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Published on: January 12, 2020
Natural and synthetic compounds in Ovarian Cancer: A focus on NRF2/KEAP1 pathway
Giovanni Tossetta1, Daniela Marzioni2
1Department of Experimental and Clinical Medicine, Università Politecnica delle Marche, 60126 Ancona, Italy; Clinic of Obstetrics and Gynaecology, Department of Clinical Sciences, Università Politecnica delle Marche, Salesi Hospital, Azienda Ospedaliero Universitaria, Ancona, Italy.
Abstract:
Among gynecologic malignancies, ovarian cancer is one of the most dangerous, with a high fatality rate and relapse due to the occurrence of chemoresistance. Many researchers demonstrated that oxidative stress is involved in tumor occurrence, development and procession. Nuclear factor erythroid 2-related factor 2 (NRF2) is an important transcription factor playing an important role in protecting against oxidative damage. Increased levels of Reactive Oxygen Species (ROS) activate NRF2 signaling inducing the expression of antioxidant enzymes such as heme oxygenase (HO-1), catalase (CAT), glutathione peroxidase (GPx) and superoxide dismutase (SOD) that protect cells against oxidative stress. However, NRF2 activation in cancer cells is responsible for the development of chemoresistance inactivating drug-mediated oxidative stress that normally leads cancer cells to death. In this review we analyzed the current literature regarding the role of natural and synthetic compounds in modulating NRF2/KEAP1 (Kelch Like ECH Associated Protein 1) pathway in in vitro models of ovarian cancer. In particular, we reported how these compounds can modulate chemotherapy response.
Insights
Natural and synthetic compounds can modulate the NRF2/KEAP1 pathway to overcome chemoresistance in ovarian cancer. This research explores how targeting this pathway enhances chemotherapy effectiveness against this deadly gynecologic malignancy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Ovarian cancer is a dangerous gynecologic malignancy with high fatality and relapse rates, often due to chemoresistance.
- Oxidative stress is implicated in cancer development and progression.
- Nuclear factor erythroid 2-related factor 2 (NRF2) is a transcription factor that protects cells from oxidative damage by inducing antioxidant enzymes.
Purpose of the Study:
- To review the current literature on natural and synthetic compounds that modulate the NRF2/KEAP1 pathway in ovarian cancer.
- To investigate the role of NRF2 activation in chemoresistance development in ovarian cancer.
- To explore how modulating the NRF2/KEAP1 pathway can impact chemotherapy response.
Main Methods:
- Literature review of in vitro studies on ovarian cancer models.
- Analysis of compounds targeting the NRF2/KEAP1 pathway.
- Examination of the effects of NRF2 modulation on chemoresistance.
Main Results:
- NRF2 activation in cancer cells contributes to chemoresistance by counteracting drug-induced oxidative stress.
- Natural and synthetic compounds can modulate the NRF2/KEAP1 pathway.
- Modulation of this pathway by compounds can alter chemotherapy response in ovarian cancer cells.
Conclusions:
- Targeting the NRF2/KEAP1 pathway with specific compounds presents a potential strategy to overcome chemoresistance in ovarian cancer.
- Further research into these compounds could lead to improved therapeutic approaches for ovarian cancer patients.
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