PMID- 36830722 OWN - NLM STAT- MEDLINE DCOM- 20230228 LR - 20230310 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 13 IP - 2 DP - 2023 Feb 11 TI - Reactive Oxygen Species and NRF2 Signaling, Friends or Foes in Cancer? LID - 10.3390/biom13020353 [doi] LID - 353 AB - The imbalance between reactive oxygen species (ROS) production and clearance causes oxidative stress and ROS, which play a central role in regulating cell and tissue physiology and pathology. Contingent upon concentration, ROS influence cancer development in contradictory ways, either stimulating cancer survival and growth or causing cell death. Cells developed evolutionarily conserved programs to sense and adapt redox the fluctuations to regulate ROS as either signaling molecules or toxic insults. The transcription factor nuclear factor erythroid 2-related factor 2 (NRF2)-KEAP1 system is the master regulator of cellular redox and metabolic homeostasis. NRF2 has Janus-like roles in carcinogenesis and cancer development. Short-term NRF2 activation suppresses tissue injury, inflammation, and cancer initiation. However, cancer cells often exhibit constitutive NRF2 activation due to genetic mutations or oncogenic signaling, conferring advantages for cancer cells' survival and growth. Emerging evidence suggests that NRF2 hyperactivation, as an adaptive cancer phenotype under stressful tumor environments, regulates all hallmarks of cancer. In this review, we summarized the source of ROS, regulation of ROS signaling, and cellular sensors for ROS and oxygen (O(2)), we reviewed recent progress on the regulation of ROS generation and NRF2 signaling with a focus on the new functions of NRF2 in cancer development that reach beyond what we originally envisioned, including regulation of cancer metabolism, autophagy, macropinocytosis, unfolded protein response, proteostasis, and circadian rhythm, which, together with anti-oxidant and drug detoxification enzymes, contributes to cancer development, metastasis, and anticancer therapy resistance. FAU - Wang, Ruolei AU - Wang R AD - The Center for Cancer Research, Academy of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Liang, Lirong AU - Liang L AD - Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China. FAU - Matsumoto, Misaki AU - Matsumoto M AD - Department of Pharmacology, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan. FAU - Iwata, Kazumi AU - Iwata K AUID- ORCID: 0000-0002-9595-7782 AD - Department of Pharmacology, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan. FAU - Umemura, Atsushi AU - Umemura A AD - Department of Pharmacology, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan. FAU - He, Feng AU - He F AUID- ORCID: 0000-0003-0276-3303 AD - The Center for Cancer Research, Academy of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. LA - eng GR - 82172947/National Natural Science Foundation of China/ PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230211 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - 0 (Reactive Oxygen Species) RN - 0 (Kelch-Like ECH-Associated Protein 1) RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Humans MH - Reactive Oxygen Species/metabolism MH - Kelch-Like ECH-Associated Protein 1/metabolism MH - *NF-E2-Related Factor 2/metabolism MH - *Neoplasms/metabolism MH - Oxidative Stress PMC - PMC9953152 OTO - NOTNLM OT - NRF2 OT - ROS OT - inflammation OT - metabolism OT - oxidative stress OT - unfolded protein response COIS- The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/02/26 06:00 MHDA- 2023/03/03 06:00 PMCR- 2023/02/11 CRDT- 2023/02/25 01:23 PHST- 2022/12/06 00:00 [received] PHST- 2023/02/03 00:00 [revised] PHST- 2023/02/09 00:00 [accepted] PHST- 2023/02/25 01:23 [entrez] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2023/02/11 00:00 [pmc-release] AID - biom13020353 [pii] AID - biomolecules-13-00353 [pii] AID - 10.3390/biom13020353 [doi] PST - epublish SO - Biomolecules. 2023 Feb 11;13(2):353. doi: 10.3390/biom13020353.