PMID- 34102289 OWN - NLM STAT- MEDLINE DCOM- 20220303 LR - 20221102 IS - 1096-3650 (Electronic) IS - 1044-579X (Print) IS - 1044-579X (Linking) VI - 76 DP - 2021 Nov TI - Targeting NRF2 to treat cancer. PG - 61-73 LID - S1044-579X(21)00171-1 [pii] LID - 10.1016/j.semcancer.2021.06.003 [doi] AB - NRF2 is a basic leucine zipper (bZip) transcription factor that is the master regulator of redox homeostasis. Under basal conditions, the cellular level of NRF2 is low due to a posttranslational regulation by the ubiquitin proteasome system (UPS). But, when an organism is challenged with oxidative or xenobiotic stress, the NRF2 pathway is activated by inhibition of the E3 ubiquitin ligase complex that normally marks NRF2 for destruction. For several decades, researchers have searched for molecules that can intentionally activate NRF2, as this was shown to be a means to prevent certain diseases, at least in animal models. In the present era, there are many compounds known to activate the NRF2 pathway including natural products and synthetic compounds, covalent and non-covalent compounds, and others. However, it was also revealed that like many protective pathways, the NRF2 pathway has a dark side. Just as NRF2 can protect normal cells from damage, it can protect malignant cells from damage. As cells transform, they are exposed to many stressors and aberrant upregulation of NRF2 can facilitate transformation and it can help cancer cells to grow, to spread, and to resist treatment. For this reason, researchers are also interested in the discovery and development of NRF2 inhibitors. In the present review, we will begin with a general discussion of NRF2 structure and function, we will discuss the latest in NRF2 non-covalent activators, and we will discuss the current state of NRF2 inhibitors. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Sivinski, Jared AU - Sivinski J AD - Department of Pharmacology and Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ, 85721, USA. FAU - Zhang, Donna D AU - Zhang DD AD - Department of Pharmacology and Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ, 85721, USA. FAU - Chapman, Eli AU - Chapman E AD - Department of Pharmacology and Toxicology, College of Pharmacy, University of Arizona, Tucson, AZ, 85721, USA. Electronic address: chapman@pharmacy.arizona.edu. LA - eng GR - R01 ES023758/ES/NIEHS NIH HHS/United States GR - P30 ES006694/ES/NIEHS NIH HHS/United States GR - T32 GM008804/GM/NIGMS NIH HHS/United States GR - R35 ES031575/ES/NIEHS NIH HHS/United States GR - R01 GM120350/GM/NIGMS NIH HHS/United States GR - R01 ES031463/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20210605 PL - England TA - Semin Cancer Biol JT - Seminars in cancer biology JID - 9010218 RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Animals MH - Humans MH - Molecular Targeted Therapy/*methods MH - NF-E2-Related Factor 2/*antagonists & inhibitors MH - *Neoplasms PMC - PMC8627924 MID - NIHMS1713054 OTO - NOTNLM OT - Cancer OT - Chemoprevention OT - NRF2 OT - Transcription factor COIS- Conflict of interest Eli Chapman is a cofounder of BioEL, Inc. EDAT- 2021/06/09 06:00 MHDA- 2022/03/04 06:00 PMCR- 2022/11/01 CRDT- 2021/06/08 20:20 PHST- 2021/05/10 00:00 [received] PHST- 2021/06/01 00:00 [revised] PHST- 2021/06/02 00:00 [accepted] PHST- 2021/06/09 06:00 [pubmed] PHST- 2022/03/04 06:00 [medline] PHST- 2021/06/08 20:20 [entrez] PHST- 2022/11/01 00:00 [pmc-release] AID - S1044-579X(21)00171-1 [pii] AID - 10.1016/j.semcancer.2021.06.003 [doi] PST - ppublish SO - Semin Cancer Biol. 2021 Nov;76:61-73. doi: 10.1016/j.semcancer.2021.06.003. Epub 2021 Jun 5.