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Published on: May 21, 2020
The Keap1-Nrf2 system in cancers: stress response and anabolic metabolism
Yoichiro Mitsuishi1, Hozumi Motohashi, Masayuki Yamamoto
1Department of Medical Biochemistry, Tohoku University Graduate School of Medicine Sendai, Japan ; Department of Respiratory Medicine, Tohoku University Graduate School of Medicine Sendai, Japan.
Abstract:
The Keap1-Nrf2 [Kelch-like ECH-associated protein 1-nuclear factor (erythroid-derived 2)-like 2] pathway plays a central role in the protection of cells against oxidative and xenobiotic stresses. Nrf2 is a potent transcription activator that recognizes a unique DNA sequence known as the antioxidant response element (ARE). Under normal conditions, Nrf2 binds to Keap1 in the cytoplasm, resulting in proteasomal degradation. Following exposure to electrophiles or reactive oxygen species, Nrf2 becomes stabilized, translocates into the nucleus, and activates the transcription of various cytoprotective genes. Increasing attention has been paid to the role of Nrf2 in cancer cells because the constitutive stabilization of Nrf2 has been observed in many human cancers with poor prognosis. Recent studies have shown that the antioxidant and detoxification activities of Nrf2 confer chemo- and radio-resistance to cancer cells. In this review, we provide an overview of the Keap1-Nrf2 system and discuss its role under physiological and pathological conditions, including cancers. We also introduce the results of our recent study describing Nrf2 function in the metabolism of cancer cells. Nrf2 likely confers a growth advantage to cancer cells through enhancing cytoprotection and anabolism. Finally, we discuss the possible impact of Nrf2 inhibitors on cancer therapy.
Insights
The Keap1-Nrf2 pathway protects cells from stress. In cancer, Nrf2 stabilization promotes growth and resistance, suggesting Nrf2 inhibitors could be a therapeutic strategy.
Area of Science:
- Cellular biology
- Molecular mechanisms
- Cancer research
Background:
- The Keap1-Nrf2 pathway is crucial for cellular defense against oxidative and xenobiotic stresses.
- Nrf2, a transcription factor, activates protective genes by binding to the antioxidant response element (ARE).
- Under normal conditions, Keap1 targets Nrf2 for degradation; however, stress stabilizes Nrf2, leading to nuclear translocation and gene activation.
Purpose of the Study:
- To review the Keap1-Nrf2 system's role in physiological and pathological conditions, particularly in cancer.
- To present findings on Nrf2's function in cancer cell metabolism.
- To discuss the therapeutic potential of targeting Nrf2 in cancer treatment.
Main Methods:
- Literature review of the Keap1-Nrf2 pathway.
- Analysis of Nrf2's role in cancer cell metabolism.
- Discussion of Nrf2's impact on chemo- and radio-resistance.
Main Results:
- Constitutive Nrf2 stabilization is observed in many human cancers, correlating with poor prognosis.
- Nrf2 enhances cancer cell chemo- and radio-resistance through its antioxidant and detoxification functions.
- Nrf2 likely promotes cancer cell growth by boosting cytoprotection and anabolism.
Conclusions:
- The Keap1-Nrf2 pathway is a key player in cancer progression and treatment resistance.
- Targeting Nrf2 may offer a promising strategy for cancer therapy.
- Further research into Nrf2's metabolic functions could reveal new therapeutic avenues.
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