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NRF2 抑制剂在癌症治疗中的潜在应用。

Potential Applications of NRF2 Inhibitors in Cancer Therapy.

机构信息

Department of Physiology and Pharmacology "Vittorio Erspamer", Sapienza University, P.le Aldo Moro 5, 00185 Rome, Italy.

出版信息

Oxid Med Cell Longev. 2019 Apr 11;2019:8592348. doi: 10.1155/2019/8592348. eCollection 2019.

Abstract

The NRF2/KEAP1 pathway represents one of the most important cell defense mechanisms against exogenous or endogenous stressors. Indeed, by increasing the expression of several cytoprotective genes, the transcription factor NRF2 can shelter cells and tissues from multiple sources of damage including xenobiotic, electrophilic, metabolic, and oxidative stress. Importantly, the aberrant activation or accumulation of NRF2, a common event in many tumors, confers a selective advantage to cancer cells and is associated to malignant progression, therapy resistance, and poor prognosis. Hence, in the last years, NRF2 has emerged as a promising target in cancer treatment and many efforts have been made to identify therapeutic strategies aimed at disrupting its prooncogenic role. By summarizing the results from past and recent studies, in this review, we provide an overview concerning the NRF2/KEAP1 pathway, its biological impact in solid and hematologic malignancies, and the molecular mechanisms causing NRF2 hyperactivation in cancer cells. Finally, we also describe some of the most promising therapeutic approaches that have been successfully employed to counteract NRF2 activity in tumors, with a particular emphasis on the development of natural compounds and the adoption of drug repurposing strategies.

摘要

NRF2/KEAP1 通路是细胞针对外源性或内源性应激原的最重要的防御机制之一。事实上,转录因子 NRF2 通过增加几种细胞保护基因的表达,可以使细胞和组织免受包括异源物、亲电体、代谢和氧化应激在内的多种来源的损伤。重要的是,NRF2 的异常激活或积累是许多肿瘤中的常见事件,赋予癌细胞选择性优势,并与恶性进展、治疗耐药性和预后不良相关。因此,在过去几年中,NRF2 已成为癌症治疗的有前途的靶点,并且已经做出了许多努力来确定旨在破坏其致癌作用的治疗策略。通过总结过去和最近研究的结果,在这篇综述中,我们概述了 NRF2/KEAP1 通路及其在实体瘤和血液系统恶性肿瘤中的生物学影响,以及导致癌细胞中 NRF2 过度激活的分子机制。最后,我们还描述了一些最有前途的治疗方法,这些方法已成功用于抑制肿瘤中的 NRF2 活性,特别强调了天然化合物的开发和药物再利用策略的采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2987/6487091/3b5318bd2509/OMCL2019-8592348.001.jpg

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