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Updated: Jun 2, 2026

Reprogramming Pancreatic Ductal Adenocarcinoma to Pluripotency
Published on: February 2, 2024
Nrf2 is overexpressed in pancreatic cancer: implications for cell proliferation and therapy
Adam Lister1, Taoufik Nedjadi, Neil R Kitteringham
1MRC Centre for Drug Safety Science, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, UK.
Background:
Nrf2 is a key transcriptional regulator of a battery of genes that facilitate phase II/III drug metabolism and defence against oxidative stress. Nrf2 is largely regulated by Keap1, which directs Nrf2 for proteasomal degradation. The Nrf2/Keap1 system is dysregulated in lung, head and neck, and breast cancers and this affects cellular proliferation and response to therapy. Here, we have investigated the integrity of the Nrf2/Keap1 system in pancreatic cancer.
Results:
Keap1, Nrf2 and the Nrf2 target genes AKR1c1 and GCLC were detected in a panel of five pancreatic cancer cell lines. Mutation analysis of NRF2 exon 2 and KEAP1 exons 2-6 in these cell lines identified no mutations in NRF2 and only synonomous mutations in KEAP1. RNAi depletion of Nrf2 caused a decrease in the proliferation of Suit-2, MiaPaca-2 and FAMPAC cells and enhanced sensitivity to gemcitabine (Suit-2), 5-flurouracil (FAMPAC), cisplatin (Suit-2 and FAMPAC) and gamma radiation (Suit-2). The expression of Nrf2 and Keap1 was also analysed in pancreatic ductal adenocarcinomas (n = 66 and 57, respectively) and matching normal benign epithelium (n = 21 cases). Whilst no significant correlation was seen between the expression levels of Keap1 and Nrf2 in the tumors, interestingly, Nrf2 staining was significantly greater in the cytoplasm of tumors compared to benign ducts (P < 0.001).
Conclusions:
Expression of Nrf2 is up-regulated in pancreatic cancer cell lines and ductal adenocarcinomas. This may reflect a greater intrinsic capacity of these cells to respond to stress signals and resist chemotherapeutic interventions. Nrf2 also appears to support proliferation in certain pancreatic adenocarinomas. Therefore, strategies to pharmacologically manipulate the levels and/or activity of Nrf2 may have the potential to reduce pancreatic tumor growth, and increase sensitivity to therapeutics.
Insights
The Nrf2/Keap1 system, crucial for cellular defense, is upregulated in pancreatic cancer. Inhibiting Nrf2 may reduce tumor growth and enhance chemotherapy effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The Nuclear factor erythroid 2-related factor 2 (Nrf2) pathway regulates genes involved in drug metabolism and oxidative stress defense.
- Kelch-like ECH-associated protein 1 (Keap1) typically targets Nrf2 for degradation, controlling its activity.
- Dysregulation of the Nrf2/Keap1 system is implicated in various cancers, influencing proliferation and treatment response.
Purpose of the Study:
- To investigate the integrity and role of the Nrf2/Keap1 system in pancreatic cancer.
- To determine if Nrf2/Keap1 alterations contribute to pancreatic tumor development or progression.
Main Methods:
- Analysis of Nrf2 and Keap1 expression and mutations in pancreatic cancer cell lines and patient tumors.
- RNA interference (RNAi) to deplete Nrf2 and assess its impact on cell proliferation and drug sensitivity.
- Immunohistochemical analysis of Nrf2 and Keap1 in tumor tissues versus normal epithelium.
Main Results:
- Nrf2 and Keap1 were detected in pancreatic cancer cell lines, with no significant mutations found in NRF2 or KEAP1.
- Nrf2 depletion reduced proliferation and increased sensitivity to gemcitabine, 5-fluorouracil, cisplatin, and radiation in pancreatic cancer cells.
- Nrf2 cytoplasmic expression was significantly elevated in pancreatic ductal adenocarcinomas compared to normal tissue.
Conclusions:
- Nrf2 expression is upregulated in pancreatic cancer, suggesting enhanced cellular defense and resistance mechanisms.
- Nrf2 supports proliferation in some pancreatic adenocarcinomas.
- Targeting Nrf2 pharmacologically could be a therapeutic strategy to inhibit pancreatic tumor growth and improve treatment outcomes.
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