through its antioxidant and anti-inflammatory activities.Food Funct. (2019) 10:8005–15. 10.1039/c9fo01777a

  • 36.

    JiangWHZhuHKXuWQLiuCHuBGuoYHet alEchinacea purpurea polysaccharide prepared by fractional precipitation prevents alcoholic liver injury in mice by protecting the intestinal barrier and regulating liver-related pathways.Int J Biol Macromol. (2021) 187:143–56. 10.1016/j.ijbiomac.2021.07.095

  • 37.

    ChowdhurySRBasakRKSenRAdhikariB. Production of extracellular polysaccharide by Bacillus megaterium RB-05 using jute as substrate.Bioresour Technol. (2011) 102:6629–32. 10.1016/j.biortech.2011.03.099

  • 38.

    Roy ChowdhurySSenguptaSBiswasSSinhaTKSenRBasakRKet alBacterial fucose-rich polysaccharide stabilizes MAPK-mediated Nrf2/Keap1 signaling by directly scavenging reactive oxygen species during hydrogen peroxide-induced apoptosis of human lung fibroblast cells.PLoS One. (2014) 9:e113663. 10.1371/journal.pone.0113663

  • 39.

    SongQYZhuZY. Using Cordyceps militaris extracellular polysaccharides to prevent Pb 2+-induced liver and kidney toxicity by activating Nrf2 signals and modulating gut microbiota.Food Funct. (2020) 11:9226–39. 10.1039/d0fo01608j

  • 40.

    LiuCHuaHYZhuHKChengYLGuoYHYaoWRet alAloe polysaccharides ameliorate acute colitis in mice via Nrf2/HO-1 signaling pathway and short-chain fatty acids metabolism.Int J Biol Macromol. (2021) 185:804–12. 10.1016/j.ijbiomac.2021.07.007

  • 41.

    ZhangKFXuQMGaoYCaoHKLianYYLiZMet alPolysaccharides from Dicliptera chinensis ameliorate liver disturbance by regulating TLR-4/NF−κB and AMPK/Nrf2 signalling pathways.J Cell Mol Med. (2020) 24:6397–409. 10.1111/jcmm.15286

  • 42.

    YangJFZhuBWZhengJSunLMZhouDYDongXPet alStimulation of lymphocyte proliferation by oyster glycogen sulfated at C-6 position.Carbohydr Polym. (2013) 94:301–8. 10.1016/j.carbpol.2013.01.057

  • 43.

    LiSJSongZYLiuTTLiangJYuanJXuZCet alPolysaccharide from Ostrea rivularis attenuates reproductive oxidative stress damage via activating Keap1-Nrf2/ARE pathway.Carbohydr Polym. (2018) 186:321–31. 10.1016/j.carbpol.2018.01.075

  • 44.

    WangLJayawardenaTUYangHWLeeHGKangMCSanjeewaKAet alIsolation, characterization, and antioxidant activity evaluation of a fucoidan from an enzymatic digest of the edible seaweed, Hizikia fusiforme.Antioxidants. (2020) 9:363. 10.3390/antiox9050363

  • 45.

    HuDWBaoTLuYSuHMKeHHChenW. Polysaccharide from mulberry fruit (Morus alba L.) protects against palmitic-acid-induced hepatocyte lipotoxicity by activating the Nrf2/ARE signaling pathway.J Agric Food Chem. (2019) 68:13016–24. 10.1021/acs.jafc.9b03335

  • 46.

    ChenWLuYHuDWMoJLNiJD. Black mulberry (Morus nigra L.) polysaccharide ameliorates palmitate-induced lipotoxicity in hepatocytes by activating Nrf2 signaling pathway.Int J Biol Macromol. (2021) 172:394–407. 10.1016/j.ijbiomac.2021.01.059

  • 47.

    LiXWangXHDongYSongRLWeiJYuAXet alPreparation, structural analysis, antioxidant and digestive enzymes inhibitory activities of polysaccharides from Thymus quinquecostatus Celak leaves.Ind Crop Prod. (2022) 175:114288.

  • 48.

    HuangCPengXPangDJLiJPaulsenBSRiseFet alPectic polysaccharide from Nelumbo nucifera leaves promotes intestinal antioxidant defense in vitro and in vivo.Food Funct. (2021) 12:10828–41. 10.1039/d1fo02354c

  • 49.

    ZhangYPanXLRanSQWangKP. Purification, structural elucidation and anti-inflammatory activity in vitro of polysaccharides from Smilax china L.Int J Biol Macromol. (2019) 139:233–43. 10.1016/j.ijbiomac.2019.07.209

  • 50.

    WangKPYangLLZhouJPanXLHeZHLiuJXet alSmilax china L. polysaccharide alleviates oxidative stress and protects from acetaminophen-induced hepatotoxicity via activating the Nrf2-ARE pathway.Front Pharmacol. (2022) 13:888560. 10.3389/fphar.2022.888560

  • 51.

    MengMChengDHanLRChenYYWangCL. Isolation, purification, structural analysis and immunostimulatory activity of water-soluble polysaccharides from Grifola frondosa fruiting body.Carbohydr Polym. (2017) 157:1134–43. 10.1016/j.carbpol.2016.10.082

  • 52.

    MengMZhangRHanRKongYWangRHHouLH. The polysaccharides from the Grifola frondosa fruiting body prevent lipopolysaccharide/D-galactosamine-induced acute liver injury via the miR-122-Nrf2/ARE pathways.Food Funct. (2021) 12:1973–82. 10.1039/d0fo03327h

  • 53.

    ChowdhurySRSenguptaSBiswasSSenRSinhaTKBasakRKet alLow fucose containing bacterial polysaccharide facilitate mitochondria-dependent ROS-induced apoptosis of human lung epithelial carcinoma via controlled regulation of MAPKs-mediated Nrf2/Keap1 homeostasis signaling.Mol Carcinog. (2015) 54:1636–55. 10.1002/mc.22236

  • 54.

    WangCXZhengLYLiuSNGuoXXQuYGaoMJet alA novel acidic polysaccharide from the residue of Panax notoginseng and its hepatoprotective effect on alcoholic liver damage in mice.Int J Biol Macromol. (2020) 149:1084–97. 10.1016/j.ijbiomac.2020.02.034

  • 55.

    ZouYFZhangYYPaulsenBSRiseFChenZLJiaRYet alNew pectic polysaccharides from Codonopsis pilosula and Codonopsis tangshen: structural characterization and cellular antioxidant activities.J Sci Food Agric. (2021) 101:6043–52. 10.1002/jsfa.11261

  • 56.

    ChenXQianLWangBJZhangZJLiuHZhangYNet alSynergistic hypoglycemic effects of pumpkin polysaccharides and puerarin on type II diabetes mellitus mice.Molecules. (2019) 24:955. 10.3390/molecules24050955

  • 57.

    CaiLLWanDWYiFLLuanLB. Purification, preliminary characterization and hepatoprotective effects of polysaccharides from dandelion root.Molecules. (2017) 22:1409. 10.3390/molecules22091409

  • 58.

