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靶向癌症中的Keap1/Nrf2轴:分子机制与药理干预

Targeting the Keap1/Nrf2 axis in cancer: molecular mechanisms and pharmacological interventions.

作者信息

Xia Yangchen, Xu Ziyang, Yuan Xun, Chu Qian

机构信息

Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

出版信息

Invest New Drugs. 2025 Sep 5. doi: 10.1007/s10637-025-01578-9.

DOI:10.1007/s10637-025-01578-9
PMID:40911259
Abstract

The transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2) is the first-line regulator of a plethora of cytoprotective pathways, such as inflammation, redox metabolism, and proteostasis. Besides its protective role in oxidative stress, several recent advances suggested that the Nrf2 pathway is extensively involved in cancer pathogenesis and confers a survival advantage and malignant transformation. Therefore, pharmacological inhibition of Nrf2 is a potential therapeutic approach for cancer that is related to oxidative stress and inflammation. In this review, we first describe the molecular regulatory mechanisms of Nrf2 and its biological function in cancer. Then, we discuss the recent progress of blocking Nrf2 activity, comprising novel chemical molecules, and the advance in preclinical or clinical trials in cancer therapy.

摘要

转录因子核因子红细胞2相关因子2(Nrf2)是众多细胞保护途径的一线调节因子,如炎症、氧化还原代谢和蛋白质稳态。除了其在氧化应激中的保护作用外,最近的一些进展表明,Nrf2途径广泛参与癌症发病机制,并赋予生存优势和恶性转化能力。因此,对Nrf2进行药理学抑制是一种针对与氧化应激和炎症相关癌症的潜在治疗方法。在本综述中,我们首先描述Nrf2的分子调控机制及其在癌症中的生物学功能。然后,我们讨论阻断Nrf2活性的最新进展,包括新型化学分子,以及癌症治疗临床前或临床试验的进展。

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本文引用的文献

1
Keap1-independent Nrf2 regulation: A novel therapeutic target for treating kidney disease.不依赖Keap1的Nrf2调控:治疗肾脏疾病的新靶点。
Redox Biol. 2025 May;82:103593. doi: 10.1016/j.redox.2025.103593. Epub 2025 Mar 12.
2
Sensor systems of KEAP1 uniquely detecting oxidative and electrophilic stresses separately In vivo.KEAP1 的传感器系统能够分别特异性检测体内的氧化应激和亲电应激。
Redox Biol. 2024 Nov;77:103355. doi: 10.1016/j.redox.2024.103355. Epub 2024 Sep 17.
3
Targeting ROS in cancer: rationale and strategies.靶向癌症中的活性氧:原理与策略。
Nat Rev Drug Discov. 2024 Aug;23(8):583-606. doi: 10.1038/s41573-024-00979-4. Epub 2024 Jul 9.
4
Molecular glues and induced proximity: An evolution of tools and discovery.分子胶水与诱导接近:工具的演进与发现。
Cell Chem Biol. 2024 Jun 20;31(6):1089-1100. doi: 10.1016/j.chembiol.2024.04.001. Epub 2024 Apr 29.
5
The pleiotropic functions of reactive oxygen species in cancer.活性氧在癌症中的多效功能。
Nat Cancer. 2024 Mar;5(3):384-399. doi: 10.1038/s43018-024-00738-9. Epub 2024 Mar 22.
6
GAS41 modulates ferroptosis by anchoring NRF2 on chromatin.GAS41 通过将 NRF2 锚定在染色质上来调节铁死亡。
Nat Commun. 2024 Mar 21;15(1):2531. doi: 10.1038/s41467-024-46857-w.
7
Electrophilic metabolites targeting the KEAP1/NRF2 partnership.靶向KEAP1/NRF2相互作用的亲电代谢产物
Curr Opin Chem Biol. 2024 Feb;78:102425. doi: 10.1016/j.cbpa.2024.102425. Epub 2024 Jan 18.
8
Interplay of oxidative stress, cellular communication and signaling pathways in cancer.氧化应激、细胞通讯和信号通路在癌症中的相互作用。
Cell Commun Signal. 2024 Jan 2;22(1):7. doi: 10.1186/s12964-023-01398-5.
9
KEAP1 mutation in lung adenocarcinoma promotes immune evasion and immunotherapy resistance.肺腺癌中 KEAP1 突变促进免疫逃逸和免疫治疗耐药。
Cell Rep. 2023 Nov 28;42(11):113295. doi: 10.1016/j.celrep.2023.113295. Epub 2023 Oct 26.
10
Polyphyllin I induced ferroptosis to suppress the progression of hepatocellular carcinoma through activation of the mitochondrial dysfunction via Nrf2/HO-1/GPX4 axis.重楼皂苷I通过Nrf2/HO-1/GPX4轴激活线粒体功能障碍诱导铁死亡,从而抑制肝细胞癌的进展。
Phytomedicine. 2024 Jan;122:155135. doi: 10.1016/j.phymed.2023.155135. Epub 2023 Oct 12.