Activating NRF2E79Q mutation alters the differentiation of human non-small cell lung cancer

Samera H Hamad1,2,3,4,5, Hansa Joshi6, T Hess6

  • 1Surgery Department, Cooper Medical School of Rowan University, Camden, NJ, USA. hamad-samera@cooperhealth.edu.

Cancer Gene Therapy
|October 11, 2025
PubMed

Insights

Nuclear factor erythroid 2-related factor 2 (NRF2) activation impacts non-small cell lung cancer (NSCLC) cell models differently. NRF2 influences tumor growth and differentiation in a context-dependent manner, affecting NSCLC progression.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • The Nuclear factor erythroid 2-related factor 2 (NRF2) signaling pathway is implicated in tumor initiation, progression, and therapeutic resistance.
  • NRF2-active tumors exhibit altered metabolism, redox state, and immunosuppression.

Purpose of the Study:

  • To investigate the molecular and phenotypic effects of NRF2 activation in two distinct human non-small cell lung cancer (NSCLC) models.
  • To understand the context-dependent impact of NRF2 on NSCLC growth and differentiation.

Main Methods:

  • Utilized inducible expression of a common activating NRF2 mutation (NRF2E79Q) in H358 (lung adenocarcinoma) and H596 (lung adeno-squamous cell carcinoma) NSCLC cell lines.
  • Assessed impacts on cellular morphology, tumor growth (2D culture and xenografts), and gene expression profiles.
  • Compared NRF2-induced transcriptional programs with those in primary lung tumors.

Main Results:

  • NRF2E79Q expression altered cellular morphology in both NSCLC models.
  • In H358 cells, NRF2 activation increased xenograft tumor growth but not in 2D culture.
  • In H596 cells, NRF2 activation increased neuroendocrine marker gene expression without affecting tumor growth in either 2D or xenografts.
  • Gene expression profiling identified shared and unique NRF2 transcriptional programs, with some overlap in primary lung tumors.

Conclusions:

  • NRF2 activation exerts context-dependent effects on NSCLC cell growth and differentiation.
  • NRF2 plays a role in modulating the differentiation state of human NSCLC during tumor progression.

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