Departmento de Biología, Facultad de Química, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico.
Rev Med Virol. 2022 May;32(3):e2308. doi: 10.1002/rmv.2308. Epub 2021 Oct 25.
High-risk human papillomavirus (HR-HPV) infection is a necessary cause for the development of cervical cancer. Moreover, HR-HPV is also associated with cancers in the anus, vagina, vulva, penis and oropharynx. HR-HPVs target and modify the function of different cell biomolecules, such as glucose, amino acids, lipids and transcription factors (TF), such as p53, nuclear factor erythroid 2-related factor 2 (Nrf2), among others. The latter is a master TF that maintains redox homeostasis. Nrf2 also induces the transcription of genes associated with cell detoxification. Since both processes are critical for cell physiology, Nrf2 deregulation is associated with cancer development. Nrf2 is a crucial molecule in HPV-related cancer development but underexplored. Moreover, Nrf2 activation is also associated with resistance to chemotherapy and radiotherapy in these cancers. This review focusses on the importance of Nrf2 during HPV-related cancer development, resistance to therapy and potential therapies associated with Nrf2 as a molecular target.
高危型人乳头瘤病毒(HR-HPV)感染是宫颈癌发展的必要原因。此外,HR-HPV 还与肛门、阴道、外阴、阴茎和口咽癌有关。HR-HPV 针对并改变不同细胞生物分子的功能,如葡萄糖、氨基酸、脂质和转录因子(TF),如 p53、核因子红细胞 2 相关因子 2(Nrf2)等。后者是维持氧化还原平衡的主 TF。Nrf2 还诱导与细胞解毒相关的基因转录。由于这两个过程对细胞生理学都很重要,因此 Nrf2 的失调与癌症的发展有关。Nrf2 是 HPV 相关癌症发展中的关键分子,但研究不足。此外,Nrf2 的激活也与这些癌症中对化疗和放疗的耐药性有关。本综述重点介绍了 Nrf2 在 HPV 相关癌症发展、治疗耐药性和与 Nrf2 作为分子靶点相关的潜在治疗中的重要性。