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Updated: Feb 11, 2026

Studying Pancreatic Cancer Stem Cell Characteristics for Developing New Treatment Strategies
Published on: June 20, 2015
dCK negatively regulates the NRF2/ARE axis and ROS production in pancreatic cancer
Qiangsheng Hu1,2,3,4, Yi Qin1,2,3,4, Jinfeng Xiang1,2,3,4
1Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Objectives:
Decreased deoxycytidine kinase (dCK) expression is a reported indicator of gemcitabine efficacy in pancreatic cancer, due to the impact of this kinase on gemcitabine metabolism. The transcription factor NF-E2 p45-related factor 2 (NRF2, also called Nfe2l2), a master regulator of redox homoeostasis, has been reported to tightly control the expression of numerous ROS-detoxification genes and participates in drug resistance. However, the contribution of dCK to the NRF2 signalling axis has seldom been discussed and needs investigation.
Materials And Methods:
By overexpressing dCK in pancreatic cancer cells, we assessed the impact of dCK on NRF2 transcriptional activity. Furthermore, we measured the impact of dCK expression on the intracellular redox balance and reactive oxygen species (ROS) production. By utilizing immunohistochemical staining and tissues from pancreatic cancer patients, we assessed the correlation between dCK and NRF2 expression. Through proliferation and metastasis assays, we examined the impact of dCK expression on cell proliferation and metastasis.
Results:
dCK negatively regulates NRF2 transcriptional activity, leading to the decreased expression of ARE-driven antioxidant genes. In addition, dCK negatively regulates intracellular redox homoeostasis and ROS production. Negative correlations between dCK and NRF2 levels in pancreatic cancer cell lines and patient samples were observed. In vitro cell line studies suggested that dCK negatively regulated proliferation and metastasis.
Conclusion:
Decreased dCK expression promotes NRF2-driven antioxidant transcription, which further enhances gemcitabine treatment resistance, forming a feedback loop.
Insights
Decreased deoxycytidine kinase (dCK) impacts pancreatic cancer by reducing NRF2 activity, leading to increased antioxidant gene expression and gemcitabine resistance. This creates a feedback loop that worsens treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Deoxycytidine kinase (dCK) is crucial for gemcitabine metabolism and efficacy in pancreatic cancer.
- Nuclear factor erythroid 2-related factor 2 (NRF2) regulates antioxidant genes and contributes to drug resistance.
- The interplay between dCK and the NRF2 signaling pathway in pancreatic cancer remains underexplored.
Purpose of the Study:
- To investigate the regulatory role of dCK in the NRF2 signaling axis.
- To determine the impact of dCK on redox balance and reactive oxygen species (ROS) production.
- To assess the correlation between dCK and NRF2 expression in pancreatic cancer and their effects on cell behavior.
Main Methods:
- Overexpression of dCK in pancreatic cancer cell lines.
- Assessment of NRF2 transcriptional activity and antioxidant gene expression.
- Measurement of intracellular redox balance and ROS production.
- Immunohistochemical analysis of patient tissues.
- In vitro proliferation and metastasis assays.
Main Results:
- dCK negatively regulates NRF2 transcriptional activity and expression of antioxidant genes.
- dCK reduces intracellular redox balance and ROS production.
- Inverse correlation observed between dCK and NRF2 levels in cell lines and patient samples.
- dCK expression negatively impacts pancreatic cancer cell proliferation and metastasis.
Conclusions:
- Reduced dCK expression enhances NRF2-driven antioxidant transcription.
- This NRF2 activation contributes to gemcitabine treatment resistance in pancreatic cancer.
- A feedback loop exists where decreased dCK promotes NRF2 activity, exacerbating drug resistance.
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