Mapuskar Kranti A, Pulliam Casey F, Zepeda-Orozco Diana, Griffin Benjamin R, Furqan Muhammad, Spitz Douglas R, Allen Bryan G
Free Radical and Radiation Biology Program, Department of Radiation Oncology, University of Iowa Hospitals & Clinics, Iowa City, IA 52242, USA.
Pediatric Nephrology and Hypertension at Nationwide Children's Hospital, Columbus, OH 43205, USA.
Antioxidants (Basel). 2023 Sep 6;12(9):1728. doi: 10.3390/antiox12091728.
Cisplatin, a potent chemotherapeutic agent, is marred by severe nephrotoxicity that is governed by mechanisms involving oxidative stress, inflammation, and apoptosis pathways. The transcription factor Nrf2, pivotal in cellular defense against oxidative stress and inflammation, is the master regulator of the antioxidant response, upregulating antioxidants and cytoprotective genes under oxidative stress. This review discusses the mechanisms underlying chemotherapy-induced kidney injury, focusing on the role of Nrf2 in cancer therapy and its redox regulation in cisplatin-induced kidney injury. We also explore Nrf2's signaling pathways, post-translational modifications, and its involvement in autophagy, as well as examine redox-based strategies for modulating Nrf2 in cisplatin-induced kidney injury while considering the limitations and potential off-target effects of Nrf2 modulation. Understanding the redox regulation of Nrf2 in cisplatin-induced kidney injury holds significant promise for developing novel therapeutic interventions. This knowledge could provide valuable insights into potential strategies for mitigating the nephrotoxicity associated with cisplatin, ultimately enhancing the safety and efficacy of cancer treatment.
顺铂是一种强效化疗药物,但其严重的肾毒性令人诟病,这种肾毒性由涉及氧化应激、炎症和细胞凋亡途径的机制所主导。转录因子Nrf2在细胞抵御氧化应激和炎症中起关键作用,是抗氧化反应的主要调节因子,在氧化应激下上调抗氧化剂和细胞保护基因。本综述讨论了化疗诱导的肾损伤的潜在机制,重点关注Nrf2在癌症治疗中的作用及其在顺铂诱导的肾损伤中的氧化还原调节。我们还探讨了Nrf2的信号通路、翻译后修饰及其在自噬中的作用,并研究了基于氧化还原的策略来调节顺铂诱导的肾损伤中的Nrf2,同时考虑Nrf2调节的局限性和潜在的脱靶效应。了解顺铂诱导的肾损伤中Nrf2的氧化还原调节对于开发新的治疗干预措施具有重要前景。这些知识可以为减轻与顺铂相关的肾毒性的潜在策略提供有价值的见解,最终提高癌症治疗的安全性和有效性。
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