    ZhangYDWangHLZhangLYuanYYuDH. Codonopsis lanceolata polysaccharide CLPS alleviates high fat/high sucrose diet-induced insulin resistance via anti-oxidative stress.Int J Biol Macromol. (2020) 145:944–9. 10.1016/j.ijbiomac.2019.09.185

  • 59.

    ShenRLiuDSHouCCLiuDZhaoLXChengJet alProtective effect of Potentilla anserina polysaccharide on cadmium-induced nephrotoxicity in vitro and in vivo.Food Funct. (2017) 8:3636–46. 10.1039/c7fo00495h

  • 60.

    HanJGuoDSunXYWangJMOuyangJMGuiBS. Repair effects of astragalus polysaccharides with different molecular weights on oxidatively damaged HK-2 cells.Sci Rep. (2019) 9:1–15. 10.1038/s41598-019-46264-y

  • 61.

    WenZSXueRDuMTangZXiangXWZhengBet alHemp seed polysaccharides protect intestinal epithelial cells from hydrogen peroxide-induced oxidative stress.Int J Biol Macromol. (2019) 135:203–11. 10.1016/j.ijbiomac.2019.05.082

  • 62.

    ZouYFChenMSFuYPZhuZKZhangYYPaulsenBSet alCharacterization of an antioxidant pectic polysaccharide from Platycodon grandiflorus.Int J Biol Macromol. (2021) 175:473–80. 10.1016/j.ijbiomac.2021.02.041

  • 63.

    HuaYFZhangMFuCXChenZHChanGY. Structural characterization of a 2-O-acetylglucomannan from Dendrobium officinale stem.Carbohydr Res. (2004) 339:2219–24. 10.1016/j.carres.2004.05.034

  • 64.

    PengQSongJJLvXPWangZFHuangLJDuYG. Structural characterization of an arabinogalactan-protein from the fruits of Lycium ruthenicum.J Agric Food Chem. (2012) 60:9424–9. 10.1021/jf302619c

  • 65.

    DengKWLiYLXiaoMWangFHZhouPZhangWet alLycium ruthenicum Murr polysaccharide protects cortical neurons against oxygen-glucose deprivation/reperfusion in neonatal hypoxic-ischemic encephalopathy.Int J Biol Macromol. (2020) 158:562–8. 10.1016/j.ijbiomac.2020.04.122

  • 66.

    ZouYFZhangYYPaulsenBSRiseFChenZLJiaRYet alStructural features of pectic polysaccharides from stems of two species of radix codonopsis and their antioxidant activities.Int J Biol Macromol. (2020) 159:704–13. 10.1016/j.ijbiomac.2020.05.083

  • 67.

    LiangJChenSXHuYDYangYQYuanJWuYFet alProtective roles and mechanisms of Dendrobium officinal polysaccharides on secondary liver injury in acute colitis.Int J Biol Macromol. (2018) 107:2201–10. 10.1016/j.ijbiomac.2017.10.085

  • 68.

    LiangJWuYFYuanHYangYQXiongQPLiangCYet alDendrobium officinale polysaccharides attenuate learning and memory disabilities via anti-oxidant and anti-inflammatory actions.Int J Biol Macromol. (2019) 126:414–26. 10.1016/j.ijbiomac.2018.12.230

  • 69.

    ChuQZhangSYuLSLiYLLiuYYYeXet alApios americana Medikus tuber polysaccharide exerts anti-inflammatory effects by activating autophagy.Int J Biol Macromol. (2019) 130:892–902. 10.1016/j.ijbiomac.2019.03.012

  • 70.

    WuYBLiuCJiangYQBaiBKHeXHWangHRet alStructural characterization and hepatoprotective effects of polysaccharides from Anoectochilus zhejiangensis.Int J Biol Macromol. (2022) 198:111–8. 10.1016/j.ijbiomac.2021.12.128

  • 71.

    ChuQJiaRYChenMLiYLYuXWangYXet alTetrastigma hemsleyanum tubers polysaccharide ameliorates LPS-induced inflammation in macrophages and Caenorhabditis elegans.Int J Biol Macromol. (2019) 141:611–21. 10.1016/j.ijbiomac.2019.09.039

  • 72.

    MengZYiHEnLJQiAYeXMXiangLet alStructural characterization and antioxidant activity of an acetylated Cyclocarya paliurus polysaccharide (Ac-CPP0. 1).Int J Biol Macromol. (2021) 171:112–22. 10.1016/j.ijbiomac.2020.12.201

  • 73.

    WuMBWuYLZhouJPanYJ. Structural characterisation of a water-soluble polysaccharide with high branches from the leaves of Taxus chinensis var. mairei.Food Chem. (2009) 113:1020–4.

  • 74.

    ZhangSWLiLLHuJTMaPZhuHM. Polysaccharide of Taxus chinensis var. mairei Cheng et LK Fu attenuates neurotoxicity and cognitive dysfunction in mice with Alzheimer’s disease.Pharm Biol. (2020) 58:959–68. 10.1080/13880209.2020.1817102

  • 75.

    KimWSKimYEChoEJByunEBParkWYSongHYet alNeuroprotective effect of Annona muricata-derived polysaccharides in neuronal HT22 cell damage induced by hydrogen peroxide.Biosci Biotechnol Biochem. (2020) 84:1001–12. 10.1080/09168451.2020.1715201

  • 76.

    ZhaoYCLiuXLZhengYNLiuWCDingCB. Aronia melanocarpa polysaccharide ameliorates inflammation and aging in mice by modulating the AMPK/SIRT1/NF-κB signaling pathway and gut microbiota.Sci Rep. (2021) 11:1–15. 10.1038/s41598-021-00071-6

  • 77.

    YangYNDingZHZhongRXXiaTYWangWJZhaoHet alCardioprotective effects of a Fructus aurantii polysaccharide in isoproterenol-induced myocardial ischemic rats.Int J Biol Macromol. (2020) 155:995–1002. 10.1016/j.ijbiomac.2019.11.063

  • 78.

    ShuZPYangYNDingZHWangWJZhongRXXiaTYet alStructural characterization and cardioprotective activity of a novel polysaccharide from Fructus aurantii.Int J Biol Macromol. (2020) 144:847–56. 10.1016/j.ijbiomac.2019.09.162

  • 79.

    HuYYYinFWLiuZYXieHKXuYSZhouDYet alAcerola polysaccharides ameliorate high-fat diet-induced non-alcoholic fatty liver disease through reduction of lipogenesis and improvement of mitochondrial functions in mice.Food Funct. (2020) 11:1037–48. 10.1039/c9fo01611b

  • 80.

    YueYWuSCZhangHFZhangXYNiuYHCaoXQet alCharacterization and hepatoprotective effect of polysaccharides from Ziziphus jujuba Mill. var. spinosa (Bunge) Hu ex HF Chou sarcocarp.Food Chem Toxicol. (2014) 74:76–84. 10.1016/j.fct.2014.09.006

  • 81.

