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Role of the KEAP1-NRF2 Axis in Renal Cell Carcinoma
Sara Clerici1, Alessandra Boletta1
1IRCCS San Raffaele Scientific Institute, Molecular Basis of Cystic Kidney Diseases, Division of Genetics and Cell Biology, 20132 Milan, Italy.
Abstract:
NRF2 is a transcription factor that coordinates the antioxidant response in many different tissues, ensuring cytoprotection from endogenous and exogenous stress stimuli. In the kidney, its function is essential in appropriate cellular response to oxidative stress, however its aberrant activation supports progression, metastasis, and resistance to therapies in renal cell carcinoma, similarly to what happens in other nonrenal cancers. While at the moment direct inhibitors of NRF2 are not available, understanding the molecular mechanisms that regulate its hyperactivation in specific tumor types is crucial as it may open new therapeutic perspectives. Here, we focus our attention on renal cell carcinoma, describing how NRF2 hyperactivation can contribute to tumor progression and chemoresistance. Furthermore, we highlight the mechanism whereby the many pathways that are generally altered in these tumors converge to dysregulation of the KEAP1-NRF2 axis.
Insights
Nuclear factor erythroid 2-related factor 2 (NRF2) normally protects cells from stress. However, its overactivation in kidney cancer promotes tumor growth and treatment resistance by disrupting the KEAP1-NRF2 pathway.
Area of Science:
- Molecular biology
- Oncology
- Cellular stress response
Background:
- Nuclear factor erythroid 2-related factor 2 (NRF2) is a key transcription factor regulating cellular antioxidant responses and cytoprotection against stress.
- While essential for normal kidney function, aberrant NRF2 activation is implicated in the progression, metastasis, and therapeutic resistance of renal cell carcinoma (RCC).
Purpose of the Study:
- To investigate the role of NRF2 hyperactivation in renal cell carcinoma (RCC) progression and chemoresistance.
- To elucidate the molecular mechanisms underlying NRF2 dysregulation in RCC, focusing on the KEAP1-NRF2 axis.
Main Methods:
- Review and analysis of molecular mechanisms governing NRF2 activity in cancer.
- Focus on the convergence of altered tumor pathways leading to KEAP1-NRF2 axis dysregulation in RCC.
Main Results:
- NRF2 hyperactivation contributes to tumor progression and chemoresistance in RCC.
- Altered signaling pathways in RCC converge to dysregulate the KEAP1-NRF2 axis.
Conclusions:
- Understanding NRF2 hyperactivation mechanisms in RCC is critical for developing new therapeutic strategies.
- Targeting the KEAP1-NRF2 axis presents a potential therapeutic avenue for renal cell carcinoma.
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