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Nuclear factor-erythroid 2-related factor 2 as a chemopreventive target in colorectal cancer
Constance Lay Lay Saw1, Ah-Ng Tony Kong
1Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy, Department of Pharmaceutics, 160 Frelinghuysen Road, Piscataway, NJ 08854, USA.
Introduction:
Numerous epidemiological studies have linked consumption of cruciferous vegetables to a reduced risk of colorectal cancer (CRC) in individuals. It is currently well accepted that chronic inflammation is a contributing factor in 15 - 20% malignancies including CRC. Many chemopreventive compounds are effective in preclinical systems and many ongoing clinical trials are showing promising findings. Many of these compounds could activate the antioxidant responsive element (ARE), a critical regulatory element for Phase II protective/detoxification and antioxidative stress enzymes mediated by nuclear factor-erythroid 2-related factor 2 (Nrf2). Recently, Nrf2 has emerged as a novel target for the prevention of CRC.
Areas Covered:
A full literature search was performed using PubMed with the key words 'ARE, Nrf2, colon, colorectal cancer, chemoprevention, cancer prevention', and all relevant publications are included.
Expert Opinion:
The use of Nrf2 knockout mice has provided key insights into the toxicological and chemopreventive importance of this pathway. Mounting evidence has revealed that Nrf2 is a critical regulator of inflammation as well, a major driving force for CRC progression and formation. Targeting the Nrf2/ARE pathway may present a novel therapeutic approach for the treatment of not only colorectal inflammatory diseases but the frequent subsequent development of CRC as well.
Insights
The nuclear factor-erythroid 2-related factor 2 (Nrf2)/antioxidant responsive element (ARE) pathway is crucial for colorectal cancer (CRC) prevention. Targeting this pathway offers a novel therapeutic strategy for CRC and related inflammatory diseases.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Epidemiological studies link cruciferous vegetable consumption to reduced colorectal cancer (CRC) risk.
- Chronic inflammation is a significant factor in 15-20% of malignancies, including CRC.
- Nuclear factor-erythroid 2-related factor 2 (Nrf2) and its regulation of the antioxidant responsive element (ARE) are emerging as key targets for cancer prevention.
Purpose of the Study:
- To review the role of the Nrf2/ARE pathway in colorectal cancer (CRC) chemoprevention.
- To explore the therapeutic potential of targeting the Nrf2/ARE pathway for CRC treatment.
Main Methods:
- Comprehensive literature search using PubMed with keywords: 'ARE, Nrf2, colon, colorectal cancer, chemoprevention, cancer prevention'.
- Inclusion of all relevant publications identified in the search.
Main Results:
- Nrf2 knockout mice studies have illuminated the pathway's toxicological and chemopreventive significance.
- Nrf2 is identified as a critical regulator of inflammation, a key driver of CRC progression.
- Compounds activating the Nrf2/ARE pathway show promise in preclinical and clinical settings for cancer prevention.
Conclusions:
- The Nrf2/ARE pathway plays a vital role in managing oxidative stress and inflammation relevant to CRC.
- Targeting the Nrf2/ARE pathway presents a promising therapeutic avenue for colorectal inflammatory diseases and subsequent CRC development.
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