Potential Applications of NRF2 Modulators in Cancer Therapy.

NRF2-KEAP1 ROS antioxidant cancer metabolism cancer therapy chemoresistance oxidative stress radioresistance

Journal

Antioxidants (Basel, Switzerland)
ISSN: 2076-3921
Titre abrégé: Antioxidants (Basel)
Pays: Switzerland
ID NLM: 101668981

Informations de publication

Date de publication:
25 Feb 2020
Historique:
received: 30 01 2020
revised: 21 02 2020
accepted: 21 02 2020
entrez: 29 2 2020
pubmed: 29 2 2020
medline: 29 2 2020
Statut: epublish

Résumé

The nuclear factor erythroid 2-related factor 2 (NRF2)-Kelch-like ECH-associated protein 1 (KEAP1) regulatory pathway plays an essential role in protecting cells and tissues from oxidative, electrophilic, and xenobiotic stress. By controlling the transactivation of over 500 cytoprotective genes, the NRF2 transcription factor has been implicated in the physiopathology of several human diseases, including cancer. In this respect, accumulating evidence indicates that NRF2 can act as a double-edged sword, being able to mediate tumor suppressive or pro-oncogenic functions, depending on the specific biological context of its activation. Thus, a better understanding of the mechanisms that control NRF2 functions and the most appropriate context of its activation is a prerequisite for the development of effective therapeutic strategies based on NRF2 modulation. In line of principle, the controlled activation of NRF2 might reduce the risk of cancer initiation and development in normal cells by scavenging reactive-oxygen species (ROS) and by preventing genomic instability through decreased DNA damage. In contrast however, already transformed cells with constitutive or prolonged activation of NRF2 signaling might represent a major clinical hurdle and exhibit an aggressive phenotype characterized by therapy resistance and unfavorable prognosis, requiring the use of NRF2 inhibitors. In this review, we will focus on the dual roles of the NRF2-KEAP1 pathway in cancer promotion and inhibition, describing the mechanisms of its activation and potential therapeutic strategies based on the use of context-specific modulation of NRF2.

Identifiants

pubmed: 32106613
pii: antiox9030193
doi: 10.3390/antiox9030193
pmc: PMC7139512
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

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Auteurs

Emiliano Panieri (E)

Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, 00185 Rome, Italy.

Aleksandra Buha (A)

Department of Toxicology "Akademik Danilo Soldatović", University of Belgrade-Faculty of Pharmacy, 11000 Belgrade, Serbia.

Pelin Telkoparan-Akillilar (P)

Department of Medical Biology, Faculty of Medicine, Yuksek Ihtisas University, 06520 Balgat, Ankara, Turkey.

Dilek Cevik (D)

Department of Medical Biology, Faculty of Medicine, Yuksek Ihtisas University, 06520 Balgat, Ankara, Turkey.

Demetrios Kouretas (D)

Department of Biochemistry-Biotechnology University of Thessaly Viopolis, Mezourlo, 41500 Larissa, Greece.

Aristidis Veskoukis (A)

Department of Biochemistry-Biotechnology University of Thessaly Viopolis, Mezourlo, 41500 Larissa, Greece.

Zoi Skaperda (Z)

Department of Biochemistry-Biotechnology University of Thessaly Viopolis, Mezourlo, 41500 Larissa, Greece.

Aristidis Tsatsakis (A)

Laboratory of Toxicology Science and Research, Medical School, University of Crete, 71003 Heraklion, Crete, Greece.

David Wallace (D)

School of Biomedical Science, Oklahoma State University Center for Health Sciences, Tulsa, OK 74107-1898, USA.

Sibel Suzen (S)

Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Ankara University, 06100 Tandogan, Ankara, Turkey.

Luciano Saso (L)

Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University of Rome, 00185 Rome, Italy.

Classifications MeSH