Small molecular Nrf2 inhibitors as chemosensitizers for cancer therapy

Hongzhi Lin1, Yuting Qiao1, Hongyu Yang1

  • 1Department of Medicinal Chemistry, China Pharmaceutical University, Nanjing, 211198, PR China.

Insights

Nuclear factor erythroid 2-related factor 2 (Nrf2) regulates oxidative stress but drives cancer progression when overactive. Inhibiting Nrf2 offers a promising new strategy for cancer therapy and overcoming treatment resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Nuclear factor erythroid 2-related factor 2 (Nrf2) is the main regulator of cellular oxidative stress.
  • Nrf2 activation is a potential therapeutic strategy for various diseases.
  • Aberrant Nrf2 hyperactivation is implicated in cancer progression, metastasis, and therapeutic resistance.

Purpose of the Study:

  • To summarize the biological and pathological roles of Nrf2 in cancer.
  • To review recent advancements in small molecular Nrf2 inhibitors.
  • To explore potential Nrf2 inhibitory mechanisms for cancer treatment.

Main Methods:

  • Literature review of Nrf2's function in cancer.
  • Analysis of recent studies on small molecule Nrf2 inhibitors.
  • Synthesis of information on Nrf2 inhibitory mechanisms.

Main Results:

  • Nrf2 plays a dual role in cancer, acting as a tumor suppressor in early stages and a promoter in later stages.
  • Constitutive Nrf2 activation promotes cancer cell survival, proliferation, and resistance to chemotherapy and radiotherapy.
  • Several small molecules targeting Nrf2 have been identified, with ongoing research into their mechanisms.

Conclusions:

  • Inhibiting Nrf2 is a viable therapeutic strategy for cancers with aberrant Nrf2 activation.
  • Targeting Nrf2 may overcome chemo- and radio-resistance in cancer treatment.
  • Further development of novel Nrf2 inhibitors is crucial for advancing cancer therapy.

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