    YuanRSTaoXLiangSPanYHeLSunJHet alProtective effect of acidic polysaccharide from Schisandra chinensis on acute ethanol-induced liver injury through reducing CYP2E1-dependent oxidative stress.Biomed Pharmacother. (2018) 99:537–42. 10.1016/j.biopha.2018.01.079

  • 82.

    CheJYYangSQiaoZJLiHSunJHZhuangWYet alSchisandra chinensis acidic polysaccharide partialy reverses acetaminophen-induced liver injury in mice.J Pharmacol Sci. (2019) 140:248–54. 10.1016/j.jphs.2019.07.008

  • 83.

    ShanYYJiangBYuJHWangJYWangXLLiHet alProtective effect of Schisandra chinensis polysaccharides against the immunological liver injury in mice based on Nrf2/ARE and TLR4/NF-κ B signaling pathway.J Med Food. (2019) 22:885–95. 10.1089/jmf.2018.4377

  • 84.

    JingLJiangJRLiuDMShengJWZhangWFLiZJet alStructural characterization and antioxidant activity of polysaccharides from Athyrium multidentatum (Doll.) Ching in d-galactose-induced aging mice via PI3K/AKT pathway.Molecules. (2019) 24:3364. 10.3390/molecules24183364

  • 85.

    JingLShengJWJiangJRWangYShenXYLiuDMet alChemical characteristics and cytoprotective activities of polysaccharide fractions from Athyrium multidentatum (Doll.) Ching.Int J Biol Macromol. (2020) 158:1227–38. 10.1016/j.ijbiomac.2020.05.053

  • 86.

    ChuQJiaRYChenWLiuYYLiYLYeXet alPurified Tetrastigma hemsleyanum vines polysaccharide attenuates EC-induced toxicity in Caco-2 cells and Caenorhabditis elegans via DAF-16/FOXO pathway.Int J Biol Macromol. (2020) 150:1192–202. 10.1016/j.ijbiomac.2019.10.128

  • 87.

    QuHGaoXWangZYYiJJ. Comparative study on hepatoprotection of pine nut (Pinus koraiensis Sieb. et Zucc.) polysaccharide against different types of chemical-induced liver injury models in vivo.Int J Biol Macromol. (2020) 155:1050–9. 10.1016/j.ijbiomac.2019.11.069

  • 88.

    QuHGaoXChengCLZhaoHTWangZYYiJJ. Hepatoprotection mechanism against alcohol-induced liver injury in vivo and structural characterization of Pinus koraiensis pine nut polysaccharide.Int J Biol Macromol. (2020) 154:1007–21. 10.1016/j.ijbiomac.2020.03.168

  • 89.

    QuHGaoXZhaoHTWangZYYiJJ. Structural characterization and in vitro hepatoprotective activity of polysaccharide from pine nut (Pinus koraiensis Sieb. et Zucc.).Carbohydr Polym. (2019) 223:115056. 10.1016/j.carbpol.2019.115056

  • 90.

    QuHLiuSChengCLZhaoHTGaoXWangZYet alHepatoprotection of pine nut polysaccharide via NRF2/ARE/MKP1/JNK signaling pathways against carbon tetrachloride-induced liver injury in mice.Food Chem Toxicol. (2020) 142:111490. 10.1016/j.fct.2020.111490

  • 91.

    LiuJJWuYLWangYFWuXLLiYCGaoCJet alHepatoprotective effect of polysaccharide isolated from Sonneratia apetala fruits on acetaminophen-induced liver injury mice.J Funct Foods. (2021) 86:104685.

  • 92.

    WuQWLiuCZhangJNXiaoWYangFYuYet alSchisandra chinensis polysaccharide protects against cyclosporin A-induced liver injury by promoting hepatocyte proliferation.J Funct Foods. (2021) 87:104799.

  • 93.

    JinMYWangYXYangXBYinHNieSPWuXY. Structure characterization of a polysaccharide extracted from noni (Morinda citrifolia L.) and its protective effect against DSS-induced bowel disease in mice.Food Hydrocoll. (2019) 90:189–97.

  • 94.

    YangXBLinCRCaiSLiWZTangJWuXY. Therapeutic effects of noni fruit water extract and polysaccharide on oxidative stress and inflammation in mice under high-fat diet.Food Funct. (2020) 11:1133–45. 10.1039/c9fo01859j

  • 95.

    HanYOuyangKHLiJELiuXAnQZhaoMet alSulfated modification, characterization, immunomodulatory activities and mechanism of the polysaccharides from Cyclocarya paliurus on dendritic cells.Int J Biol Macromol. (2020) 159:108–16. 10.1016/j.ijbiomac.2020.04.265

  • 96.

    HanYZhaoMOuyangKHChenSZhangYLiuXet alSulfated modification, structures, antioxidant activities and mechanism of Cyclocarya paliurus polysaccharides protecting dendritic cells against oxidant stress.Ind Crop Prod. (2021) 164:113353.

  • 97.

    TianSSJiangXXTangYPHanT. Laminaria japonica fucoidan ameliorates cyclophosphamide-induced liver and kidney injury possibly by regulating Nrf2/HO-1 and TLR4/NF−κB signaling pathways.J Sci Food Agric. (2022) 102:2604–12. 10.1002/jsfa.11602

  • 98.

    ZhangLHaoJWZhengYSuRJLiaoYJGongXLet alFucoidan protects dopaminergic neurons by enhancing the mitochondrial function in a rotenone-induced rat model of Parkinson’s disease.Aging Dis. (2018) 9:590. 10.14336/AD.2017.0831

  • 99.

    ZhangYXuMHuCXLiuAMChenJJGuCFet alSargassum fusiforme fucoidan SP2 extends the lifespan of Drosophila melanogaster by upregulating the Nrf2-mediated antioxidant signaling pathway.Oxid Med Cell Longev. (2019) 2019:8918914. 10.1155/2019/8918914

  • 100.

    YuYLiYPDuCYMouHJWangP. Compositional and structural characteristics of sulfated polysaccharide from Enteromorpha prolifera.Carbohydr Polym. (2017) 165:221–8. 10.1016/j.carbpol.2017.02.011

  • 101.

    HuWJWangJGuoWYLiuYGGuoZAMiaoYGet alStudies on characteristics and anti-diabetic and-nephritic effects of polysaccharides isolated from Paecilomyces hepiali fermentation mycelium in db/db mice.Carbohydr Polym. (2020) 232:115766. 10.1016/j.carbpol.2019.115766

  • 102.

    CaoXYLiuDBiRCHeYLHeYLiuJL. The protective effects of a novel polysaccharide from Lentinus edodes mycelia on islet β (INS-1) cells damaged by glucose and its transportation mechanism with human serum albumin.Int J Biol Macromol. (2019) 134:344–53. 10.1016/j.ijbiomac.2019.05.033

  • 103.

    SongXLSunWXCuiWJJiaLZhangJJ. A polysaccharide of PFP-1 from Pleurotus geesteranus attenuates alcoholic liver diseases via Nrf2 and NF-κB signaling pathways.Food Funct. (2021) 12:4591–605. 10.1039/d1fo00310k

  • 104.

