“…In this context, LA has been shown to improve glucose and ascorbate handling, increase endothelial nitric oxide synthase activity, activate phase II detoxification via the transcription factor Nrf2 and lower expression of matrix metalloproteinase-9 and vascular cell adhesion molecule-1 through repression of nuclear factor-κB (NF-κB) [17]. In addition, animal studies have revealed that myocardial IRI [18,19,20,21,22,23] and renal IRI [24,25,26,27] could be protected by a naturally occurring cellular antioxidant LA, without being toxic to rats [28,29]. The mechanisms whereby LA exerts its protective effects are not entirely understood, but may be related to the phosphatidylinositol 3-kinase (PI3K)/Akt/Nrf2 pathway [23] and the PI3-kinase/Akt pathway, as ischemic preconditioning (IPC) reduces IRI of the rat liver via these pathways [30].…”