Evidence map›Paper›PMID 42218132›Full record

ReviewOncogenesis2026

Tipping the balance: NRF2's dual role in ferroptotic fate.

Izadora de Souza, Ana Beatriz da Silva Teixeira, Ancely Ferreira Dos Santos, José Pedro Friedmann Angeli, Clarissa Ribeiro Reily Rocha

Abstract readReview
In one paragraph

Review in Oncogenesis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Izadora de SouzaRudolf Virchow Zentrum (RVZ), Center for Integrative and Translational Bioimaging, University of Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0002-6935-7521
Ana Beatriz da Silva TeixeiraDepartment of Clinical and Experimental Oncology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.ORCID http://orcid.org/0000-0003-2659-6714
Ancely Ferreira Dos SantosRudolf Virchow Zentrum (RVZ), Center for Integrative and Translational Bioimaging, University of Würzburg, Würzburg, Germany.
José Pedro Friedmann AngeliRudolf Virchow Zentrum (RVZ), Center for Integrative and Translational Bioimaging, University of Würzburg, Würzburg, Germany. pedro.angeli@uni-wuerzburg.de.ORCID http://orcid.org/0000-0001-7706-1379
Clarissa Ribeiro Reily RochaDepartment of Clinical and Experimental Oncology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil. clarissa.rocha@unifesp.br.ORCID http://orcid.org/0000-0001-9634-4307

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) FR 3746/5-1
6 · The paper itself

Abstract

The NRF2 pathway has emerged as a central regulator of cellular redox homeostasis, coordinating the expression of a broad array of genes that protect cells from oxidative and electrophilic stress. In the context of cancer, NRF2 has been recognized as a key driver of chemoresistance, as its sustained activation enhances antioxidant defenses, detoxification pathways, and metabolic adaptation, thereby promoting tumor cell survival under therapeutic stress. Beyond its canonical role in redox regulation, NRF2 also orchestrates the expression of multiple genes involved in ferroptosis, a non-apoptotic, iron-dependent form of cell death that has recently gained attention as a promising strategy to overcome drug resistance. Mechanistically, NRF2 modulates ferroptosis through several interconnected pathways, including the regulation of glutathione biosynthesis, lipid metabolism, and iron homeostasis, yet its impact is highly context-dependent and can vary according to cell type and metabolic state. In this review, we provide an overview of the interplay between NRF2 and ferroptosis, tracing the historical development of this network and highlighting the pivotal roles of specific NRF2 targets in controlling ferroptotic susceptibility. Finally, we discuss how targeted modulation of NRF2 may influence ferroptosis, offering a potential avenue for the design of innovative therapies aimed at selectively eradicating resistant tumors.

Identifiers

PMID42218132
PMCPMC13222347

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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.