Background: Epithelial malignancy in lung cancer, which is initiated with myofibroblast differentiation and remodeling, promotes hypoxia and intracellular ROS generation most affected by the prototypical enzyme, NADPH oxidase 4 (
NOX4). In addition, nuclear factor erythroid 2-related factor 2 (
Nrf2) acts as a critical transcription factor by stimulating antioxidant proteins as redox homeostasis regulators. The aim of this study was to investigate a possible correlation between lung tissue
NOX4 and
Nrf2 genes (
NOX4 and
Nrf2) mRNA expression and bronchoalveolar lavage fluid (BALF) protein expression in non-small-cell lung carcinoma (NSCLC) patients.
Methods: Samples from 25 patients with various NSCLC types and stages and 20 healthy controls were collected.
NOX4 and
Nrf2 mRNA were measured by qRT-PCR, and protein by western blot analysis.
Results: NOX4 mRNA and protein expression was significantly up-regulated in NSCLC patients’ lung tissues and BALFs (p= 0.03 and 0.01, respectively). In addition, by adjusting for age, sex, and NSCLC types and stages, a significant and positive correlation was observed between
NOX4 and
Nrf2 mRNA expression (r= 0.927, p= 0.001).
This was also true when not adjusted as above (r= 0.944, p< 0.001).
Conclusions: NOX4 mRNA and protein expression is significantly up-regulated in NSCLC patients’ lung tissues and BALFs, and
NOX4 and
Nrf2 mRNA expression is positively correlated in NSCLC tissues.