論文

国際誌
2022年9月27日

The KEAP1-NRF2 System and Esophageal Cancer.

Cancers
  • Wataru Hirose
  • ,
  • Hiroyuki Oshikiri
  • ,
  • Keiko Taguchi
  • ,
  • Masayuki Yamamoto

14
19
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/cancers14194702

NRF2 (nuclear factor erythroid 2-related factor 2) is a transcription factor that regulates the expression of many cytoprotective genes. NRF2 activation is mainly regulated by KEAP1 (kelch-like ECH-associated protein 1) through ubiquitination and proteasome degradation. Esophageal cancer is classified histologically into two major types: esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC). ESCC harbors more genetic alterations in the KEAP-NRF2 system than EAC does, which results in NRF2 activation in these cancers. NRF2-addicted ESCC exhibits increased malignancy and acquisition of resistance to chemoradiotherapy. Therefore, it has been recognized that the development of drugs targeting the KEAP1-NRF2 system based on the molecular dissection of NRF2 function is important and urgent for the treatment of ESCC, along with efficient clinical screening for NRF2-addicted ESCC patients. Recently, the fate of NRF2-activated cells in esophageal tissues, which was under the influence of strong cell competition, and its relationship to the pathogenesis of ESCC, was clarified. In this review, we will summarize the current knowledge of the KEAP1-NRF2 system and the treatment of ESCC. We propose three main strategies for the treatment of NRF2-addicted cancer: (1) NRF2 inhibitors, (2) synthetic lethal drugs for NRF2-addicted cancers, and (3) NRF2 inducers of the host defense system.

リンク情報
DOI
https://doi.org/10.3390/cancers14194702
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36230622
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564177
ID情報
  • DOI : 10.3390/cancers14194702
  • PubMed ID : 36230622
  • PubMed Central 記事ID : PMC9564177

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