    XuLSangRYuYFLiJXGeBJZhangXM. The polysaccharide from Inonotus obliquus protects mice from Toxoplasma gondii-induced liver injury.Int J Biol Macromol. (2019) 125:1–8. 10.1016/j.ijbiomac.2018.11.114

  • 105.

    DongHBYangJLWangYJiangYChenJZhangWNet alPolysaccharide SAFP from Sarcodon aspratus attenuates oxidative stress-induced cell damage and bleomycin-induced pulmonary fibrosis.Int J Biol Macromol. (2020) 164:1215–36. 10.1016/j.ijbiomac.2020.07.120

  • 106.

    ZhangDJXiangMJiangYWuFChenHQSunMet alThe protective effect of polysaccharide SAFP from Sarcodon aspratus on water immersion and restraint stress-induced gastric ulcer and modulatory effects on gut microbiota dysbiosis.Foods. (2022) 11:1567. 10.3390/foods11111567

  • 107.

    ZhaoHJLiHPFengYBZhangYWYuanFFZhangJJet alMycelium polysaccharides from Termitomyces albuminosus attenuate CCl4-induced chronic liver injury via inhibiting TGFβ1/Smad3 and NF-κB signal pathways.Int J Mol Sci. (2019) 20:4872. 10.3390/ijms20194872

  • 108.

    ZengPLiJChenYZhangL. The structures and biological functions of polysaccharides from traditional Chinese herbs.Prog Mol Biol Transl Sci. (2019) 163:423–44. 10.1016/bs.pmbts.2019.03.003

  • 109.

    HuWJLiZPWangWQSongMKDongRTZhouYLet alStructural characterization of polysaccharide purified from Amanita caesarea and its pharmacological basis for application in Alzheimer’s disease: endoplasmic reticulum stress.Food Funct. (2021) 12:11009–23. 10.1039/d1fo01963e

  • 110.

    HuWJSongMKWangCYGuoZALiYWangD. Structural characterization of polysaccharide purified from Hericium erinaceus fermented mycelium and its pharmacological basis for application in Alzheimer’s disease: oxidative stress related calcium homeostasis.Int J Biol Macromol. (2021) 193:358–69. 10.1016/j.ijbiomac.2021.10.117

  • 111.

    LiuYTLiuYXZhangMYLiCZhangZQLiuAPet alStructural characterization of a polysaccharide from Suillellus luridus and its antidiabetic activity via Nrf2/HO-1 and NF-κB pathways.Int J Biol Macromol. (2020) 162:935–45. 10.1016/j.ijbiomac.2020.06.212

  • 112.

    ZhangHLiWJNieSPChenYWangYXXieMY. Structural characterisation of a novel bioactive polysaccharide from Ganoderma atrum.Carbohydr Polym. (2012) 88:1047–54.

  • 113.

    HuXYYuQHouKYDingXMChenYXieJHet alRegulatory effects of Ganoderma atrum polysaccharides on LPS-induced inflammatory macrophages model and intestinal-like Caco-2/macrophages co-culture inflammation model.Food Chem Toxicol. (2020) 140:111321. 10.1016/j.fct.2020.111321

  • 114.

    ZhaoFQZhuKXZhaoQCLiuQBCaoJXiaGHet alHolothuria leucospilota polysaccharides alleviate liver injury via AMPK and NF-κB signaling pathways in type 2 diabetic rats.J Funct Foods. (2021) 85:104657.

  • 115.

    ZhouTYXiangXWDuMZhangLFChengNXLiuXLet alProtective effect of polysaccharides of sea cucumber Acaudina leucoprocta on hydrogen peroxide-induced oxidative injury in RAW264. 7 cells.Int J Biol Macromol. (2019) 139:1133–40. 10.1016/j.ijbiomac.2019.08.092

  • 116.

    HouRRXuTLLiQYangFFWangCYHuangTTet alPolysaccharide from Echinacea purpurea reduce the oxidant stress in vitro and in vivo.Int J Biol Macromol. (2020) 149:41–50. 10.1016/j.ijbiomac.2020.01.129

  • 117.

    WangHLiYSLiuJFDiDLLiuYWWeiJT. Hepatoprotective effect of crude polysaccharide isolated from Lycium barbarum L. against alcohol-induced oxidative damage involves Nrf2 signaling.Food Sci Nutr. (2020) 8:6528–38. 10.1002/fsn3.1942

  • 118.

    WeiJTZhangLHLiuJFPeiDWangNLWangHet alProtective effect of Lycium barbarum polysaccharide on ethanol-induced injury in human hepatocyte and its mechanism.J Food Biochem. (2020) 44:e13412. 10.1111/jfbc.13412

  • 119.

    TangYBLvJPWangJLiBZhangQHLiuZQet alSagittaria sagittifolia polysaccharide, a Chinese herbal extract, protects against isoniazid-and rifampicin-induced hepatotoxicity in in-vitro model.Pharmacogn Mag. (2020) 16:637.

  • 120.

    ZengDWangYPChenYLiDYLiGLXiaoHXet alAngelica polysaccharide antagonizes 5-FU-induced oxidative stress injury to reduce apoptosis in the liver through Nrf2 pathway.Front Oncol. (2021) 11:720620. 10.3389/fonc.2021.720620

  • 121.

    CaoSMDuJLHeiQH. Lycium barbarum polysaccharide protects against neurotoxicity via the Nrf2-HO-1 pathway.Exp Ther Med. (2017) 14:4919–27. 10.3892/etm.2017.5127

  • 122.

    YuanLLDuanXWZhangRTZhangYBQuMW. Aloe polysaccharide protects skin cells from UVB irradiation through Keap1/Nrf2/ARE signal pathway.J Dermatol Treat. (2020) 31:300–8. 10.1080/09546634.2019.1591579

  • 123.

    ByunEBChoEJKimYEKimWSByunEH. Neuroprotective effect of polysaccharide separated from Perilla frutescens Britton var. acuta Kudo against H2O2-induced oxidative stress in HT22 hippocampus cells.Biosci Biotechnol Biochem. (2018) 82:1344–58. 10.1080/09168451.2018.1460572

  • 124.

    LiuJJZhaoGXHeLLWangZZibrilaAINiuBCet alLycium barbarum polysaccharides inhibit ischemia/reperfusion-induced myocardial injury via the Nrf2 antioxidant pathway.Toxcol Rep. (2021) 8:657–67. 10.1016/j.toxrep.2021.03.019

  • 125.

    JiangYZhouWZhangXWangYYangDYLiSJ. Protective effect of blood cora polysaccharides on H9c2 rat heart cells injury induced by oxidative stress by activating Nrf2/HO-1 signal pathway.Front Nutr. (2021) 8:73. 10.3389/fnut.2021.632161

  • 126.

    JiaYNWangYJLiRLLiSQZhangMHeCWet alThe structural characteristic of acidic-hydrolyzed corn silk polysaccharides and its protection on the H2O2-injured intestinal epithelial cells.Food Chem. (2021) 356:129691. 10.1016/j.foodchem.2021.129691

  • 127.

