Nrf2 is essential for the chemopreventive efficacy of oltipraz against urinary bladder carcinogenesis

• Published in: Cancer research (Chicago, Ill.) Vol. 64; no. 18; pp. 6424 - 6431
• Main Authors: IIDA, Katsuyuki, ITOH, Ken, KUMAGAI, Yoshito, OYASU, Ryoichi, HATTORI, Kazunori, KAWAI, Koji, SHIMAZUI, Toru, AKAZA, Hideyuki, YAMAMOTO, Masayuki
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA American Association for Cancer Research 15.09.2004
• Subjects: Animals; Anticarcinogenic Agents - pharmacology; Antineoplastic agents; Biological and medical sciences; Butylhydroxybutylnitrosamine - pharmacokinetics; Carcinogens - pharmacokinetics; DNA-Binding Proteins - deficiency; DNA-Binding Proteins - genetics; DNA-Binding Proteins - physiology; Enzyme Induction - drug effects; Female; Gene Expression - drug effects; Genetic Predisposition to Disease; Glucuronides - metabolism; Glucuronosyltransferase - antagonists & inhibitors; Glucuronosyltransferase - biosynthesis; Glucuronosyltransferase - genetics; Glucuronosyltransferase - metabolism; Inactivation, Metabolic; Male; Medical sciences; Mice; Mice, Inbred C57BL; Mice, Inbred ICR; Mice, Knockout; Microsomes, Liver - drug effects; Microsomes, Liver - enzymology; Microsomes, Liver - metabolism; NF-E2-Related Factor 2; Pharmacology. Drug treatments; Pyrazines - pharmacology; Trans-Activators - deficiency; Trans-Activators - genetics; Trans-Activators - physiology; Tumors; Urinary Bladder - drug effects; Urinary Bladder - enzymology; Urinary Bladder - metabolism; Urinary Bladder Neoplasms - chemically induced; Urinary Bladder Neoplasms - genetics; Urinary Bladder Neoplasms - metabolism; Urinary Bladder Neoplasms - prevention & control; Prevention; Oltipraz; Chemotherapy; Urinary system; Urinary bladder; Carcinogenesis; Essential
• ISSN: 0008-5472; 1538-7445
• DOI: 10.1158/0008-5472.can-04-1906

The induction of phase 2 detoxifying enzymes, such as UDP-glucuronosyltransferases (UGTs), in response to an array of naturally occurring and synthetic agents, such as oltipraz (4-methyl-5-[2-pyrazinyl]-1,2-dithiole-3-thione), provides an effective means of protection against a variety of carcinogens. Transcription factor Nrf2 is an essential regulator of the inducible expression of detoxifying enzyme genes by chemopreventive agents. In this study, we investigated in Nrf2-deficient mice the susceptibility to the urinary bladder-specific carcinogen N-nitrosobutyl(4-hydroxybutyl)amine (BBN) and the chemopreventive efficacy of oltipraz. The incidence of urinary bladder carcinoma by BBN was significantly higher in Nrf2-/- mice than in wild-type mice; invasive carcinoma was found in 24.0 and 38.5% of wild-type and Nrf2-/- mice, respectively. Oltipraz induced the phase 2 enzymes responsible for BBN detoxification in the liver and urinary bladder in an Nrf2-dependent manner. As expected, therefore, oltipraz decreased the incidence of urinary bladder carcinoma by BBN in wild-type mice but had little effect in Nrf2-/- mice. In wild-type mouse liver, oltipraz significantly induced BBN glucuronidation and decreased the urinary concentration of N-nitrosobutyl(3-carboxypropyl)amine, a proximate carcinogen of BBN. Importantly, BBN was found to suppress the expression of UGT1A specifically in the urinary bladder. This suppression was counteracted by oltipraz in wild-type mice but not in Nrf2-/- mice. These results show that Nrf2 and its downstream target genes are responsible for BBN detoxification. Furthermore, oltipraz prevents carcinogenesis by BBN by enhancing detoxification of this carcinogen in the liver and urinary bladder.