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Dysregulation of the Keap1-Nrf2 pathway in cancer
Hanna M Leinonen1, Emilia Kansanen1, Petri Pölönen2
1Department of Biotechnology and Molecular Medicine, A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, PO Box 1627, FIN-70211 Kuopio, Finland.
Abstract:
Accumulating evidence suggests that dysregulation of the Kelch-like ECH-associated protein 1 (Keap1)-nuclear factor E2-related factor 2 (Nrf2) pathway resulting in constitutively active Nrf2 and increased expression of cytoprotective Nrf2 target genes, has a pivotal role in cancer. Cancer cells are able to hijack the Keap1-Nrf2 system via multiple mechanisms leading to enhanced chemo- and radio-resistance and proliferation via metabolic reprogramming as well as inhibition of apoptosis. In this mini-review, we will describe the mechanisms leading to increased Nrf2 activity in cancer with a focus on the information achieved from large-scale multi-omics projects across various cancer types.
Insights
The Keap1-Nrf2 pathway is crucial in cancer, with cancer cells hijacking it to promote growth and resistance. Understanding these dysregulation mechanisms is key for developing new cancer therapies.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- The Kelch-like ECH-associated protein 1 (Keap1)-nuclear factor E2-related factor 2 (Nrf2) pathway is frequently dysregulated in cancer.
- Constitutively active Nrf2 leads to increased expression of cytoprotective genes, contributing to cancer progression.
Purpose of the Study:
- To review the mechanisms of increased Nrf2 activity in cancer.
- To highlight findings from multi-omics projects across various cancer types.
Main Methods:
- Literature review focusing on cancer biology and molecular pathways.
- Analysis of data from large-scale multi-omics projects.
Main Results:
- Cancer cells exploit the Keap1-Nrf2 system through various mechanisms.
- Hijacked Nrf2 activity enhances chemo- and radio-resistance, proliferation, and metabolic reprogramming.
- Nrf2 dysregulation also contributes to apoptosis inhibition in cancer cells.
Conclusions:
- Dysregulation of the Keap1-Nrf2 pathway is a significant factor in cancer development and progression.
- Targeting the Keap1-Nrf2 system presents a potential therapeutic strategy for cancer treatment.
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