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Nrf2 Mutagenic Activation Drives Hepatocarcinogenesis
Hoang Kieu Chi Ngo1, Do-Hee Kim1, Young-Nam Cha2
1Tumor Microenvironment Global Core Research Center, College of Pharmacy, Seoul National University, Seoul, South Korea.
Abstract:
Nrf2, a master regulator of oxidative stress, is considered a prominent target for prevention of hepatocellular carcinoma (HCC), one of the leading causes of cancer-related deaths worldwide. Here we report that Nrf2-deficient mice resisted diethylnitrosamine (DEN)-induced hepatocarcinogenesis without affecting P450-mediated metabolic activation of DEN. Nrf2 expression, nuclear translocation, and transcriptional activity were enhanced in liver tumors. Overactivated Nrf2 was required for hepatoma growth in DEN-induced HCC. Following DEN treatment, Nrf2 genetic disruption reduced expression of pentose phosphate pathway-related enzymes, the depletion of which has been associated with an amelioration of HCC incidence. Conversely, enhanced Nrf2 activity was attributable to alterations in the ability to bind its endogenous inhibitor Keap1. Our findings provide a mechanistic rationale for Nrf2 blockade to prevent and possibly treat liver cancer. Cancer Res; 77(18); 4797-808. ©2017 AACR.
Insights
Nrf2 (Nuclear factor erythroid 2-related factor 2) deficiency prevents liver cancer development in mice. Blocking Nrf2 may offer a new strategy for treating hepatocellular carcinoma (HCC).
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Hepatocellular carcinoma (HCC) is a major global cancer burden.
- Nuclear factor erythroid 2-related factor 2 (Nrf2) regulates oxidative stress and is a potential target for HCC prevention.
Purpose of the Study:
- To investigate the role of Nrf2 in diethylnitrosamine (DEN)-induced liver cancer in mice.
- To elucidate the mechanisms by which Nrf2 influences hepatocarcinogenesis.
Main Methods:
- Utilized Nrf2-deficient mice and diethylnitrosamine (DEN) induction model.
- Analyzed Nrf2 expression, nuclear translocation, and transcriptional activity in liver tumors.
- Assessed the impact of Nrf2 disruption on pentose phosphate pathway enzymes and Keap1 binding.
Main Results:
- Nrf2-deficient mice showed resistance to DEN-induced liver cancer.
- Nrf2 expression and activity were elevated in liver tumors, promoting hepatoma growth.
- Nrf2 genetic disruption decreased pentose phosphate pathway enzymes, correlating with reduced HCC incidence.
- Enhanced Nrf2 activity was linked to altered binding of its inhibitor, Keap1.
Conclusions:
- Overactivated Nrf2 is crucial for the growth of DEN-induced hepatocellular carcinoma.
- Nrf2 blockade presents a potential therapeutic strategy for preventing and treating liver cancer.
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