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Updated: Jul 20, 2025

Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Cellular Modulators of the NRF2/KEAP1 Signaling Pathway in Prostate Cancer
Giovanni Tossetta1, Sonia Fantone1, Daniela Marzioni1
1Department of Experimental and Clinical Medicine, Università Politecnica delle Marche, 60126 Ancona, Italy.
Abstract:
Prostate cancer is the second most common malignancy in men worldwide. Prostate cancer can be treated by surgery, radiotherapy and hormone therapy. The latter, in the form of androgen-deprivation therapy is needed to reduce prostate cancer progression at an advanced stage. Several studies demonstrated that oxidative stress is involved in cancer occurrence, development and progression and the Nuclear factor erythroid 2-related factor 2 (NRF2)/Kelch Like ECH Associated Protein 1 (KEAP1) pathway is affected by reactive oxygen species (ROS). Furthermore, the NRF2/KEAP1 signaling pathway has been investigated by several studies related to anti-androgen therapy, biochemical recurrence and radiotherapy. In this review we analysed the current literature regarding the indirect modulators involved in NRF2/KEAP1 pathway regulation and their role as possible therapeutic targets in prostate cancer cells.
Insights
This review explores the Nuclear factor erythroid 2-related factor 2 (NRF2)/Kelch Like ECH Associated Protein 1 (KEAP1) pathway in prostate cancer. It identifies indirect modulators of this pathway as potential therapeutic targets for advanced disease.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Prostate cancer is a leading global malignancy in men.
- Androgen-deprivation therapy is crucial for advanced prostate cancer management.
- Oxidative stress and the NRF2/KEAP1 pathway are implicated in cancer development and progression.
Purpose of the Study:
- To review the current literature on indirect modulators of the NRF2/KEAP1 pathway in prostate cancer.
- To explore the role of these modulators as potential therapeutic targets.
Main Methods:
- Literature review of studies investigating the NRF2/KEAP1 pathway in prostate cancer.
- Analysis of indirect modulators affecting NRF2/KEAP1 signaling.
- Examination of the pathway's relevance to anti-androgen therapy, recurrence, and radiotherapy.
Main Results:
- The NRF2/KEAP1 pathway is influenced by reactive oxygen species (ROS).
- This pathway is linked to anti-androgen therapy, biochemical recurrence, and radiotherapy in prostate cancer.
- Several indirect modulators of the NRF2/KEAP1 pathway have been identified.
Conclusions:
- Indirect modulators of the NRF2/KEAP1 pathway represent promising therapeutic targets for prostate cancer.
- Targeting these modulators may offer novel treatment strategies for advanced prostate cancer.
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