    ChenYJWangJYLiJTZhuJHWangRQXiQHet alAstragalus polysaccharide prevents ferroptosis in a murine model of experimental colitis and human Caco-2 cells via inhibiting NRF2/HO-1 pathway.Eur J Pharmacol. (2021) 911:174518. 10.1016/j.ejphar.2021.174518

  • 128.

    ZhangTShiLLiYMuWZhangHMLiYet alPolysaccharides extracted from Rheum tanguticum ameliorate radiation-induced enteritis via activation of Nrf2/HO-1.J Radiat Res. (2021) 62:46–57. 10.1093/jrr/rraa093

  • 129.

    YunLYWuTMaoZTLiWZhangMSunXT. A novel wheat germ polysaccharide: structural characterization, potential antioxidant activities and mechanism.Int J Biol Macromol. (2020) 165:1978–87. 10.1016/j.ijbiomac.2020.10.112

  • 130.

    WuJSHuangRJiaoDXLiuSYLiuHMLiuHZ. Protection by Hosta ventricosa polysaccharides against oxidative damage induced by t-BHP in HepG2 cells via the JNK/Nrf2 pathway.Int J Biol Macromol. (2022) 208:453–62. 10.1016/j.ijbiomac.2022.03.134

  • 131.

    QinTRenZLiuXPLuoYLongYPengSet alStudy of the selenizing Codonopsis pilosula polysaccharides protects RAW264. 7 cells from hydrogen peroxide-induced injury.Int J Biol Macromol. (2019) 125:534–43. 10.1016/j.ijbiomac.2018.12.025

  • 132.

    ParkCMChoCWSongYS. TOP 1 and 2, polysaccharides from Taraxacum officinale, inhibit NFκB-mediated inflammation and accelerate Nrf2-induced antioxidative potential through the modulation of PI3K-Akt signaling pathway in RAW 264.7 cells.Food Chem Toxicol. (2014) 66:56–64. 10.1016/j.fct.2014.01.019

  • 133.

    WangLXXieYHYangWRYangZBJiangSZZhangCYet alAlfalfa polysaccharide prevents H2O2-induced oxidative damage in MEFs by activating MAPK/Nrf2 signaling pathways and suppressing NF-κB signaling pathways.Sci. Rep. (2019) 9:1–11. 10.1038/s41598-018-38466-7

  • 134.

    HuYBHuangJHLiYXJiangLOuyangYJLiYMet alCistanche deserticola polysaccharide induces melanogenesis in melanocytes and reduces oxidative stress via activating NRF2/HO-1 pathway.J Cell Mol Med. (2020) 24:4023–35. 10.1111/jcmm.15038

  • 135.

    YangYLiWLiYWangQGaoLZhaoJJ. Dietary Lycium barbarum polysaccharide induces Nrf2/ARE pathway and ameliorates insulin resistance induced by high-fat via activation of PI3K/AKT signaling.Oxid Med Cell Longev. (2014) 2014:145641. 10.1155/2014/145641

  • 136.

    WangWJLiSSongMX. Polygonatum sibiricum polysaccharide inhibits high glucose-induced oxidative stress, inflammatory response, and apoptosis in RPE cells.J Recept Signal Transduct. (2022) 42:189–96. 10.1080/10799893.2021.1883061

  • 137.

    CaiJLZhuYLZuoYJTongQZZhangZGYangLet alPolygonatum sibiricum polysaccharide alleviates inflammatory cytokines and promotes glucose uptake in high-glucose-and high-insulin-induced 3T3-L1 adipocytes by promoting Nrf2 expression.Mol Med Rep. (2019) 20:3951–8. 10.3892/mmr.2019.10626

  • 138.

    ChenYBiQZhuZGZhangSJXuJFDouXFet alLycium barbarum polysaccharides exert an antioxidative effect on rat chondrocytes by activating the nuclear factor (erythroid-derived 2)-like 2 signaling pathway.Arch Med Sci. (2020) 16:964–73. 10.5114/aoms.2018.77036

  • 139.

    LiangRZhaoQZhuQHeXGaoMJWangYR. Lycium barbarum polysaccharide protects ARPE-19 cells against H 2 O 2-induced oxidative stress via the Nrf2/HO-1 pathway.Mol Med Rep. (2021) 24:1–8. 10.3892/mmr.2021.12409

  • 140.

    PengHYangMGuoQSuTXiaoYXiaZY. Dendrobium officinale polysaccharides regulate age-related lineage commitment between osteogenic and adipogenic differentiation.Cell Prolif. (2019) 52:e12624. 10.1111/cpr.12624

  • 141.

    FuYHHuXZhouDYLiXTaoXYYangDet alAnti-osteoporotic effect of viscozyme-assisted polysaccharide extracts from Portulaca oleracea L. on H2O2-treated MC3T3-E1 cells and zebrafish.Separations. (2022) 9:128.

  • 142.

    LiHPLiZJPengLQJiangNLiuQZhangETet alLycium barbarum polysaccharide protects human keratinocytes against UVB-induced photo-damage.Free Radical Res. (2017) 51:200–10. 10.1080/10715762.2017.1294755

  • 143.

    HuangBZhengWKXuZWChenYP. Impact of Lycium barbarum polysaccharide on apoptosis in Mycoplasma-infected splenic lymphocytes.Trop J Pharm Res. (2017) 16:2127–33.

  • 144.

    MengHHWuJJShenLChenGWJinLYanMXet alMicrowave assisted extraction, characterization of a polysaccharide from Salvia miltiorrhiza Bunge and its antioxidant effects via ferroptosis-mediated activation of the Nrf2/HO-1 pathway.Int J Biol Macromol. (2022) 215:398–412. 10.1016/j.ijbiomac.2022.06.064

  • 145.

    LiJWangXZhouRChengFTangXLaoJet alPolygonatum cyrtonema Hua polysaccharides protect BV2 microglia relief oxidative stress and ferroptosis by regulating NRF2/HO-1 PATHWAY.Molecules. (2022) 27:7088. 10.3390/molecules27207088

  • 146.

    SunMMHeNLvZG. Polysaccharides extracted from Cassia seeds protect against high glucose-induced retinal endothelial cell injury.Int Ophthalmol. (2021) 41:2465–72. 10.1007/s10792-021-01801-5

  • 147.

    LinGSLuoDDLiuJJWuXLChenJFHuangQHet alHepatoprotective effect of polysaccharides isolated from Dendrobium officinale against acetaminophen-induced liver injury in mice via regulation of the Nrf2-Keap1 signaling pathway.Oxid Med Cell Longev. (2018) 2018:6962439. 10.1155/2018/6962439

  • 148.

    NepaliSKiHHLeeJHChaJYLeeYMKimDK. Triticum aestivum sprout-derived polysaccharide exerts hepatoprotective effects against ethanol-induced liver damage by enhancing the antioxidant system in mice.Int J Mol Med. (2017) 40:1243–52. 10.3892/ijmm.2017.3095

  • 149.

