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Authors' Affiliations: 1 Laboratory of Cancer Prevention, National Cancer Institute, Frederick, Maryland and 2 Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Requests for reprints: Nancy H. Colburn, Laboratory of Cancer Prevention, National Cancer Institute, Building 576, Room 101, Frederick, MD 21702-1201. Phone: 301-846-1342; Fax: 301-846-6907; E-mail: Colburn{at}ncifcrf.gov.
Abstract
NF-E2-related factor 2 (Nrf2) is one of several transcription factors that are altered in human cancer and that modulate susceptibility to carcinogenesis in mouse models (1–3). Nrf2 up-regulates transcription of a number of oxidant and electrophile detoxication genes through an antioxidant response element present in their transcriptional promoters. In this issue of the journal, Khor et al. (4) follow up their own and others' previous findings that Nrf2 protects against dextran sodium sulfate–induced colitis, inflammation, and aberrant crypt foci with a study now showing that tumor incidence, multiplicity, size, and stage of progression are increased in Nrf2-deficient mice in an azoxymethane-dextran sodium sulfate colon carcinogenesis model. Expressions of the proinflammatory genes cyclooxygenase-2 (COX-2) and 5-lipoxygenase (5-LOX) and their products prostaglandin E2 and leukotriene B4 were increased in tumors induced in the knockout mice compared with wild-type tumors and with normal mucosa. Induction of prototypic protective enzymes UDP-glucuronosyl transferase 1A and NAD(P)H:quinone oxidoreductase 1 following azoxymethane-dextran sodium sulfate failed to occur in Nrf2-deficient mice. Although the association between chronic inflammation and cancer has been noted for several cancer sites including liver, pancreas, stomach, bladder, and colon, the molecular basis for this association is not well understood. Khor et al. now implicate activation of pro-oxidant enzymes such as COX-2 and 5-LOX and lowered expression of antioxidant enzymes such as NAD(P)H:quinone oxidoreductase 1 as likely mediators of the inflammation-associated colon tumor promotion and progression in Nrf2-deficient mice. This suggests that activation of Nrf2 or Nrf2 signaling might be a promising strategy for prevention of inflammation-associated cancer.
Key Article
Cancer Prevention Research 2008 0: 1940-6207.CAPR-08-0028v1.
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