The Nrf2/HO-1 Axis in Cancer Cell Growth and Chemoresistance

A L Furfaro1, N Traverso2, C Domenicotti2

  • 1Giannina Gaslini Institute, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.

Insights

The nuclear factor erythroid 2-related factor 2 (Nrf2) and heme oxygenase 1 (HO-1) pathway regulates cellular defense against stress. Targeting this Nrf2/HO-1 mechanism offers a promising strategy to overcome cancer therapy resistance.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Nuclear factor erythroid 2-related factor 2 (Nrf2) is a transcription factor that regulates cellular redox homeostasis.
  • Nrf2 activation leads to the expression of antioxidant and detoxifying genes, including heme oxygenase 1 (HO-1).
  • Elevated Nrf2 and HO-1 are observed in various cancers, correlating with poor prognosis and therapeutic resistance.

Purpose of the Study:

  • To review the Nrf2/HO-1 stress response pathway.
  • To explore its role in cancer progression and therapeutic resistance.
  • To highlight the potential of targeting Nrf2/HO-1 as an anticancer strategy.

Main Methods:

  • Literature review of studies on Nrf2, HO-1, and cancer.
  • Analysis of the molecular mechanisms underlying Nrf2/HO-1 activation in cancer.
  • Examination of preclinical and clinical data on targeting Nrf2/HO-1 in cancer therapy.

Main Results:

  • The Nrf2/HO-1 pathway is a key regulator of cellular defense against oxidative and electrophilic stress.
  • Upregulation of Nrf2 and HO-1 contributes to tumor progression, aggressiveness, and resistance to conventional therapies.
  • Inhibition of the Nrf2/HO-1 pathway shows potential in overcoming therapeutic resistance in various cancer types.

Conclusions:

  • The Nrf2/HO-1 pathway is a critical mediator of cancer cell survival and therapeutic resistance.
  • Targeting this pathway represents a promising approach for developing novel anticancer treatments.
  • Further research is warranted to fully elucidate the therapeutic potential of Nrf2/HO-1 inhibitors in oncology.

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