    FaragMRElhadyWMAhmedSYTahaHSAlagawanyM. Astragalus polysaccharides alleviate tilmicosin-induced toxicity in rats by inhibiting oxidative damage and modulating the expressions of HSP70, NF-kB and Nrf2/HO-1 pathway.Res Vet Sci. (2019) 124:137–48. 10.1016/j.rvsc.2019.03.010

  • 150.

    HamidMLiuDDAbdulrahimYLiuYHQianGKhanAet alAmelioration of CCl4-induced liver injury in rats by selenizing Astragalus polysaccharides: role of proinflammatory cytokines, oxidative stress and hepatic stellate cells.Res Vet Sci. (2017) 114:202–11. 10.1016/j.rvsc.2017.05.002

  • 151.

    WangJLuoWZLiBLvJPKeXHGeDYet alSagittaria sagittifolia polysaccharide protects against isoniazid-and rifampicin-induced hepatic injury via activation of nuclear factor E2-related factor 2 signaling in mice.J Ethnopharmacol. (2018) 227:237–45. 10.1016/j.jep.2018.09.002

  • 152.

    DengXQKeXHTangYBLuoWZDongRJGeDYet alSagittaria sagittifolia polysaccharide interferes with arachidonic acid metabolism in non-alcoholic fatty liver disease mice via Nrf2/HO-1 signaling pathway.Biomed Pharmacother. (2020) 132:110806. 10.1016/j.biopha.2020.110806

  • 153.

    HanCWeiYYWangXCuiYQBaoYZShiWY. Salvia miltiorrhiza polysaccharides protect against lipopolysaccharide-induced liver injury by regulating NF-κb and Nrf2 pathway in mice.Food Agric Immunol. (2019) 30:979–94.

  • 154.

    HuangYYZhouFShenCWangHXXiaoYD. LBP reduces theinflammatory injuryof kidney in septic rat and regulates the Keap1-Nrf2/ ARE signaling pathway.Acta Cir Bras. (2019) 34:e20190010000003. 10.1590/s0102-865020190010000003

  • 155.

    WuQLiuLTWangXYLangZFMengXHGuoSFet alLycium barbarum polysaccharides attenuate kidney injury in septic rats by regulating Keap1-Nrf2/ARE pathway.Life Sci. (2020) 242:117240. 10.1016/j.lfs.2019.117240

  • 156.

    XieWHuangYYChenHGZhouX. Study on the efficacy and mechanism of Lycium barbarum polysaccharide against lead-induced renal injury in mice.Nutrients. (2021) 13:2945. 10.3390/nu13092945

  • 157.

    RaishMAhmadAJanBLAlkharfyKMAnsariMAMohsinKet alMomordica charantia polysaccharides mitigate the progression of STZ induced diabetic nephropathy in rats.Int J Biol Macromol. (2016) 91:394–9. 10.1016/j.ijbiomac.2016.05.090

  • 158.

    ZhengGZRenHJLiHQLiXHDongTCXuSMet alLycium barbarum polysaccharide reduces hyperoxic acute lung injury in mice through Nrf2 pathway.Biomed Pharmacother. (2019) 111:733–9. 10.1016/j.biopha.2018.12.073

  • 159.

    SunYLiuJWanLWangFZhangXJQiYJ. Improving effects of Astragalus polysaccharides on cardiac function via Keap1/Nrf2-ARE signal pathway in adjuvant arthritis rats.Chin Herb Med. (2016) 8:143–53.

  • 160.

    XueRDuMZhouTYAiWZZhangZSXiangXWet alPolysaccharides from hemp seed protect against cyclophosphamide-induced intestinal oxidative damage via Nrf2-Keap1 signaling pathway in mice.Oxid Med Cell Longev. (2020) 2020:1813798. 10.1155/2020/1813798

  • 161.

    ZhaoYSunYZWangGYGeSCLiuHN. Dendrobium officinale polysaccharides protect against MNNG-induced PLGC in rats via activating the NRF2 and antioxidant enzymes HO-1 and NQO-1.Oxid Med Cell Longev. (2019) 2019:9310245. 10.1155/2019/9310245

  • 162.

    ChenQYWangYYinNWangRFZhengYYangYPet alPolysaccharides from fermented wheat bran enhanced the growth performance of zebrafish (Danio rerio) through improving gut microflora and antioxidant status.Aquacult Rep. (2022) 25:101188.

  • 163.

    TangLJBaoSYDuYJiangZYWulijiARenXet alAntioxidant effects of Lycium barbarum polysaccharides on photoreceptor degeneration in the light-exposed mouse retina.Biomed Pharmacother. (2018) 103:829–37. 10.1016/j.biopha.2018.04.104

  • 164.

    YangSJSunJQGuDXLiPYaoLLShiDYet alAntioxidant activities of sulfated Codonopsis polysaccharides in acute oxidative stress.J Food Biochem. (2021) 45:e13974. 10.1111/jfbc.13974

  • 165.

    LiaoZZZhangJYWangJYYanTXXuFXWuBet alThe anti-nephritic activity of a polysaccharide from okra (Abelmoschus esculentus (L.) Moench) via modulation of AMPK-Sirt1-PGC-1α signaling axis mediated anti-oxidative in type 2 diabetes model mice.Int J Biol Macromol. (2019) 140:568–76. 10.1016/j.ijbiomac.2019.08.149

  • 166.

    LiaoZZZhangJYLiuBYanTXXuFXXiaoFet alPolysaccharide from okra (Abelmoschus esculentus (L.) Moench) improves antioxidant capacity via PI3K/AKT pathways and Nrf2 translocation in a type 2 diabetes model.Molecules. (2019) 24:1906. 10.3390/molecules24101906

  • 167.

    QinXDHuaJLinSJZhengHJWangJJLiWet alAstragalus polysaccharide alleviates cognitive impairment and β-amyloid accumulation in APP/PS1 mice via Nrf2 pathway.Biochem Biophys Res Commun. (2020) 531:431–7. 10.1016/j.bbrc.2020.07.122

  • 168.

    ZhuLHanYGWangHM. Efficacy of Lycium barbarum polysaccharide and synergism with paclitaxel/cisplatin in ovarian cancer in mice.Trop J Pharm Res. (2017) 16:1645–53.

  • 169.

    YangDMZhangJMFeiYF. Lycium barbarum polysaccharide attenuates chemotherapy-induced ovarian injury by reducing oxidative stress.J Obstet Gynaecol Res. (2017) 43:1621–8. 10.1111/jog.13416

  • 170.

    YaoWWHongZPChenXZLiuBLuCB. DOP1 attenuates cisplatin-induced reproductive injury in male mice via the Nrf2/ARE signaling pathway.Int J Sci. (2021) 8:101–11.

  • 171.

    HeMHPanHChangRCSoKFBrechaNCPuM. Activation of the Nrf2/HO-1 antioxidant pathway contributes to the protective effects of Lycium barbarum polysaccharides in the rodent retina after ischemia-reperfusion-induced damage.PLoS One. (2014) 9:e84800. 10.1371/journal.pone.0084800

  • 172.

