1. Molecular mechanisms and systemic targeting of NRF2 dysregulation in cancer
- Author
-
Le Ba Nam, Ok-Kyung Yoo, Young-Sam Keum, and Jong-Su Kang
- Subjects
0301 basic medicine ,Lung Neoplasms ,Somatic cell ,NF-E2-Related Factor 2 ,Antineoplastic Agents ,Tretinoin ,Biology ,digestive system ,environment and public health ,Biochemistry ,DNA-binding protein ,03 medical and health sciences ,0302 clinical medicine ,Ubiquitin ,Radioresistance ,Neoplasms ,medicine ,Animals ,Humans ,Molecular Targeted Therapy ,Gene ,Pharmacology ,Kelch-Like ECH-Associated Protein 1 ,Quassins ,Cancer ,respiratory system ,medicine.disease ,KEAP1 ,Gene Expression Regulation, Neoplastic ,030104 developmental biology ,030220 oncology & carcinogenesis ,Mutation ,Cancer research ,biology.protein ,Function (biology) - Abstract
NF-E2-related factor 2 (NRF2) is a master regulator of redox homeostasis and provides cellular protection against oxidants and electrophiles by inducing the expression of a wide array of phase II cytoprotective genes. Until now, a number of NRF2 activators have been developed for treatment of chronic diseases and some are under evaluation in the clinical studies. On the other hand, accumulating evidence indicates that NRF2 confers chemoresistance and radioresistance, and its expression is correlated with poor prognosis in cancer patients. Studies in the last decade demonstrate that diverse mechanisms such as somatic mutations, accumulation of KEAP1 binding proteins, transcriptional dysregulation, oncogene activation, and accumulation of reactive metabolites contribute to NRF2 activation in cancer. In the present review, we illustrate the molecular mechanisms governing the function of NRF2 and explain how they are hijacked in cancer. We also provide some examples of NRF2 inhibitors together with a brief explanation of their mechanisms of action.
- Published
- 2020