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[Nrf2在肿瘤进展中的作用及其抑制剂在癌症治疗中的应用]

[Effect of Nrf2 in tumor progression and its inhibitors in cancer therapy].

作者信息

Tian Zi-Yin, Yang Yun

机构信息

School of Basic Medical Sciences, Xinxiang Medical University Xinxiang 453003, China.

School of Basic Medical Sciences, Xinxiang Medical University Xinxiang 453003, China Henan International Joint Laboratory of Recombinant Protein Development Xinxiang 453003, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2021 Jan;46(1):24-32. doi: 10.19540/j.cnki.cjcmm.20200915.601.

Abstract

Nrf2 is the key transcription factor mainly for regulating oxidative homeostasis and cytoprotective responses against oxidative stress. Nrf2/Keap1 pathway is one of the most important cellular defense mechanisms against endogenous or exogenous oxidative stress. With its activation, a wide range of stress-related genes is transactivated to restore the cellular homeostasis. Recent studies revealed that the aberrant activation of Nrf2 is related to the malignant progression, chemotherapeutic drug resistance and poor prognosis. Nrf2 plays a crucial role in cancer malignancy and chemotherapeutic resistance by controlling the intracellular redox homeostasis through the activation of cytoprotective antioxidant genes. Nrf2 inhibitor containing many natural products has been deemed as a novel therapeutic strategy for human malignancies. This article reviews the progress of studies of the Nrf2/Keap1 pathway, and its biological impact in solid malignancies and molecular mechanisms for causing Nrf2 hyperactivation in cancer cells. In conclusion, we summarized the deve-lopment of Nrf2 inhibitors in recent years, in the expectation of providing reference for further drug development and clinical studies.

摘要

Nrf2是主要用于调节氧化稳态和针对氧化应激的细胞保护反应的关键转录因子。Nrf2/Keap1通路是细胞对抗内源性或外源性氧化应激的最重要防御机制之一。随着其激活,大量与应激相关的基因被反式激活以恢复细胞内稳态。最近的研究表明,Nrf2的异常激活与恶性进展、化疗耐药性和不良预后有关。Nrf2通过激活细胞保护抗氧化基因来控制细胞内氧化还原稳态,从而在癌症恶性肿瘤和化疗耐药性中起关键作用。含有许多天然产物的Nrf2抑制剂已被视为治疗人类恶性肿瘤的一种新策略。本文综述了Nrf2/Keap1通路的研究进展,及其在实体恶性肿瘤中的生物学影响以及癌细胞中导致Nrf2过度激活的分子机制。总之,我们总结了近年来Nrf2抑制剂的发展情况,以期为进一步的药物开发和临床研究提供参考。

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