Evidence map›Paper›PMID 25976679›Full record

ArticleMolecular cancer therapeutics2015

Aromatase Inhibitor-Mediated Downregulation of INrf2 (Keap1) Leads to Increased Nrf2 and Resistance in Breast Cancer.

Raju Khatri, Preeti Shah, Rupa Guha, Feyruz V Rassool, Alan E Tomkinson, Angela Brodie, Anil K Jaiswal

RetractedOpen access · bronzeAbstract readRetracted Publication
In one paragraph

Article in Molecular cancer therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. The crosstalk between ubiquitination and endocrine therapy.Journal of molecular medicine (Berlin, Germany) · 2023
    Review
  3. Obesity and endocrine therapy resistance in breast cancer: Mechanistic insights and perspectives.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Oncotarget · 2018
    Article
  9. The role of oxidative stress on breast cancer development and therapy.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Raju KhatriDepartment of Pharmacology and Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland.
Preeti ShahDepartment of Pharmacology and Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland.
Rupa GuhaDepartment of Pharmacology and Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland.
Feyruz V RassoolDepartment of Pharmacology and Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland.
Alan E TomkinsonDepartment of Internal Medicine, University of New Mexico, Albuquerque, New Mexico.
Angela BrodieDepartment of Pharmacology and Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland.
Anil K JaiswalDepartment of Pharmacology and Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland. ajaiswal@som.umaryland.edu.
University of Maryland, Baltimore · USUniversity of New Mexico · US

Funding

BIOLOGICAL ACTIONS OF 4-HYDROXY-AR01CA062483 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI BRODIE, ANGELA M. · 1993 to 2013
$4.0M
REGULATION OF NAD(P)H--QUINONE OXIDOREDUCTASESR01GM047466 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE · PI JAISWAL, ANIL KUMAR · 1997 to 2014
$3.5M
Role and Regulation of INrf2R01ES012265 · NIEHS · UNIVERSITY OF MARYLAND BALTIMORE · PI JAISWAL, ANIL KUMAR · 2005 to 2014
$3.4M
Quinone Oxidoreductases and Mammary Toxicity/CarcinogenenicityR01ES021483 · NIEHS · UNIVERSITY OF MARYLAND BALTIMORE · PI JAISWAL, ANIL KUMAR · 2013 to 2016
$1.4M
NCI NIH HHS R01 CA062483NIEHS NIH HHS R01 ES012265NIEHS NIH HHS R01 ES021483NIGMS NIH HHS R01 GM047466
6 · The paper itself

Abstract

Aromatase inhibitors are effective drugs that reduce or eliminate hormone-sensitive breast cancer. However, despite their efficacy, resistance to these drugs can occur in some patients. The INrf2 (Keap1):Nrf2 complex serves as a sensor of drug/radiation-induced oxidative/electrophilic stress. INrf2 constitutively suppresses Nrf2 by functioning as an adapter protein for the Cul3/Rbx1-mediated ubiquitination/degradation of Nrf2. Upon stress, Nrf2 dissociates from INrf2, is stabilized, translocates to the nucleus, and coordinately induces a battery of cytoprotective gene expression. Current studies investigated the role of Nrf2 in aromatase inhibitor resistance. RT-PCR and immunoblot assays showed that aromatase inhibitor-resistant breast cancer LTLTCa and AnaR cells express lower INrf2 and higher Nrf2 protein levels, as compared with drug-sensitive MCF-7Ca and AC1 cells, respectively. The increase in Nrf2 was due to lower ubiquitination/degradation of Nrf2 in aromatase inhibitor-resistant cells. Higher Nrf2-mediated levels of biotransformation enzymes, drug transporters, and antiapoptotic proteins contributed to reduced efficacy of drugs and aversion to apoptosis that led to drug resistance. shRNA inhibition of Nrf2 in LTLTCa (LTLTCa-Nrf2KD) cells reduced resistance and sensitized cells to aromatase inhibitor exemestane. Interestingly, LTLTCa-Nrf2KD cells also showed reduced levels of aldehyde dehydrogenase, a marker of tumor-initiating cells and significantly decreased mammosphere formation, as compared with LTLTCa-Vector control cells. The results together suggest that persistent aromatase inhibitor treatment downregulated INrf2 leading to higher expression of Nrf2 and Nrf2-regulated cytoprotective proteins that resulted in increased aromatase inhibitor drug resistance. These findings provide a rationale for the development of Nrf2 inhibitors to overcome resistance and increase efficacy of aromatase inhibitors.

Indexed as

AnastrozoleAndrostadienesAromatase InhibitorsBreast NeoplasmsCell Line, TumorCell SurvivalDown-RegulationDrug Resistance, NeoplasmFemaleGene Expression Regulation, NeoplasticHumansImmunoblottingIntracellular Signaling Peptides and ProteinsKelch-Like ECH-Associated Protein 1LetrozoleMCF-7 CellsAnastrozoleAndrostadienesAromatase InhibitorsexemestaneIntracellular Signaling Peptides and ProteinsKEAP1 protein, humanKelch-Like ECH-Associated Protein 1LetrozoleNFE2L2 protein, humanNF-E2-Related Factor 2NitrilesReactive Oxygen SpeciesTriazoles

Identifiers

PMID25976679
PMCPMC4497835
OpenAlexW2146951991

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.