    ZouCYFangYKLinNYLiuHF. Polysaccharide extract from pomelo fruitlet ameliorates diet-induced nonalcoholic fatty liver disease in hybrid grouper (Epinephelus lanceolatus♂ × Epinephelus fuscoguttatus♀).Fish Shellfish Immunol. (2021) 119:114–27. 10.1016/j.fsi.2021.09.034

  • 173.

    LiQQinXKYuYQuanSJXiaoP. Schisandra chinensis polysaccharides exerts anti-oxidative effect in vitro through Keap1-Nrf2-ARE pathway.Food Sci Tech Brazil. (2022) 42:e44621.

  • 174.

    LiWLLinKZhouMXiongQLiCYRuQ. Polysaccharides from Opuntia milpa alta alleviate alloxan-induced INS-1 cells apoptosis via reducing oxidative stress and upregulating Nrf2 expression.Nutr Res. (2020) 77:108–18. 10.1016/j.nutres.2020.02.004

  • 175.

    ZhongJFangLChenRXuJGuoDGuoCet alPolysaccharides from sporoderm-removed spores of Ganoderma lucidum induce apoptosis in human gastric cancer cells via disruption of autophagic flux.Oncol Lett. (2021) 21:425. 10.3892/ol.2021.12686

  • 176.

    ChenCKangMSWangQWLiuWLYangMGLiangSXet alCombination of Anoectochilus roxburghii polysaccharide and exercise ameliorates diet-induced metabolic disorders in obese mice.Front Nutr. (2021) 658:735501. 10.3389/fnut.2021.735501

  • 177.

    ZhangYHanYHeJOuyangKHZhaoMCaiLet alDigestive properties and effects of Chimonanthus nitens Oliv polysaccharides on antioxidant effects in vitro and in immunocompromised mice.Int J Biol Macromol. (2021) 185:306–16. 10.1016/j.ijbiomac.2021.06.114

  • 178.

    XingYYZhengYKYangSZhangLHGuoSWShiLLet alArtemisia ordosica polysaccharide alleviated lipopolysaccharide-induced oxidative stress of broilers via Nrf2/Keap1 and TLR4/NF-κB pathway.Ecotoxicol Environ Saf. (2021) 223:112566. 10.1016/j.ecoenv.2021.112566

  • 179.

    MohammadiGKarimiAAHafeziehMDawoodMAAbo-Al-ElaHG. Pistachio hull polysaccharide protects Nile tilapia against LPS-induced excessive inflammatory responses and oxidative stress, possibly via TLR2 and Nrf2 signaling pathways.Fish Shellfish Immunol. (2022) 121:276–84. 10.1016/j.fsi.2021.12.042

  • 180.

    YuanCFWangCDBuYQXiangTXHuangXNWangZWet alAntioxidative and immunoprotective effects of Pyracantha fortuneana (Maxim.) Li polysaccharides in mice.Immunol Lett. (2010) 133:14–8. 10.1016/j.imlet.2010.04.004

  • 181.

    YuanCLiZPengFXiaoFRenDXueHet alCombination of selenium-enriched green tea polysaccharides and Huo-ji polysaccharides synergistically enhances antioxidant and immune activity in mice.J Sci Food Agric. (2015) 95:3211–7. 10.1002/jsfa.7287

  • 182.

    WangYQWeiJGTuMJGuJGZhangW. Fucoidan alleviates acetaminophen-induced hepatotoxicity via oxidative stress inhibition and Nrf2 translocation.Int J Mol Sci. (2018) 19:4050. 10.3390/ijms19124050

  • 183.

    LiuXLiuHMZhaiYLiYZhuXZhangW. Laminarin protects against hydrogen peroxide-induced oxidative damage in MRC-5 cells possibly via regulating NRF2.PeerJ. (2017) 5:e3642. 10.7717/peerj.3642

  • 184.

    JayawardenaTUWangLSanjeewaKAKangSILeeJJeonY. Antioxidant potential of sulfated polysaccharides from Padina boryana; protective effect against oxidative stress in in vitro and in vivo zebrafish model.Mar Drugs. (2020) 18:212. 10.3390/md18040212

  • 185.

    ZhangYZuoJHYanLPChengYLiQJWuSYet alSargassum fusiforme fucoidan alleviates high-fat diet-induced obesity and insulin resistance associated with the improvement of hepatic oxidative stress and gut microbiota profile.J Agric Food Chem. (2020) 68:10626–38. 10.1021/acs.jafc.0c02555

  • 186.

    ZhuDZWangYTZhuoYLZhuKJWangXZLiuAJ. Fucoidan inhibits LPS-induced acute lung injury in mice through regulating GSK-3β-Nrf2 signaling pathway.Arch Pharmacal Res. (2020) 43:646–54. 10.1007/s12272-020-01234-1

  • 187.

    LiuWCZhuYRZhaoZHJiangPYinFQ. Effects of dietary supplementation of algae-derived polysaccharides on morphology, tight junctions, antioxidant capacity and immune response of duodenum in broilers under heat stress.Animals. (2021) 11:2279. 10.3390/ani11082279

  • 188.

    ChenPYangSHuCZhaoZLiuJChengYet alSargassum fusiforme polysaccharide rejuvenat es the small intestine in mice through altering its physiol ogy and gut microbiota composition.Curr Mol Med. (2017) 17:350–8. 10.2174/1566524018666171205115516

  • 189.

    LekshmiVRaufAAKurupGM. Sulfated polysaccharides from the edible marine algae Padina tetrastromatica attenuates isoproterenol-induced oxidative damage via activation of PI3K/Akt/Nrf2 signaling pathway-an in vitro and in vivo approach.Chem Biol Interact. (2019) 308:258–68. 10.1016/j.cbi.2019.05.044

  • 190.

    LiuWCZhuangDPZhaoYBalasubramanianBZhaoZH. Seaweed-derived polysaccharides attenuate heat stress-induced splenic oxidative stress and inflammatory response via regulating Nrf2 and NF-κB signaling pathways.Mar Drugs. (2022) 20:358. 10.3390/md20060358

  • 191.

    YiRKDengLMuJFLiCTanFZhaoX. The impact of antarctic ice microalgae polysaccharides on d-galactose-induced oxidative damage in mice.Front Nutr. (2021) 8:651088. 10.3389/fnut.2021.651088

  • 192.

    YangYHanCYShengYJWangJLiWYZhouXHet alAntrodia camphorata polysaccharide improves inflammatory response in liver injury via the ROS/TLR4/NF−κB signal.J Cell Mol Med. (2022) 26:2706–16. 10.1111/jcmm.17283

  • 193.

    XuFLiXXiaoXLiuLFZhangLLinPPet alEffects of Ganoderma lucidum polysaccharides against doxorubicin-induced cardiotoxicity.Biomed Pharmacother. (2017) 95:504–12. 10.1016/j.biopha.2017.08.118

  • 194.

    ShiXQChengWJWangQZhangJCWangCTLiMet alExploring the protective and reparative mechanisms of G. lucidum polysaccharides against H2O2-induced oxidative stress in human skin fibroblasts.Clin Cosmet Investig Dermatol. (2021) 14:1481. 10.2147/CCID.S334527

  • 195.

