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Updated: Jun 26, 2026

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Molecular insights for targeting the Nrf1 pathway in hepatocellular carcinoma
Xi Chen1, Zhengwen Zhang2, Siqian Cui3,4
1The Laboratory of Cell Biochemistry and Topogenetic Regulation, College of Bioengineering & Chongqing Academy of Medical Sciences, Chongqing General Hospital, Faculty of Medicine, Chongqing University, Chongqing, China.
Introduction:
Nuclear factor erythroid 2-related factor 1 (Nrf1, encoded by NFE2L1) plays a central role in maintaining cellular homeostasis, basal redox balance, and mitochondrial quality control and its function. Recent studies have revealed that Nrf1 assumes complex, even opposing, roles in functioning both as a tumor-suppressor and otherwise, also as an unconvincing driver of Hepatocellular carcinoma (HCC) progression through certain oncogenic pathways and redox stress adaptation.
Areas Covered:
This mini-review systematically outlines the molecular-cellular regulatory network of Nrf1 and further elucidates its functional divergence and synergy with Nrf2 (encoded by NFE2L2) in HCC.
Expert Opinion:
Research on Nrf1 in the field of HCC has evolved from describing its basic pathophysiological functions to a systematic analysis of its putative dual roles in tumor initiation and progression, its isoform specificity, complex regulatory networks, and therapeutic potentials. Targeting Nrf1 for hepatocellular carcinoma therapy is just facing multiple challenges. Future research priorities will focus on elucidating Nrf1 isoform specificity and post-translational modification profiles, developing a molecular classification system based on the Yin (Nrf1)-Yang (Nrf2) balance, and even non-equilibrium steady-states, and screening for Nrf1α/TCF11-targeting modulators or activators to stimulate homeostatic anti-cancer defense mechanisms.
Insights
Nuclear factor erythroid 2-related factor 1 (Nrf1) has dual roles in liver cancer, acting as both a tumor suppressor and a promoter. Understanding its complex regulation is key for developing new hepatocellular carcinoma (HCC) therapies.
Area of Science:
- Molecular Biology
- Oncology
- Cellular Homeostasis
Background:
- Nuclear factor erythroid 2-related factor 1 (Nrf1) is crucial for cellular homeostasis, redox balance, and mitochondrial function.
- Nrf1 exhibits complex, dual roles in hepatocellular carcinoma (HCC), acting as both a tumor suppressor and a driver of progression.
- Its function is intertwined with Nrf2, another key regulator in cellular defense pathways.
Purpose of the Study:
- To systematically review the molecular-cellular regulatory network of Nrf1 in HCC.
- To elucidate the functional divergence and synergy between Nrf1 and Nrf2 in the context of HCC.
- To analyze the evolving research landscape of Nrf1 in HCC, including its dual roles, isoform specificity, and therapeutic potential.
Main Methods:
- Systematic literature review and analysis of existing research on Nrf1 in HCC.
- Examination of molecular and cellular regulatory networks governing Nrf1 function.
- Comparative analysis of Nrf1 and Nrf2 roles and interactions in HCC.
Main Results:
- Nrf1's function in HCC is complex, with evidence supporting both tumor-suppressive and tumor-promoting activities.
- Nrf1's roles are influenced by its isoforms, post-translational modifications, and interactions with Nrf2.
- The balance between Nrf1 and Nrf2 (Yin-Yang) is critical in HCC development and progression.
Conclusions:
- Targeting Nrf1 for HCC therapy presents significant challenges due to its complex and context-dependent roles.
- Future research should focus on Nrf1 isoform specificity, post-translational modifications, and the Nrf1/Nrf2 balance.
- Developing Nrf1 modulators could offer novel therapeutic strategies by enhancing anti-cancer defense mechanisms.
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