Nuclear factor erythroid-2-related factor 2 (Nrf2), a transcription factor, participates in protecting cells from electrophilic or oxidative stresses through regulating expression of cytoprotective and antioxidant genes. It has become one of the emerging targets for cancer chemosensitization, and small molecule inhibitors of Nrf2 can enhance the efficacy of chemotherapeutic drugs. Here, we found that flumethasone, a glucocorticoid, inhibited Nrf2 signaling in A549 and H460 cells by promoting Nrf2 protein degradation. Moreover, flumethasone significantly increased the sensitivity of A549 and H460 cells to chemotherapeutic drugs including cisplatin, doxorubicin and 5-FU. In mice bearing A549-shControl cells-derived xenografts, the size and weight of xenografts in the flumethasone and cisplatin combination group had a significant reduction compared with those in the cisplatin group, while in mice bearing A549-shNrf2 cells-derived xenografts, the size and weight of the xenografts in the combination group had no significant difference compared with those in the cisplatin group, demonstrating that chemosensitization effect of flumethasone is Nrf2-dependent. This work suggests that flumethasone can potentially be used as an adjuvant sensitizer to enhance the efficacy of chemotherapeutic drugs in lung cancer.

译文

转录因子:核因子erythroid-2相关因子2(Nrf2)通过调节细胞保护性和抗氧化剂基因的表达参与保护细胞免受亲电或氧化应激。它已成为癌症化学增敏的新兴靶标之一,Nrf2的小分子抑制剂可增强化学治疗药物的功效。在这里,我们发现一种氟糖皮质激素氟美松酮通过促进Nrf2蛋白降解来抑制A549和H460细胞中的Nrf2信号传导。此外,氟美沙酮显着提高了A549和H460细胞对化学疗法药物(包括顺铂,阿霉素和5-FU)的敏感性。在具有A549-shControl细胞来源的异种移植物的小鼠中,与顺铂组相比,氟美松酮和顺铂组合组中异种移植物的大小和重量显着降低,而在具有A549-shNrf2细胞来源的异种移植物中,其大小联合组的异种移植物的重量和重量与顺铂组相比没有显着差异,表明氟美沙酮的化学增敏作用是Nrf2依赖性的。这项工作表明氟西米松可以潜在地用作佐剂敏化剂,以增强化疗药物在肺癌中的功效。

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