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Chemoprevention through the Keap1-Nrf2 signaling pathway by phase 2 enzyme inducers
Mi-Kyoung Kwak1, Nobunao Wakabayashi, Thomas W Kensler
1Department of Environmental Health Sciences, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA.
Abstract:
One successful strategy for cancer chemoprevention is modulation of drug metabolizing enzymes, leading to a facilitated elimination of endogenous and environmental carcinogens. Inducers of phase 2 enzymes such as dithiolethiones inhibit tumorigenesis of environmental carcinogens in various animal models and modulate the metabolism of the carcinogen aflatoxin B1 in human clinical trials. Increasing lines of evidence show that the Keap1-Nrf2 complex is a key molecular target of chemopreventive phase 2 enzyme inducers. The transcription factor Nrf2 is a member of the basic leucine-zipper NF-E2 family and interacts with the antioxidant response element (ARE) in the promoter region of phase 2 detoxifying enzymes. A cytoplasmic actin-binding protein, Keap1, is an inhibitor of Nrf2 that sequesters it in the cytoplasm. Inducers dissociate this complex, allowing Nrf2 to translocate to the nucleus. Disruption of the nrf2 gene in mice leads to the loss of chemopreventive efficacy by inducers. This review focuses on (1) the role of Nrf2 in the regulation of phase 2 and antioxidative genes, (2) the molecular actions of dithiolethiones on the Keap1-Nrf2 pathway, and (3) the contribution of Nrf2-regulated gene families to the cytoprotective actions of dithiolethiones and other inducers. Rapidly accumulating data on this pathway is providing insight into the coordinated mammalian defense systems against electrophiles and oxidative stresses and the means by which it may be targeted by small molecules.
Insights
Cancer chemoprevention involves modulating drug-metabolizing enzymes. The Keap1-Nrf2 pathway is a key target, regulating antioxidant and detoxifying genes for cellular protection against carcinogens.
Area of Science:
- Biochemistry
- Molecular Biology
- Cancer Research
Background:
- Cancer chemoprevention strategies include modulating drug-metabolizing enzymes to enhance carcinogen elimination.
- Phase 2 enzyme inducers, like dithiolethiones, show promise in inhibiting tumorigenesis and modulating carcinogen metabolism.
- The Keap1-Nrf2 complex is identified as a crucial molecular target for these chemopreventive inducers.
Purpose of the Study:
- To review the role of Nrf2 in regulating phase 2 and antioxidative genes.
- To examine the molecular mechanisms of dithiolethiones acting on the Keap1-Nrf2 pathway.
- To understand the contribution of Nrf2-regulated genes to the protective effects of chemopreventive inducers.
Main Methods:
- Literature review focusing on the Keap1-Nrf2 pathway and its role in cancer chemoprevention.
- Analysis of studies investigating dithiolethiones and their interaction with the Keap1-Nrf2 complex.
- Examination of genetic studies, including Nrf2-deficient mice, to assess chemopreventive efficacy.
Main Results:
- Nrf2, a transcription factor, translocates to the nucleus upon Keap1-Nrf2 complex dissociation, activating phase 2 detoxifying enzymes.
- Dithiolethiones and other inducers modulate the Keap1-Nrf2 pathway, leading to the upregulation of cytoprotective genes.
- Nrf2-dependent gene expression is critical for the chemopreventive efficacy of inducers against carcinogens.
Conclusions:
- The Keap1-Nrf2 pathway is a central regulator of cellular defense mechanisms against electrophilic and oxidative stress.
- Targeting the Keap1-Nrf2 pathway with small molecules offers a promising strategy for cancer chemoprevention.
- Understanding this pathway provides insights into coordinated mammalian defense systems and potential therapeutic interventions.
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