Synergy between the KEAP1/NRF2 and PI3K Pathways Drives Non-Small-Cell Lung Cancer with an Altered Immune Microenvironment
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The lung presents a highly oxidative environment, which is tolerated through engagement of tightly controlled stress response pathways. A critical stress response mediator is the transcription factor nuclear factor erythroid-2-related factor 2 (NFE2L2/NRF2), which is negatively regulated by Kelch-like ECH-associated protein 1 (KEAP1). Alterations in the KEAP1/NRF2 pathway have been identified in 23% of lung adenocarcinomas, suggesting that deregulation of the pathway is a major cancer driver. We demonstrate that inactivation of Keap1 and Pten in the mouse lung promotes adenocarcinoma formation. Notably, metabolites identified in the plasma of Keap1 f/f/Pten f/f tumor-bearing mice indicate that tumorigenesis is associated with reprogramming of the pentose phosphate pathway. Furthermore, the immune milieu was dramatically changed by Keap1 and Pten deletion, and tumor regression was achieved utilizing immune checkpoint inhibition. Thus, our study highlights the ability to exploit both metabolic and immune characteristics in the detection and treatment of lung tumors harboring KEAP1/NRF2 pathway alterations.
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NRF2 suppresses STING expression by influencing the stability of STING mRNA.
“NRF2 was recently identified as a negative regulator of STING expression via effects on STING mRNA stability142”
From Co-occurring genomic alterations in non-small-cell lung cancer biology and therapy (2019) · cites this paper as [142]
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- Authors
- Best, S. A., De Souza, D. P., Kersbergen, A., Policheni, A. N., Dayalan, S., Tull, D., Rathi, V., Gray, D. H., Ritchie, M. E., McConville, M. J., & Sutherland, K. D.
- Affiliations
- The University of Melbourne (AU)
- Walter and Eliza Hall Institute of Medical Research (AU)
- Corresponding author
- Sutherland, Kate D.
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 27
- Issue
- 4
- Pages
- 935-943.e4
- ISSN
- 1550-4131 (ISSN-L)
- OpenAlex
- W2792459030
- Cited by
- 217
- References
- 47
- Citations by year
- 2026: 12 · 2025: 22 · 2024: 21 · 2023: 23 · 2022: 35 · 2021: 38 · 2020: 31 · 2019: 21 · 2018: 13
- FWCI
- 9.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Worldwide Cancer Research (14-0433)
- NHMRC (1138275)
- Victorian Cancer Agency (ECSG16001)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics, phytochemicals, and oxidative stress
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Ferroptosis and cancer prognosis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Keywords
- Nrf2/Keap1 pathway, PI3K signaling, non-small cell lung cancer, lung adenocarcinoma, PTEN, pentose phosphate pathway, tumor immune microenvironment, immune checkpoint blockade, tumor regression, oxidative stress response, cancer metabolism
- MeSH terms
- Kelch-Like ECH-Associated Protein 1, Loss of Function Mutation, Adenocarcinoma of Lung, Animals, Carcinoma, Non-Small-Cell Lung, Humans, Lung Neoplasms, Mice, Mutant Strains, Pentose Phosphate Pathway, Gene Expression Regulation, Neoplastic, Phosphatidylinositol 3-Kinases, PTEN Phosphohydrolase, NF-E2-Related Factor 2, Carcinogenesis
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