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The emerging role of the Nrf2-Keap1 signaling pathway in cancer
Melba C Jaramillo1, Donna D Zhang
1Department of Pharmacology and Toxicology, College of Pharmacy, The University of Arizona, Tucson, Arizona 85721, USA;
Abstract:
The Nrf2 (nuclear factor erythroid 2 [NF-E2]-related factor 2 [Nrf2])-Keap1 (Kelch-like erythroid cell-derived protein with CNC homology [ECH]-associated protein 1) signaling pathway is one of the most important cell defense and survival pathways. Nrf2 can protect cells and tissues from a variety of toxicants and carcinogens by increasing the expression of a number of cytoprotective genes. As a result, several Nrf2 activators are currently being tested as chemopreventive compounds in clinical trials. Just as Nrf2 protects normal cells, studies have shown that Nrf2 may also protect cancer cells from chemotherapeutic agents and facilitate cancer progression. Nrf2 is aberrantly accumulated in many types of cancer, and its expression is associated with a poor prognosis in patients. In addition, Nrf2 expression is induced during the course of drug resistance. Collectively, these studies suggest that Nrf2 contributes to both intrinsic and acquired chemoresistance. This discovery has opened up a broad spectrum of research geared toward a better understanding of the role of Nrf2 in cancer. This review provides an overview of (1) the Nrf2-Keap1 signaling pathway, (2) the dual role of Nrf2 in cancer, (3) the molecular basis of Nrf2 activation in cancer cells, and (4) the challenges in the development of Nrf2-based drugs for chemoprevention and chemotherapy.
Insights
The Nrf2-Keap1 pathway protects cells but also cancer cells, promoting chemoresistance and poor prognosis. Understanding this dual role is key for developing new cancer therapies.
Area of Science:
- Cellular Biology
- Molecular Oncology
- Biochemistry
Background:
- The Nrf2-Keap1 signaling pathway is crucial for cellular defense against toxicants.
- Nrf2 activation increases cytoprotective gene expression, making it a target for chemoprevention.
- Aberrant Nrf2 accumulation in cancer is linked to poor prognosis and drug resistance.
Purpose of the Study:
- To review the Nrf2-Keap1 signaling pathway.
- To elucidate the dual role of Nrf2 in cancer, including its protective and detrimental effects.
- To discuss the molecular mechanisms of Nrf2 activation in cancer and challenges in therapeutic development.
Main Methods:
- Literature review of Nrf2-Keap1 pathway.
- Analysis of Nrf2's role in cancer cell protection and progression.
- Examination of molecular basis for Nrf2 activation in cancer.
- Discussion of challenges in Nrf2-targeted drug development.
Main Results:
- Nrf2 protects normal cells from toxicants but also protects cancer cells from chemotherapy.
- Nrf2 accumulation in cancer correlates with poor patient prognosis.
- Nrf2 activation contributes to both intrinsic and acquired chemoresistance.
Conclusions:
- Nrf2 plays a dual role in cancer, acting as both a tumor suppressor and a promoter.
- Targeting Nrf2 presents challenges due to its complex role in chemoresistance.
- Further research is needed to develop effective Nrf2-based strategies for cancer chemoprevention and chemotherapy.
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