PMID- 33001866 OWN - NLM STAT- MEDLINE DCOM- 20210518 LR - 20210518 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 5 IP - 20 DP - 2020 Oct 15 TI - Pathogenic and therapeutic role for NRF2 signaling in ultraviolet light-induced skin pigmentation. LID - 139342 [pii] LID - 10.1172/jci.insight.139342 [doi] LID - e139342 AB - Mottled skin pigmentation and solar lentigines from chronic photodamage with aging involve complex interactions between keratinocytes and melanocytes. However, the precise signaling mechanisms that could serve as therapeutic targets are unclear. Herein, we report that expression of nuclear factor erythroid 2-related factor 2 (NRF2), which regulates reduction-oxidation reactions, is altered in solar lentigines and photodamaged skin. Moreover, mottled skin pigmentation in humans could be treated with topical application of the NRF2 inducer sulforaphane (SF). Similarly, UV light-induced pigmentation of WT mouse ear skin could be treated or prevented with SF treatment. Conversely, SF treatment was unable to reduce UV-induced ear skin pigmentation in mice deficient in NRF2 or in mice with keratinocyte-specific conditional deletion of IL-6Ralpha. Taken together, NRF2 and IL-6Ralpha signaling are involved in the pathogenesis of UV-induced skin pigmentation, and specific enhancement of NRF2 signaling could represent a potential therapeutic target. FAU - Kerns, Michelle L AU - Kerns ML FAU - Miller, Robert J AU - Miller RJ FAU - Mazhar, Momina AU - Mazhar M FAU - Byrd, Angel S AU - Byrd AS FAU - Archer, Nathan K AU - Archer NK FAU - Pinkser, Bret L AU - Pinkser BL FAU - Lew, Lance AU - Lew L FAU - Dillen, Carly A AU - Dillen CA FAU - Wang, Ruizhi AU - Wang R FAU - Miller, Lloyd S AU - Miller LS FAU - Chien, Anna L AU - Chien AL FAU - Kang, Sewon AU - Kang S LA - eng GR - R01 AR069502/AR/NIAMS NIH HHS/United States GR - R01 AR073665/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20201015 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (Il6ra protein, mouse) RN - 0 (Isothiocyanates) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (Receptors, Interleukin-6) RN - 0 (Sulfoxides) RN - GA49J4310U (sulforaphane) SB - IM MH - Animals MH - Humans MH - Isothiocyanates/pharmacology MH - Keratinocytes/pathology/radiation effects MH - Melanocytes/pathology/radiation effects MH - Mice MH - NF-E2-Related Factor 2/*genetics MH - Oxidation-Reduction/radiation effects MH - Receptors, Interleukin-6/*genetics MH - Signal Transduction/drug effects MH - Skin Aging/*genetics/pathology/radiation effects MH - Skin Pigmentation/*genetics/radiation effects MH - Sulfoxides/pharmacology MH - Ultraviolet Rays/adverse effects PMC - PMC7605539 OTO - NOTNLM OT - Cellular immune response OT - Dermatology COIS- Conflict of interest: LSM is a full-time employee at Janssen Research and Development. LSM has received grant support from AstraZeneca, MedImmune (a subsidiary of AstraZeneca), Pfizer, Boehringer Ingelheim, Regeneron Pharmaceuticals, and Moderna Therapeutics; is a shareholder of Noveome Biotherapeutics; is a paid consultant for Almirall and Janssen Research and Development; and is on the scientific advisory board of Integrated Biotherapeutics; all of the companies mentioned in this sentence are developing therapeutics against infections and/or inflammatory conditions. EDAT- 2020/10/02 06:00 MHDA- 2021/05/19 06:00 PMCR- 2020/10/15 CRDT- 2020/10/01 17:15 PHST- 2020/04/20 00:00 [received] PHST- 2020/09/16 00:00 [accepted] PHST- 2020/10/02 06:00 [pubmed] PHST- 2021/05/19 06:00 [medline] PHST- 2020/10/01 17:15 [entrez] PHST- 2020/10/15 00:00 [pmc-release] AID - 139342 [pii] AID - 10.1172/jci.insight.139342 [doi] PST - epublish SO - JCI Insight. 2020 Oct 15;5(20):e139342. doi: 10.1172/jci.insight.139342.