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Nrf2 prevents initiation but accelerates progression through the Kras signaling pathway during lung carcinogenesis.

Abstract
Nrf2 (Nfe2l2) governs cellular defenses against oxidative and electrophilic stresses and protects against chemical carcinogenesis. However, many cancers have been found to accumulate NRF2 protein, raising questions of precisely how Nrf2 contributes to carcinogenesis. In this report, we explored such questions in an established urethane-induced multistep model of lung carcinogenesis. Consistent with earlier observations, Nrf2-deficient (Nrf2(-/-)) mice exhibited a relative increase in tumor foci by 8 weeks after urethane administration. However, after 16 weeks, we observed a relative reduction in the number of tumors with more malignant characteristics in Nrf2(-/-) mice. Furthermore, all Nrf2(+/+) tumors harbored activated mutations in Kras, whereas Nrf2(-/-) tumors were rarely associated with similar Kras mutations. Overall, our results established that Nrf2 has two roles during carcinogenesis, one of which is preventive during tumor initiation and the second that promotes malignant progression. These findings establish Nrf2 inhibitors as rational tools to prevent malignant progression in lung cancer, whereas Nrf2 activators are more suited for lung cancer prevention.
AuthorsHironori Satoh, Takashi Moriguchi, Jun Takai, Masahito Ebina, Masayuki Yamamoto
JournalCancer research (Cancer Res) Vol. 73 Issue 13 Pg. 4158-68 (Jul 01 2013) ISSN: 1538-7445 [Electronic] United States
PMID23610445 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright©2013 AACR.
Chemical References
  • NF-E2-Related Factor 2
  • Nfe2l2 protein, mouse
  • Urethane
  • Cytochrome P-450 CYP2E1
  • Hras protein, mouse
  • Proto-Oncogene Proteins p21(ras)
Topics
  • Adenocarcinoma (chemically induced, immunology, metabolism, pathology)
  • Animals
  • Base Sequence
  • Cell Transformation, Neoplastic (metabolism)
  • Cytochrome P-450 CYP2E1 (genetics, metabolism)
  • DNA Mutational Analysis
  • Lung (enzymology, pathology)
  • Lung Neoplasms (chemically induced, immunology, metabolism, pathology)
  • Mice
  • Mice, Inbred ICR
  • Mice, Knockout
  • Mice, Nude
  • Mutation
  • Myeloid Cells (immunology)
  • NF-E2-Related Factor 2 (genetics, metabolism)
  • Neoplasm Transplantation
  • Oligonucleotide Array Sequence Analysis
  • Proto-Oncogene Proteins p21(ras) (genetics, metabolism)
  • Signal Transduction
  • Transcriptional Activation
  • Transcriptome
  • Tumor Burden
  • Tumor Escape
  • Urethane

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