Activation of NRF2 by topical apocarotenoid treatment mitigates radiation-induced dermatitis

Autor: Jessica Perer, Cody J. Schmidlin, Donna D. Zhang, Georg T. Wondrak, Montserrat Rojo de la Vega
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Keratinocytes
DNA damage
NF-E2-Related Factor 2
Clinical Biochemistry
Human skin
medicine.disease_cause
Biochemistry
environment and public health
NRF2
03 medical and health sciences
chemistry.chemical_compound
Mice
0302 clinical medicine
ROS
reactive oxygen species

medicine
GSH
glutathione

Animals
Humans
Viability assay
Radiosensitivity
lcsh:QH301-705.5
Skin
Cancer
Gene knockdown
lcsh:R5-920
Radiotherapy
Chemistry
Organic Chemistry
Radiation-Induced Dermatitis
Bixin
RT
radiation therapy

respiratory system
Radiation-induced dermatitis
NRF2
nuclear factor (erythroid-derived 2)-like 2

Oxidative Stress
030104 developmental biology
lcsh:Biology (General)
Cancer research
Quality of Life
IR
ionizing radiation

Radiodermatitis
lcsh:Medicine (General)
030217 neurology & neurosurgery
Oxidative stress
Research Paper
Zdroj: Redox Biology
Redox Biology, Vol 37, Iss, Pp 101714-(2020)
ISSN: 2213-2317
Popis: Radiation therapy is a frontline treatment option for cancer patients; however, the effects of radiotherapy on non-tumor tissue (e.g. radiation-induced dermatitis) often worsen patient quality of life. Previous studies have implicated the importance of redox balance in preventing dermatitis, specifically in reference to modulation of the nuclear factor (erythroid-derived 2)-like 2 (NRF2) signaling pathway. Due to the cytoprotective functions of transcriptional target genes of NRF2, we investigated how modulation of NRF2 expression could affect DNA damage, oxidative stress, and cell viability in response to radiotherapy. Specifically, it was noted that NRF2 knockdown sensitized human skin keratinocytes to ionizing radiation; likewise, genetic ablation of NRF2 in vivo increased radiosensitivity of murine epidermis. Oppositely, pharmacological induction of NRF2 via the apocarotenoid bixin lowered markers of DNA damage and oxidative stress, while preserving viability in irradiated keratinocytes. Mechanistic studies indicated that topical pretreatment using bixin as an NRF2 activator antagonized initial DNA damage by raising cellular glutathione levels. Additionally, topical application of bixin prevented radiation-induced dermatitis, epidermal thickening, and oxidative stress in the skin of SKH1 mice. Overall, these data indicate that NRF2 is critical for mitigating the harmful skin toxicities associated with ionizing radiation, and that topical upregulation of NRF2 via bixin could prevent radiation-induced dermatitis.
Graphical abstract Topical application of bixin induces epidermal NRF2 signaling, preventing IR-induced DNA damage, oxidative stress, and cell death, all of which contribute to cutaneous radiation damage. Thus, induction of NRF2 via topical bixin application could represent a novel strategy for the prevention of radiation-induced dermatitis.Image 1
Highlights • The apocarotenoid bixin prevents IR-induced damage via the NRF2 signaling pathway. • Topical application of bixin prevents radiation-induced dermatitis in vivo. • NRF2 is a critical mediator of bixin protection against IR-induced cutaneous damage. • Glutathione upregulation contributes to bixin protection against IR-induced ROS and genotoxic stress.
Databáze: OpenAIRE