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Dual roles of Nrf2 in cancer
Alexandria Lau1, Nicole F Villeneuve, Zheng Sun
1Department of Pharmacology and Toxicology, University of Arizona, Tucson, AZ 85721, USA.
Abstract:
In response to oxidative stress, the transcription factor NF-E2-related factor 2 (Nrf2) controls the fate of cells through transcriptional upregulation of antioxidant response element (ARE)-bearing genes, including those encoding endogenous antioxidants, phase II detoxifying enzymes, and transporters. Expression of the Nrf2-dependent proteins is critical for ameliorating or eliminating toxicants/carcinogens to maintain cellular redox homeostasis. As a result, activation of the Nrf2 pathway, by naturally-occurring compounds or synthetic chemicals at sub-toxic doses, confers protection against subsequent toxic/carcinogenic exposure. Thus, the use of dietary compounds or synthetic chemicals to boost the Nrf2-dependent adaptive response to counteract environmental insults has emerged to be a promising strategy for cancer prevention. Interestingly, recent emerging data has revealed the "dark" side of Nrf2. Nrf2 and its downstream genes are overexpressed in many cancer cell lines and human cancer tissues, giving cancer cells an advantage for survival and growth. Furthermore, Nrf2 is upregulated in resistant cancer cells and is thought to be responsible for acquired chemoresistance. Therefore, it may be necessary to inhibit the Nrf2 pathway during chemotherapy. This review is primarily focused on the role of Nrf2 in cancer, with emphasis on the recent findings indicating the cancer promoting function of Nrf2 and its role in acquired chemoresistance.
Insights
The transcription factor Nrf2 protects cells from oxidative stress but can also promote cancer growth and chemoresistance. Inhibiting Nrf2 may be crucial for effective cancer chemotherapy.
Area of Science:
- Molecular Biology
- Cellular Biology
- Biochemistry
Background:
- The transcription factor Nrf2 (NF-E2-related factor 2) regulates cellular defense against oxidative stress by upregulating antioxidant and detoxification genes.
- Activation of the Nrf2 pathway offers protection against toxins and carcinogens, making it a target for cancer prevention strategies.
- Emerging evidence highlights a dual role for Nrf2, with implications in cancer progression and treatment resistance.
Purpose of the Study:
- To review the multifaceted role of Nrf2 in cancer.
- To emphasize recent findings on Nrf2's cancer-promoting functions.
- To discuss Nrf2's involvement in acquired chemoresistance.
Main Methods:
- Literature review focusing on Nrf2's role in cancer.
- Analysis of studies investigating Nrf2 overexpression in cancer cells and tissues.
- Examination of Nrf2's contribution to chemoresistance.
Main Results:
- Nrf2 and its downstream genes are overexpressed in various cancer types, aiding cancer cell survival and growth.
- Upregulation of Nrf2 is observed in chemoresistant cancer cells, contributing to treatment failure.
- The Nrf2 pathway's activation can paradoxically support cancer progression.
Conclusions:
- Nrf2 plays a significant role in cancer development and progression.
- Inhibition of the Nrf2 pathway may be a necessary strategy in cancer chemotherapy to overcome resistance.
- Further research is warranted to fully elucidate Nrf2's complex role in oncology.
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