Cancer is a disease with multiple etiologies and has gained the interest of researchers in search for its prevention and therapeutic targets. Mammalian cells are constantly exposed to electrophilic/oxidative stresses that are considered to be part of the most essential and pervasive causes of cancer. The Nuclear factor erythroid 2-related factor 2 (Nrf2) is crucial in either inducing or suppressing angiogenesis. As a result, it has been implicated in numerous stages of carcinogenesis through association with several signaling pathways and molecules. This transcription factor may be regarded as key target for chemoprevention of cancer. As a transcription factor, Nrf2 exert a great function in ARE-driven genes expression. More so, it plays an important role in the up-regulation of these genes towards oxidative challenges. Numerous phytochemicals especially in fruits as well as edible vegetables have shown to activate Nrf2 and elicit antioxidant response. Inducing the synthesis of antioxidant/phase II detoxifying enzymes (UDP-glucuronyltransferase, Heme oxygenase-1, NAD(P)H: quinone oxidoreductase and Glutathione-s-transferase) by natural compounds present in diet is among the most efficient approaches for cancer prevention in human. This review discusses Keap1-Nrf2-ARE pathway as a prime target for cancer chemoprevention, its underlying mechanisms and modulation by dietary phytochemicals as well as effects of combination of phytochemicals.
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