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Published on: June 9, 2017
The Nrf2-Keap1 defence pathway: role in protection against drug-induced toxicity
Ian M Copple1, Christopher E Goldring, Neil R Kitteringham
1The Department of Pharmacology and Therapeutics, The University of Liverpool, Liverpool, Merseyside L69 3GE, UK.
Abstract:
The metabolic biotransformation of xenobiotics to chemically reactive metabolites can, in some instances, underlie the pathogenesis of certain adverse drug reactions, due to the development of chemical or oxidative stress. In order to guard against such stresses, mammalian cells have evolved multi-faceted, highly-regulated defence systems, one of the most important being that which is regulated by the transcription factor Nrf2. Through regulating the expression of numerous cytoprotective genes, Nrf2 serves as a critical determinant of a cell's capacity to survive, or succumb, to a toxic insult. The aim of this review is to summarise our current understanding of the biochemistry that underlies the Nrf2 defence pathway, and highlight the important role of this transcription factor in the protection against drug-induced toxicity, primarily through the examination of recent investigations that have demonstrated an increased vulnerability to various toxins in animals lacking Nrf2.
Insights
The Nrf2 defense pathway protects cells from toxic insults. Animals lacking Nrf2 (Nuclear factor erythroid 2-related factor 2) show increased vulnerability to drug-induced toxicity.
Area of Science:
- Biochemistry
- Toxicology
- Molecular Biology
Background:
- Metabolic biotransformation of xenobiotics can cause oxidative stress and adverse drug reactions.
- Mammalian cells possess defense systems against chemical and oxidative stresses.
- Nuclear factor erythroid 2-related factor 2 (Nrf2) regulates cytoprotective genes, crucial for cellular survival against toxins.
Purpose of the Study:
- To review the biochemistry of the Nrf2 defense pathway.
- To highlight Nrf2's role in protecting against drug-induced toxicity.
- To examine evidence of increased toxin vulnerability in Nrf2-deficient animals.
Main Methods:
- Review of current scientific literature.
- Examination of investigations on Nrf2-deficient animal models.
- Analysis of Nrf2's role in regulating cytoprotective genes.
Main Results:
- Nrf2 is a critical determinant of cellular survival following toxic insults.
- Nrf2-deficient animals exhibit heightened susceptibility to various toxins.
- The Nrf2 pathway is fundamental to cellular defense mechanisms.
Conclusions:
- The Nrf2 pathway is essential for mitigating drug-induced toxicity.
- Understanding Nrf2 biochemistry is key to developing strategies against xenobiotic toxicity.
- Nrf2 plays a vital role in cellular protection against chemical and oxidative stress.
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