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El factor 2 relacionado con el factor nuclear eritroide 2 ( NRF2 ), también conocido como factor nuclear 2 derivado del eritroide 2 , es un factor de transcripción que en los seres humanos está codificado por el gen NFE2L2 . [5] NRF2 es una proteína de cremallera de leucina básica (bZIP) que puede regular la expresión de proteínas antioxidantes que protegen contra el daño oxidativo provocado por lesiones e inflamación, según una investigación preliminar. [6] In vitro , NRF2 se une a elementos de respuesta antioxidante (ARE) en el núcleo, lo que lleva a la transcripción de genes ARE. [7] NRF2 aumenta hemo oxigenasa 1 que conduce a un aumento de las enzimas de fase II in vitro. [8] NRF2 también inhibe la NLRP3 inflamasoma . [9]

El NRF2 parece participar en una red reguladora compleja y desempeña un papel pleiotrópico en la regulación del metabolismo, la inflamación, la autofagia, la proteostasis, la fisiología mitocondrial y las respuestas inmunitarias. [10] Se están estudiando varios fármacos que estimulan la vía NFE2L2 para el tratamiento de enfermedades causadas por el estrés oxidativo. [6] [11]

Estructura [ editar ]

NRF2 es un factor de transcripción básico de cremallera de leucina ( bZip ) con una estructura de collar Cap “n” (CNC). [5] NRF2 posee seis dominios altamente conservados llamados dominios de homología NRF2-ECH (Neh). El dominio Neh1 es un dominio CNC-bZIP que permite que Nrf2 se heterodimerice con pequeñas proteínas Maf ( MAFF , MAFG , MAFK ). [12] El dominio Neh2 permite la unión de NRF2 a su represor citosólico Keap1. [13] El Neh3El dominio puede desempeñar un papel en la estabilidad de la proteína NRF2 y puede actuar como un dominio de transactivación, interactuando con un componente del aparato transcripcional. [14] Los dominios Neh4 y Neh5 también actúan como dominios de transactivación, pero se unen a una proteína diferente llamada proteína de unión al elemento de respuesta cAMP ( CREB ), que posee actividad intrínseca de histona acetiltransferasa . [13] El dominio Neh6 puede contener un degron que está involucrado en un proceso de degradación insensible a redox de NRF2. Esto ocurre incluso en células estresadas, que normalmente prolongan la vida media de la proteína NRF2 en relación con las condiciones no estresadas al suprimir otras vías de degradación. [15]

Localización y función [ editar ]

Activación de entradas y salidas funcionales de la vía NRF2

NFE2L2 y otros genes, como NFE2 , NFE2L1 y NFE2L3 , codifican factores de transcripción de cremallera de leucina básica ( bZIP ) . Comparten regiones altamente conservadas que son distintas de otras familias de bZIP, como JUN y FOS , aunque las regiones restantes han divergido considerablemente entre sí. [16] [17]

Under normal or unstressed conditions, NRF2 is kept in the cytoplasm by a cluster of proteins that degrade it quickly. Under oxidative stress, NRF2 is not degraded, but instead travels to the nucleus where it binds to a DNA promoter and initiates transcription of antioxidative genes and their proteins.

NRF2 is kept in the cytoplasm by Kelch like-ECH-associated protein 1 (KEAP1) and Cullin 3, which degrade NRF2 by ubiquitination.[18] Cullin 3 ubiquitinates NRF2, while Keap1 is a substrate adaptor protein that facilitates the reaction. Once NRF2 is ubiquitinated, it is transported to the proteasome, where it is degraded and its components recycled. Under normal conditions, NRF2 has a half-life of only 20 minutes.[19] Oxidative stress or electrophilic stress disrupts critical cysteine residues in Keap1, disrupting the Keap1-Cul3 ubiquitination system. When NRF2 is not ubiquitinated, it builds up in the cytoplasm,[20][21] and translocates into the nucleus. In the nucleus, it combines (forms a heterodimer) with one of small Maf proteins (MAFF, MAFG, MAFK) and binds to the antioxidant response element (ARE) in the upstream promoter region of many antioxidative genes, and initiates their transcription.[22]

Target genes[edit]

Activation of NRF2 results in the induction of many cytoprotective proteins. These include, but are not limited to, the following:

