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Role of NRF2 in Colorectal Cancer Prevention and Treatment
Jiaxiang Li1, Dan Wang1, Yifei Liu2
1School of Pharmacy, Xianning Medical College, 418442Hubei University of Science and Technology, Xianning, Hubei, China.
Abstract:
Nuclear factor erythroid 2-related factor 2 (NRF2) is a basic leucine zipper protein that participates in a complex regulatory network in the body. The activation of NRF2 can prevent and treat colorectal cancer (CRC). A variety of natural compounds can activate NRF2 to inhibit oxidative stress and inflammation to prevent the occurrence and development of CRC, inhibit the proliferation of CRC cells and induce their apoptosis. However, some studies have also shown that it also has negative effects on CRC, such as overexpression of NRF2 can promote the growth of colorectal tumors and increase the drug resistance of chemotherapeutic drugs such as 5-fluorouracil and oxaliplatin. Therefore, inhibition of NRF2 can also be helpful in the treatment of CRC. In this study, we analyze the current research progress of NRF2 in CRC from various aspects to provide new ideas for prevention and treatment based on the NRF2 signaling pathway in CRC.
Insights
Nuclear factor erythroid 2-related factor 2 (NRF2) shows dual roles in colorectal cancer (CRC). Activating NRF2 may prevent CRC, but its overexpression can promote tumor growth and drug resistance, suggesting inhibition as a treatment strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Nuclear factor erythroid 2-related factor 2 (NRF2) is a key regulator in cellular defense mechanisms.
- NRF2 plays a complex role in colorectal cancer (CRC) development and progression.
- Natural compounds targeting NRF2 are explored for CRC prevention and treatment.
Purpose of the Study:
- To review the current research on NRF2's multifaceted role in colorectal cancer.
- To explore the dual effects of NRF2 activation and inhibition in CRC.
- To provide insights for novel CRC therapeutic strategies targeting the NRF2 pathway.
Main Methods:
- Literature review of studies investigating NRF2 in colorectal cancer.
- Analysis of NRF2's involvement in oxidative stress, inflammation, and apoptosis in CRC cells.
- Examination of NRF2's impact on CRC cell proliferation and drug resistance.
Main Results:
- NRF2 activation by natural compounds can inhibit CRC by reducing oxidative stress and inflammation.
- Overexpression of NRF2 can promote CRC growth and confer resistance to chemotherapy (e.g., 5-fluorouracil, oxaliplatin).
- The dual role of NRF2 suggests context-dependent therapeutic strategies.
Conclusions:
- NRF2 signaling pathway presents a promising target for CRC intervention.
- Both activation and inhibition of NRF2 may be beneficial depending on the specific CRC context.
- Further research is needed to fully elucidate NRF2's role and optimize therapeutic approaches for CRC.
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