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Nrf2 enhances cell proliferation and resistance to anticancer drugs in human lung cancer
Shinsuke Homma1, Yukio Ishii, Yuko Morishima
1Department of Respiratory Medicine, University of Tsukuba, Tsukuba, Japan.
Purpose:
NF-E2-related factor 2 (Nrf2), a key transcription regulator for antioxidant and detoxification enzymes, is abundantly expressed in cancer cells. In this study, therefore, the role of Nrf2 in cancer cell proliferation and resistance to anticancer drugs was investigated.
Experimental Design:
We used three human lung cancer cell lines with different degrees of Nrf2 activation: Nrf2 was highly activated in A549 cells, slightly activated in NCI-H292 cells, and not activated in LC-AI cells under unstimulated conditions.
Result:
A549 cells showed higher resistance to cisplatin compared with NCI-H292 and LC-AI cells. The resistance to cisplatin was significantly inhibited in A549 but not in NCI-H292 or LC-AI cells by knockdown of Nrf2 with its specific small interfering RNA (Nrf2-siRNA). The cell proliferation was also most prominently inhibited in A549 cells by treatment with Nrf2-siRNA. In A549 cells, the expression of self-defense genes, such as antioxidant enzymes, phase II detoxifying enzymes, and drug efflux pumps, was significantly reduced by Nrf2-siRNA concomitant with a reduction of the cellular glutathione level. The degree of DNA crosslink and apoptosis after treatment with cisplatin was significantly elevated in A549 cells by Nrf2-siRNA. Knockdown of Nrf2 arrested the cell cycle at G(1) phase with a reduction of the phosphorylated form of retinoblastoma protein in A549 and NCI-H292 cells but not in LC-AI cells.
Conclusion:
These results indicate that the Nrf2 system is essential for both cancer cell proliferation and resistance to anticancer drugs. Thus, Nrf2 might be a potential target to enhance the effect of anticancer drugs.
Insights
The Nrf2 system drives cancer cell proliferation and drug resistance. Inhibiting Nrf2 (NF-E2-related factor 2) with small interfering RNA (siRNA) reduced cancer cell growth and increased sensitivity to cisplatin, highlighting Nrf2 as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- NF-E2-related factor 2 (Nrf2) is a transcription factor crucial for antioxidant and detoxification pathways.
- Nrf2 is frequently upregulated in various cancer cells, suggesting a role in tumorigenesis and treatment resistance.
Purpose of the Study:
- To investigate the role of Nrf2 in cancer cell proliferation.
- To determine the impact of Nrf2 on resistance to anticancer drugs, specifically cisplatin.
Main Methods:
- Utilized three human lung cancer cell lines (A549, NCI-H292, LC-AI) with varying Nrf2 activation levels.
- Employed Nrf2-specific small interfering RNA (Nrf2-siRNA) to knock down Nrf2 expression.
- Assessed cell proliferation, cisplatin resistance, gene expression (antioxidant, detoxification, drug efflux pumps), glutathione levels, DNA crosslinking, apoptosis, and cell cycle progression.
Main Results:
- A549 cells, with high Nrf2 activation, exhibited greater resistance to cisplatin compared to NCI-H292 and LC-AI cells.
- Nrf2 knockdown significantly sensitized A549 cells to cisplatin and inhibited proliferation.
- Nrf2-siRNA reduced self-defense gene expression and glutathione levels, increased DNA crosslinking and apoptosis, and arrested the cell cycle at G1 phase in A549 and NCI-H292 cells.
Conclusions:
- The Nrf2 system is vital for promoting cancer cell proliferation and conferring resistance to chemotherapy.
- Targeting Nrf2 presents a promising strategy to enhance the efficacy of anticancer therapies.
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