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Role of the Nrf2 signaling system in health and disease
1Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Abstract:
A key component of cytoprotective gene regulation is the transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2), also known as nuclear factor erythroid 2-like 2, from the gene NFE2L2. Under normal conditions, Nrf2 in the cell is targeted for proteasomal degradation by its inhibitor Kelch-like ECH-associated inhibitor 1 (Keap1). When stimulated by oxidative stress, electrophiles, or kinase activation, conformational changes in the Nrf2-Keap1 complex inhibit proteasomal degradation of Nrf2, facilitating an increase in the amount of Nrf2 that binds to antioxidant response element sequences in the promoter regions of a variety of antioxidant, detoxification, and metabolic control genes. Nrf2 activation is mostly associated with beneficial cytoprotective gene regulation, but it can also have deleterious effects. For example, gene mutations in some types of cancers can lead to constitutive activation of Nrf2 and give the tumor cells growth advantages and increased drug resistance. Because cases exist where Nrf2/Keap1/ARE signaling is either too low or too high, there is great interest in the development of both Nrf2 activators and Nrf2 inhibitors as the basis of new therapies.
Insights
Nuclear factor erythroid 2-related factor 2 (Nrf2) regulates cytoprotective genes. Dysregulation of Nrf2/Keap1/ARE signaling, either too low or too high, drives interest in developing Nrf2 activators and inhibitors for novel therapies.
Area of Science:
- Molecular Biology
- Cellular Signaling
- Gene Regulation
Background:
- Nuclear factor erythroid 2-related factor 2 (Nrf2) is crucial for cytoprotective gene regulation.
- Nrf2 is normally degraded by Kelch-like ECH-associated inhibitor 1 (Keap1), but stress stabilizes it.
- Activated Nrf2 binds antioxidant response elements (AREs) to control protective genes.
Purpose of the Study:
- To explore the dual role of Nrf2 in cytoprotection and disease.
- To highlight the therapeutic potential of modulating Nrf2/Keap1/ARE signaling.
- To underscore the need for both Nrf2 activators and inhibitors.
Main Methods:
- Review of Nrf2 pathway regulation under normal and stress conditions.
- Analysis of Nrf2's role in cancer cell proliferation and drug resistance.
- Examination of therapeutic strategies targeting the Nrf2 pathway.
Main Results:
- Nrf2 activation promotes beneficial gene expression but can drive cancer growth and resistance when constitutively active.
- Mutations leading to constitutive Nrf2 activation confer advantages to tumor cells.
- Imbalances in Nrf2/Keap1/ARE signaling are implicated in various pathologies.
Conclusions:
- The Nrf2 pathway presents a complex target for therapeutic intervention.
- Developing both activators and inhibitors of Nrf2 is essential for treating diverse conditions.
- Targeting Nrf2 offers promising avenues for novel cancer therapies and cytoprotective treatments.
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