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Global downstream pathway analysis reveals a dependence of oncogenic NF-E2-related factor 2 mutation on the mTOR
Tatsuhiro Shibata1, Shigeru Saito, Akiko Kokubu
1Cancer Genomics Project and Pathology Division, National Cancer Center Research Institute, Tokyo, Japan. tashibat@ncc.go.jp
Abstract:
In multicellular organisms, adaptive responses to oxidative stress are regulated by NF-E2-related factor 2 (NRF2), a master transcription factor of antioxidant genes and phase II detoxifying enzymes. Aberrant activation of NRF2 by either loss-of-function mutations in the Keap1 gene or gain-of-function mutations in the Nrf2 gene occurs in a wide range of human cancers, but details of the biological consequences of NRF2 activation in the cancer cells remain unclear. Here, we report that mutant NRF2 induces epithelial cell proliferation, anchorage-independent growth, and tumorigenicity and metastasis in vivo. Genome-wide gene expression profiling revealed that mutant NRF2 affects diverse molecular pathways including the mammalian target of rapamycin (mTOR) pathway. Mutant NRF2 upregulates RagD, a small G-protein activator of the mTOR pathway, which was also overexpressed in primary lung cancer. Consistently, Nrf2-mutated lung cancer cells were sensitive to mTOR pathway inhibitors (rapamycin and NVP-BEZ235) in both in vitro and an in vivo xenograft model. The gene expression signature associated with mutant NRF2 was a marker of poor prognosis in patients with carcinoma of the head and neck region and lung. These results show that oncogenic Nrf2 mutation induces dependence on the mTOR pathway during carcinogenesis. Our findings offer a rationale to target NRF2 as an anticancer strategy, and they suggest NRF2 activation as a novel biomarker for personalized molecular therapies or prognostic assessment.
Insights
Oncogenic NRF2 mutations drive cancer by activating the mTOR pathway, leading to increased cell growth and metastasis. Targeting NRF2 or the mTOR pathway offers a new strategy for cancer therapy and prognosis.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Biology
Background:
- NF-E2-related factor 2 (NRF2) regulates adaptive responses to oxidative stress and antioxidant genes.
- Aberrant NRF2 activation is common in human cancers, but its precise role in cancer cells is not fully understood.
Purpose of the Study:
- To investigate the biological consequences of NRF2 activation in cancer cells.
- To explore the relationship between NRF2, the mammalian target of rapamycin (mTOR) pathway, and cancer progression.
- To assess the therapeutic potential of targeting NRF2 or the mTOR pathway.
Main Methods:
- Utilized genome-wide gene expression profiling to identify molecular pathways affected by mutant NRF2.
- Investigated the role of RagD, a regulator of the mTOR pathway, in NRF2-driven cancers.
- Tested the sensitivity of Nrf2-mutated cancer cells to mTOR pathway inhibitors in vitro and in vivo.
- Analyzed gene expression signatures associated with mutant NRF2 as prognostic markers.
Main Results:
- Mutant NRF2 promotes epithelial cell proliferation, anchorage-independent growth, tumorigenicity, and metastasis.
- Mutant NRF2 upregulates RagD, activating the mTOR pathway, and this is observed in primary lung cancer.
- Nrf2-mutated lung cancer cells are sensitive to mTOR inhibitors, demonstrating therapeutic vulnerability.
- NRF2 mutation-associated gene expression signatures correlate with poor prognosis in head and neck and lung cancers.
Conclusions:
- Oncogenic NRF2 mutations induce cancer cell dependence on the mTOR pathway.
- Targeting NRF2 presents a potential anticancer strategy.
- NRF2 activation serves as a novel biomarker for personalized therapy and prognostic assessment.
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