  • NAD(P)H quinone oxidoreductase 1 (Nqo1) is a prototypical NRF2 target gene that catalyzes the reduction and detoxification of highly reactive quinones that can cause redox cycling and oxidative stress.[23]
  • Glutamate-cysteine ligase catalytic subunit (GCLC) and glutamate-cysteine ligase regulatory subunit (GCLM) form a heterodimer, which is the rate-limiting step in the synthesis of glutathione (GSH), a very powerful endogenous antioxidant. Both Gclc and Gclm are characteristic NRF2 target genes, which establish NRF2 as a regulator of glutathione, one of the most important antioxidants in the body.[24]
  • Sulfiredoxin 1 (SRXN1) and Thioredoxin reductase 1 (TXNRD1) support the reduction and recovery of peroxiredoxins, proteins important in the detoxification of highly reactive peroxides, including hydrogen peroxide and peroxynitrite.[25][26]
  • Heme oxygenase-1 (HMOX1, HO-1) is an enzyme that catalyzes the breakdown of heme into the antioxidant biliverdin, the anti-inflammatory agent carbon monoxide, and iron. HO-1 is a NRF2 target gene that has been shown to protect from a variety of pathologies, including sepsis, hypertension, atherosclerosis, acute lung injury, kidney injury, and pain.[27] In a recent study, however, induction of HO-1 has been shown to exacerbate early brain injury after intracerebral hemorrhage.[28]
  • The glutathione S-transferase (GST) family includes cytosolic, mitochondrial, and microsomal enzymes that catalyze the conjugation of GSH with endogenous and xenobiotic electrophiles. After detoxification by glutathione (GSH) conjugation catalyzed by GSTs, the body can eliminate potentially harmful and toxic compounds. GSTs are induced by NRF2 activation and represent an important route of detoxification.[29]
  • The UDP-glucuronosyltransferase (UGT) family catalyze the conjugation of a glucuronic acid moiety to a variety of endogenous and exogenous substances, making them more water-soluble and readily excreted. Important substrates for glucuronidation include bilirubin and acetaminophen. NRF2 has been shown to induce UGT1A1 and UGT1A6.[30]
  • Multidrug resistance-associated proteins (Mrps) are important membrane transporters that efflux various compounds from various organs and into bile or plasma, with subsequent excretion in the feces or urine, respectively. Mrps have been shown to be upregulated by NRF2 and alteration in their expression can dramatically alter the pharmacokinetics and toxicity of compounds.[31][32]
  • Kelch-like ECH-associated protein 1 is also a primary target of NFE2L2. Several interesting studies have also identified this hidden circuit in NRF2 regulations. In the mouse Keap1 (INrf2) gene, Lee and colleagues [33] found that an AREs located on a negative strand can subtly connect Nrf2 activation to Keap1 transcription. When examining NRF2 occupancies in human lymphocytes, Chorley and colleagues identified an approximately 700 bp locus within the KEAP1 promoter region was consistently top rank enriched, even at the whole-genome scale.[34] These basic findings have depicted a mutually influenced pattern between NRF2 and KEAP1. NRF2-driven KEAP1 expression characterized in human cancer contexts, especially in human squamous cell cancers,[35] implicated a new perspective in understanding NRF2 signaling regulation.

Tissue distribution[edit]

NRF2 is ubiquitously expressed with the highest concentrations (in descending order) in the kidney, muscle, lung, heart, liver, and brain.[5]

Clinical relevance[edit]

Dimethyl fumarate, marketed as Tecfidera by Biogen Idec, was approved by the Food and Drug Administration in March 2013 following the conclusion of a Phase III clinical trial which demonstrated that the drug reduced relapse rates and increased time to progression of disability in people with multiple sclerosis.[6] The mechanism by which it exerts its therapeutic effect is unknown. Dimethyl fumarate (and its metabolite, monomethyl fumarate) activates the NRF2 pathway and has been identified as a nicotinic acid receptor agonist in vitro.[36] The label includes warnings about the risk of anaphylaxis and angioedema, progressive multifocal leukoencephalopathy (PML), lymphopenia, and liver damage; other adverse effects include flushing and gastrointestinal events, such as diarrhea, nausea, and upper abdominal pain.[36]

The dithiolethiones are a class of organosulfur compounds, of which oltipraz, an NRF2 inducer, is the best studied.[37] Oltipraz inhibits cancer formation in rodent organs, including the bladder, blood, colon, kidney, liver, lung, pancreas, stomach, and trachea, skin, and mammary tissue.[38] However, clinical trials of oltipraz have not demonstrated efficacy and have shown significant side effects, including neurotoxicity and gastrointestinal toxicity.[38] Oltipraz also generates superoxide radical, which can be toxic.[39]

Associated pathology[edit]

Genetic activation of NRF2 may promote the development of de novo cancerous tumors[40][41] as well as the development of atherosclerosis by raising plasma cholesterol levels and cholesterol content in the liver.[42] It has been suggested that the latter effect may overshadow the potential benefits of antioxidant induction afforded by NRF2 activation.[42][43]

Interactions[edit]

NFE2L2 has been shown to interact with MAFF, MAFG, MAFK, C-jun,[44] CREBBP,[45] EIF2AK3,[46] KEAP1,[47][46][48][49] and UBC.[48][50]

See also[edit]

  • Heme oxygenase
  • Carbon monoxide-releasing molecules

References[edit]

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External links[edit]

  • NFE2L2+protein,+human at the US National Library of Medicine Medical Subject Headings (MeSH)

This article incorporates text from the United States National Library of Medicine, which is in the public domain.