Miconazole Contributes to NRF2 Activation by Noncanonical P62-KEAP1 Pathway in Bladder Cancer Cells

Te-Fu Tsai1,2, Po-Chun Chen3,4, Yi-Chia Lin1,2

  • 1Division of Urology, Department of Surgery, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Abstract

Insights

Miconazole significantly activates Nuclear factor (erythroid-derived 2)-like 2 (NRF2) in bladder cancer cells. This activation, mediated by the p62-KEAP1 pathway and reactive oxygen species, suggests potential cancer chemopreventive effects.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Nuclear factor (erythroid-derived 2)-like 2 (NRF2) is a transcription factor crucial for chemoprevention, inflammation, and aging.
  • NRF2 is recognized as a potential target for cancer chemoprevention strategies.
  • Miconazole, a fungicide, exhibits promising antiproliferative effects against cancer cells.

Purpose of the Study:

  • To investigate the mechanism by which miconazole stimulates NRF2 activation in bladder cancer cells.
  • To explore the role of the p62-KEAP1 pathway and reactive oxygen species (ROS) in miconazole-induced NRF2 activation.

Main Methods:

  • Analysis of p62-KEAP1-NRF2 pathway activation using qPCR and Western blot.
  • Confirmation of NRF2 nuclear translocation via immunofluorescence.
  • Detection of ROS production using CM-H2DCFDA staining.

Main Results:

  • Miconazole treatment dose- and time-dependently increased NRF2 activation in bladder cancer cells.
  • p62 expression increased, while the negative regulator KEAP1 expression decreased, following miconazole exposure.
  • Miconazole-induced ROS production was essential for NRF2 activation and nuclear translocation, as demonstrated by ROS scavenger experiments.

Conclusions:

  • Miconazole activates the noncanonical p62-KEAP1-NRF2 pathway in bladder cancer cells.
  • ROS production plays a critical role in mediating miconazole-induced NRF2 activation.
  • The findings elucidate the mechanism of miconazole's NRF2 stimulation, suggesting its potential in cancer chemoprevention.