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Updated: Apr 16, 2026

Obtaining Cancer Stem Cell Spheres from Gynecological and Breast Cancer Tumors
Published on: March 1, 2020
Activation of NRF2 by p62 and proteasome reduction in sphere-forming breast carcinoma cells
In-Geun Ryoo1, Bo-Hyun Choi1, Mi-Kyoung Kwak1
1College of Pharmacy, The Catholic University of Korea, Bucheon, Gyeonggi-do, Republic of Korea.
Abstract:
Cancer stem cells (CSCs) express high levels of drug efflux transporters and antioxidant genes, and are therefore believed to be responsible for cancer recurrence following chemo/radiotherapy intervention. In this study, we investigated the role of NF-E2-related factor 2 (NRF2), a master regulator of antioxidant gene expression, in the growth and stress resistance of CSC-enriched mammosphere. The MCF7 mammospheres expressed significantly higher levels of the NRF2 protein and target gene expression compared to the monolayer. As underlying mechanisms, we observed that proteolytic activity and expression of the proteasome catalytic subunits were decreased in the mammospheres. Additionally, mammospheres retained a high level of p62 and the silencing of p62 was observed to attenuate NRF2 activation. NRF2 increase was confirmed in sphere-cultures of the colon and ovarian cancer cells. The functional implication of NRF2 was demonstrated in NRF2-knockdown mammospheres. NRF2-silenced mammospheres demonstrated increased cell death and retarded sphere growth as a result of target gene repression. Moreover, unlike the control mammospheres, NRF2-knockdown mammospheres did not develop anticancer drug resistance. Collectively, these results indicated that altered proteasome function and p62 expression caused NRF2 activation in CSC-enriched mammospheres. In addition, NRF2 appeared to play a role in CSC survival and anticancer drug resistance.
Insights
Cancer stem cells (CSCs) resist treatment partly due to high antioxidant gene activity. This study shows Nuclear factor erythroid 2-related factor 2 (NRF2) activation in CSCs drives this resistance and survival.
Area of Science:
- Cancer Biology
- Molecular Oncology
- Stem Cell Research
Background:
- Cancer stem cells (CSCs) are implicated in tumor recurrence post-therapy.
- CSCs exhibit high drug efflux and antioxidant gene expression.
- NRF2 (Nuclear factor erythroid 2-related factor 2) is a key regulator of antioxidant genes.
Purpose of the Study:
- To investigate the role of NRF2 in the survival and stress resistance of CSC-enriched mammospheres.
- To elucidate the mechanisms underlying NRF2 activation in CSCs.
Main Methods:
- Comparison of NRF2 protein and target gene expression in MCF7 mammospheres versus monolayer cultures.
- Analysis of proteasome activity and p62 expression in mammospheres.
- Functional assessment of NRF2 by knockdown experiments in mammospheres.
- Confirmation of NRF2 upregulation in colon and ovarian cancer sphere cultures.
Main Results:
- MCF7 mammospheres showed significantly higher NRF2 protein and target gene expression than monolayer cultures.
- Mammospheres exhibited decreased proteasome activity and altered p62 expression, correlating with NRF2 activation.
- NRF2 knockdown in mammospheres led to increased cell death, reduced sphere growth, and loss of anticancer drug resistance.
Conclusions:
- Altered proteasome function and p62 expression contribute to NRF2 activation in CSC-enriched mammospheres.
- NRF2 plays a critical role in CSC survival and the development of anticancer drug resistance.
- Targeting NRF2 may represent a therapeutic strategy to overcome CSC-mediated treatment failure.
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