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The NRF2/KEAP1 Pathway Modulates Nasopharyngeal Carcinoma Cell Radiosensitivity via ROS Elimination
Jieyu Zhou1, Jiping Ding2, Xingkai Ma3
1Department of Otolaryngology-Head and Neck Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China; Ear Institute, Shanghai Jiaotong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai, People's Republic of China.
Purpose:
Radioresistance is a vital obstacle for the prognosis of human nasopharyngeal carcinoma (NPC), but the underlying mechanism is still unknown. Here, we explored the role of the NRF2/KEAP1 pathway in radioresistance of NPC cell lines.
Materials And Methods:
We selected NPC cell lines CNE-1 and CNE-2, treated them with ionization, and subsequently determined the levels of NRF2, KEAP1, antioxidant enzymes, and ROS. We then evaluated the effect of NRF2 or KEAP1 inhibition on cell proliferation, colony formation, and radiosensitivity in CNE2 cells.
Results:
We discovered that the NRF2/KEAP1 signaling pathway can be activated by radiotherapy in NPC cells, while NRF2 knockdown enhances the sensitivity of CNE-2 cells to radiation treatment. In contrast, the silencing of KEAP1 inhibits the sensitivity of CNE-2 cells to radiation treatment.
Conclusion:
Our results suggest that NRF2/KEAP1 signaling may serve as an essential regulator of the radioresistance of NPC and may be applied as a novel therapeutic approach for the sensitization of NPC to radiation.
Insights
The NRF2/KEAP1 pathway regulates radioresistance in nasopharyngeal carcinoma (NPC). Inhibiting NRF2 increases sensitivity to radiation, while inhibiting KEAP1 decreases it, offering potential therapeutic targets for NPC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy Research
Background:
- Nasopharyngeal carcinoma (NPC) poses a significant challenge due to radioresistance.
- The molecular mechanisms underlying NPC radioresistance remain largely unexplored.
Purpose of the Study:
- To investigate the role of the Nuclear factor erythroid 2-related factor 2 (NRF2)/Kelch-like ECH-associated protein 1 (KEAP1) pathway in NPC radioresistance.
- To explore potential therapeutic strategies targeting this pathway for improved NPC treatment outcomes.
Main Methods:
- Utilized NPC cell lines (CNE-1, CNE-2) and subjected them to ionizing radiation.
- Assessed NRF2, KEAP1, antioxidant enzyme levels, and reactive oxygen species (ROS) production.
- Evaluated the impact of NRF2 or KEAP1 inhibition on NPC cell proliferation, colony formation, and radiosensitivity.
Main Results:
- Radiotherapy activates the NRF2/KEAP1 signaling pathway in NPC cells.
- NRF2 knockdown significantly enhances CNE-2 cell sensitivity to radiation.
- KEAP1 silencing reduces CNE-2 cell sensitivity to radiation treatment.
Conclusions:
- The NRF2/KEAP1 pathway is a critical regulator of radioresistance in NPC.
- Targeting the NRF2/KEAP1 pathway presents a promising novel therapeutic strategy for sensitizing NPC to radiation therapy.
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