An overview of chemical inhibitors of the Nrf2-ARE signaling pathway and their potential applications in cancer therapy

Free Radic Biol Med. 2016 Oct:99:544-556. doi: 10.1016/j.freeradbiomed.2016.09.010. Epub 2016 Sep 12.

Abstract

The Nuclear factor erythroid 2-related factor 2 (Nrf2) is a key transcription factor regulating a wide array of genes for antioxidant and detoxification enzymes in response to oxidative and xenobiotic stress. A large number of Nrf2-antioxidant response element (ARE) activators have been screened for use as chemopreventive agents in oxidative stress-related diseases and even cancer. However, constitutive activation of Nrf2 occurs in a variety of cancers. Aberrant activation of Nrf2 is correlated with cancer progression, chemoresistance, and radioresistance. In this review, we examine recent studies of Nrf2-ARE inhibitors in the context of cancer therapy. We enumerate the possible Nrf2-inhibiting mechanisms of these compounds, their effects sensitizing cancer cells to chemotherapeutic agents, and the prospect of applying them in clinical cancer therapy.

Keywords: ARE; Cancer therapy; Chemoresistance; Inhibitor; Nrf2.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Antioxidant Response Elements / drug effects*
  • Antitubercular Agents / pharmacology
  • Cullin Proteins / genetics
  • Cullin Proteins / metabolism
  • Drug Resistance, Neoplasm / drug effects*
  • Drug Resistance, Neoplasm / genetics
  • Flavonoids / pharmacology
  • Gene Expression Regulation, Neoplastic*
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Kelch-Like ECH-Associated Protein 1 / genetics
  • Kelch-Like ECH-Associated Protein 1 / metabolism
  • NF-E2-Related Factor 2 / antagonists & inhibitors*
  • NF-E2-Related Factor 2 / genetics
  • NF-E2-Related Factor 2 / metabolism
  • Neoplasms / drug therapy*
  • Neoplasms / genetics
  • Neoplasms / metabolism
  • Neoplasms / pathology
  • Oxidative Stress / drug effects
  • Signal Transduction
  • Vitamins / pharmacology

Substances

  • Antineoplastic Agents
  • Antitubercular Agents
  • CUL3 protein, human
  • Cullin Proteins
  • Flavonoids
  • Hypoglycemic Agents
  • KEAP1 protein, human
  • Kelch-Like ECH-Associated Protein 1
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human
  • Vitamins