    YuCWChenHDuDHLvWTLiSJLiDFet alβ-Glucan from Saccharomyces cerevisiae alleviates oxidative stress in LPS-stimulated RAW264. 7 cells via Dectin-1/Nrf2/HO-1 signaling pathway.Cell Stress Chaperon. (2021) 26:629–37. 10.1007/s12192-021-01205-5

  • 196.

    HanYQNanSJFanJChenQHZhangYZ. Inonotus obliquus polysaccharides protect against Alzheimer’s disease by regulating Nrf2 signaling and exerting antioxidative and antiapoptotic effects.Int J Biol Macromol. (2019) 131:769–78. 10.1016/j.ijbiomac.2019.03.033

  • 197.

    FuHYouSQZhaoDAnQZhangJCWangCTet alTremella fuciformis polysaccharides inhibit UVA-induced photodamage of human dermal fibroblast cells by activating up-regulating Nrf2/Keap1 pathways.J Cosmet Dermatol. (2021) 20:4052–9. 10.1111/jocd.14051

  • 198.

    CaoXYLiuDXiaYCaiTGLiuJL. A novel polysaccharide from Lentinus edodes mycelia protects MIN6 cells against high glucose-induced damage via the MAPKs and Nrf2 pathways.Food Nutr Res. (2019) 63:1598. 10.29219/fnr.v63.1598

  • 199.

    ZongSLiJLYangLHuangQLHouGHYeZYet alMechanism of bioactive polysaccharide from Lachnum sp. acts synergistically with 5-fluorouracil against human hepatocellular carcinoma.J Cell Physiol. (2019) 234:15548–62. 10.1002/jcp.28202

  • 200.

    LiHNZhaoLLZhouDYChenDQ. Ganoderma lucidum polysaccharides ameliorates hepatic steatosis and oxidative stress in db/db mice via targeting nuclear factor E2 (erythroid-derived 2)-related factor-2/heme oxygenase-1 (HO-1) pathway.Med Sci Monit. (2020) 26:e921905. 10.12659/MSM.921905

  • 201.

    WangCHYangSXGaoLWangLLCaoL. Carboxymethyl pachyman (CMP) reduces intestinal mucositis and regulates the intestinal microflora in 5-fluorouracil-treated CT26 tumour-bearing mice.Food Funct. (2018) 9:2695–704. 10.1039/c7fo01886j

  • 202.

    LiuYGYangAHQuYDWangZQZhangYQLiuYet alAmeliorative effects of Antrodia cinnamomea polysaccharides against cyclophosphamide-induced immunosuppression related to Nrf2/HO-1 signaling in BALB/c mice.Int J Biol Macromol. (2018) 116:8–15. 10.1016/j.ijbiomac.2018.04.178

  • 203.

    WangXWangZQWuHHJiaWTengLSSongJet alSarcodon imbricatus polysaccharides protect against cyclophosphamide-induced immunosuppression via regulating Nrf2-mediated oxidative stress.Int J Biol Macromol. (2018) 120:736–44. 10.1016/j.ijbiomac.2018.08.157

  • 204.

    LinSTHaoGXLongMLaiFLiQQXiongYMet alOyster (Ostrea plicatula Gmelin) polysaccharides intervention ameliorates cyclophosphamide–induced genotoxicity and hepatotoxicity in mice via the Nrf2–are pathway.Biomed Pharmacother. (2017) 95:1067–71. 10.1016/j.biopha.2017.08.058

  • 205.

    LiuHZZhangYBLiMWLuoP. Beneficial effect of Sepia esculenta ink polysaccharide on cyclophosphamide-induced immunosuppression and ovarian failure in mice.Int J Biol Macromol. (2019) 140:1098–105. 10.1016/j.ijbiomac.2019.08.200

  • 206.

    LeXYLuoPGuYPTaoYXLiuHZ. Squid ink polysaccharide reduces cyclophosphamide-induced testicular damage via Nrf2/ARE activation pathway in mice.Iran J Basic Med Sci. (2015) 18:827.

  • 207.

    WenZSTangZMaLZhuTLWangYMXiangXWet alProtective effect of low molecular weight seleno-aminopolysaccharide on the intestinal mucosal oxidative damage.Mar Drugs. (2019) 17:64. 10.3390/md17010064

  • 208.

    RenHLiZYGaoRZhaoTXLuoDYuZHet alStructural characteristics of Rehmannia glutinosa polysaccharides treated using different decolorization processes and their antioxidant effects in intestinal epithelial cells.Foods. (2022) 11:3449. 10.3390/foods11213449

  • 209.

    LiXPCuiWJCuiYFSongXLJiaLZhangJJ. Stropharia rugoso-annulata acetylated polysaccharides alleviate NAFLD via Nrf2/JNK1/AMPK signaling pathways.Int J Biol Macromol. (2022) 215:560–70. 10.1016/j.ijbiomac.2022.06.156

  • 210.

    ChenQYWangRFWangYAnXPLiuNSongMet alCharacterization and antioxidant activity of wheat bran polysaccharides modified by Saccharomyces cerevisiae and Bacillus subtilis fermentation.J Cereal Sci. (2021) 97:103157.

  • 211.

    ChenPCHeDZhangYYangSSChenLJWangSQet alSargassum fusiforme polysaccharides activate antioxidant defense by promoting Nrf2-dependent cytoprotection and ameliorate stress insult during aging.Food Funct. (2016) 7:4576–88. 10.1039/c6fo00628k

  • 212.

    DaiBWeiDZhengNNChiZHXinNMaTXet alCoccomyxa gloeobotrydiformis polysaccharide inhibits lipopolysaccharide-induced inflammation in RAW 264.7 macrophages.Cell Physiol Biochem. (2018) 51:2523–35. 10.1159/000495922

Summary

Keywords

natural polysaccharides, Nrf2 antioxidant pathway, structural features, regulatory effects, structure-activity relationship, health-promoting

Citation

Luo J-H, Li J, Shen Z-C, Lin X-F, Chen A-Q, Wang Y-F, Gong E-S, Liu D, Zou Q and Wang X-Y (2023) Advances in health-promoting effects of natural polysaccharides: Regulation on Nrf2 antioxidant pathway. Front. Nutr. 10:1102146. doi: 10.3389/fnut.2023.1102146

Received

18 November 2022

Accepted

30 January 2023

Published

16 February 2023

Volume

10 - 2023

Edited by

Vignesh Muthusamy, Indian Agricultural Research Institute (ICAR), India

Reviewed by

Veda Krishnan, Indian Agricultural Research Institute (ICAR), India; Amirtham Dhamodarasamy, Tamil Nadu Agricultural University, India

Updates

Copyright

*Correspondence: Dan Liu, Xiao-Yin Wang,

†These authors share first authorship

This article was submitted to Nutrition and Food Science Technology, a section of the journal Frontiers in Nutrition

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Outline

Figures

Cite article

Copy to clipboard


Export citation file


Share article

Article metrics