ARTICLE The Role of NRF2 in Stress-Driven Signaling and Metabolic Reprogramming in Cancer
ABSTRACT
Tumor cells acquire the ability to reprogram
their energy metabolism in response to
environmental stresses such as hypoxia,
oxidative stress, and therapeutic effects. Key
factors driving this adaptive shift include
Nrf2, a master transcriptional regulator
of redox homeostasis and intermediary
metabolism, and activation of associated
signaling pathways. Nrf2 is known to
play a role in regulating glycolysis, lipid
metabolism, and amino acid turnover, each
of which contributes to the emergence and
maintenance of drug resistance. Activated
Nrf2 can bind to AREs in the promoters of
cytoprotective genes involved in glutathione
biosynthesis, NADPH regeneration, and
xenobiotic metabolism, thereby promoting
both tumor progression and cell death by
promoting p53 accumulation. Through
transcriptional activation of genes involved in
antioxidant defense and detoxification, Nrf2
protects cancer cells from oxidative damage
and chemotherapeutic effects. Targeting
Nrf2 glycation pathways is important as a
strategy to enhance the efficacy of pro-oxidant
therapies and weaken tumor antioxidant
defenses. All of these transcriptional
reprogrammings promote cellular survival
by facilitating the detoxification of ROS,
restoration of redox homeostasis, and repair
of oxidative lesions. Under basal conditions,
Nrf2 is ubiquitinated and degraded in the
cytoplasm by Keap1. Increased ROS levels
resulting from oncometabolite accumulation
in tumorigenesis modify cysteine residues
on Keap1, weakening its ability to target
Nrf2 for degradation. This allows Nrf2 to
translocate to the nucleus, where it activates
the transcription of ARE-driven genes,
enhancing cellular antioxidant capacity and
supporting survival under oxidative stress. All
of these reprogramming processes mentioned
by NRF2 in cancer, particularly glycolysis,
glutaminolysis, and redox buffering, are critical
for supporting metabolic reprogramming and
stress adaptation, including anabolic growth
in cancer cells.
AUTHORS
Vida POURTEIMOOR, İlhan YAYLIM
PAGE NUMBERS 1-18
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