We present the first genome-wide binding data for human NRF2, the transcription factor that regulates anti-oxidative response. Following activation of NRF2 with the dietary antioxidant SFN, we used chromatin immunoprecipitation, massively parallel sequencing, microarray technologies, siRNA and bioinformatics to identify novel NRF2 human gene targets and to verify known or putative AREs. ChIP-seq identified 849 total binding regions and 242 HC regions in SFN-treated lymphoblastoid cells; most are novel targets in humans, and 110 regions overlap with ChIP-seq identified Nrf2 target genes in mouse embryonic fibroblasts (
21). Within these binding regions, a
de novo motif analysis identified the most enriched motif, and it perfectly matches the core ARE motif. Within the HC NRF2-bound peak regions, 96% contained one or more ARE sequences, and many, such as
PRDX,
PIR,
RXRA, KEAP1, mir-29B and
mir-365-1, were highly conserved between humans and rodents (B, C and 4C,
Supplementary Figures S3,
S7C and
S8B). The high frequency of AREs in these peaks and their position near the peak maximum support functionality for these binding sites. In addition, 50% of these peaks colocate with ChIP-seq regions determined for the structurally related erythroid-specific factor, NF-E2. The large number of genes that display NRF2 binding but no change in gene expression suggests that additional factors, perhaps coactivators and chromatin state, are involved in transcription regulation of this pathway. In addition, there are many genes that display expression changes but lack NRF2 binding, and these may be regulated indirectly by changes in the redox environment.
RXRα, with the sixth most significant binding peak, is a notable addition to the NRF2-regulated pathway. It is an important nuclear retinoid receptor that heterodimerizes with RARα, RARβ, RXRβ, LXR, VDR and PPARs to mediate the transcriptional regulation of genes involved in diverse cellular processes including cell differentiation, cell cycle, growth and response to steroids, fatty acids and vitamins. Although we present the first evidence that NRF2 regulates a retinoid receptor, our finding is not the first report of an interaction between the retinoid pathway and NRF2. Recent evidence suggests that oral retinoic acid may inhibit NRF2-mediated protective responses to carcinogen exposure (
66). In addition, we and others (
32,
67) have recently identified that Pparg, the
RXRA binding partner, is a Nrf2-regulated gene in mice. In this work, we observe highly significant NRF2-binding peaks near malic enzyme 1 (
ME1), a PPAR signaling pathway gene involved in lipogenesis and the PPAR gamma coactivator 1B (PGC1B and
PPARGC1B). In mouse studies that focus on dietary fat, activation of the NRF2 pathway prevents high-fat diet-induced obesity in mice, and although the mechanism is not well understood (
33), a number of reports suggest that the effect is through the PPAR signaling pathway (
32,
68). In addition, NRF2 seems to be essential for normal adipocyte differentiation in mice (
32). We observed that activation of Nrf2 in adipocytes, either by SFN or genetically (Keap1-shRNA), induced Rxra relative to standard conditions (B and D). In SFN-treated cells, after Day 1, this was accompanied by a rapid increase in Gata3, the negative regulator of adipogenesis. Considering our evidence that NRF2 activation and binding mediate upregulation of
RXRA in lymphocytes and adipocytes, and the clear evidence that PPARG/RXRA heterodimers are critical regulators of adipocyte differentiation (
36,
69), we hypothesize that NRF2-mediated regulation of
RXRA expression in adipocytes may affect PPARG-regulated lipid synthesis and fat accumulation. If altered RXRA expression affected RXRA occupancy (
36), this may explain how NRF2 activation inhibits fat accumulation (
33). Recent evidence indicates that the ratio of RXRA to RXRB in adipocytes is important for PPARG function (
70), and perturbation of this ratio could be the mechanism. Thus, altered expression of
RXRA after exposure to NRF2-activating stimuli could impact a number of outcomes including lipid synthesis and the cellular response to endogenous or therapeutic retinoids. A more detailed investigation of NRF2-mediated effects on RXRA expression during adipocyte differentiation is warranted.
Our ChIP-seq analysis also identified peak regions near the TSS of many known or putatively identified NRF2-regulated genes. However, we observed the location of these peak regions did not always match the previously published positions (
Supplementary File 1,
Supplementary Table S4 and A–C). For the
PRDX1 and
PIR ChIP-seq sites, comparative genomics analysis reveals consensus matching, evolutionary conserved AREs under the peaks (B and C), whereas the reported NRF2-binding sites (
48,
49) have a poor match with the consensus and displayed little or no conservation. While not every human ARE displays evolutionary conservation, a preponderance of established loci do (
19,
71), strongly supporting functionality for the locations identified in this report.
Our analysis has revealed a number of additional novel gene candidates that seem to expand the role of NRF2 in regulating oxidoreductases (
AIFM2,
GPD2,
HTATIP2 and
NDUFAF4) and metabolism genes (
GNPDA1), including those involved in heme metabolism (
AMBP,
FECH). It is well known that NRF2 mediates the regulation of several genes involved in iron metabolism (
FTL, FTH1) and the heme degradation pathway (
HMOX1). However, NRF2-dependent regulation of the gene
AMBP, a protein that binds heme, degrades it and is induced by reactive oxygen species (ROS) in erythroid cell lines (
72), is a novel finding. In addition, we demonstrate for the first time that expression of
FECH (ferrochelatase), the enzyme catalyzing the final metabolic step of heme biosynthesis IX, is regulated by NRF2. The presence of NRF2 binding in the globin locus, near HBE1 and HBG1 is also notable, given the potential role of NRF2 in modulating sickle cell disease (
46).
Numerous genes identified by our ChIP-seq experiments suggest a role for NRF2 in cell cycle regulation and tumor growth. Recent demonstration that genetic activation of NRF2 in Keap1
−/− MEFs can enhance cell proliferation (
21) and the identification of tumor mutations that activate the NRF2 transcriptional pathway (
73–75) are consistent with these findings. DAVID analysis of SFN-regulated genes that possessed ChIP-seq peak regions clearly indicated enrichment of functional annotation categories involved in cellular growth and death processes (). Many of the genes in this category, such as
HTATIP2,
OSGIN1 (
76) and
MAFG (
77) have dual roles in oxidative stress response and cell regulation. Among these, HTATIP2 is an oxidoreductase that induces apoptosis under oxidative stress conditions by stabilization of p53 mRNA (
78). This interconnection between antioxidant response, redox signaling and cell cycle regulation underscores the complexity and context dependence of NRF2-modulated responses. NRF2 activation is protective in countless exposure scenarios, and NRF2 activators inhibit growth of some tumor cell lines (
14,
73,
74); however, constitutive activation in tumors by mutation drives proliferation and resistance to treatments. Genes, such as
SLC3A2, implicated in teratocarcinoma formation in mice (
79) and adenocarcinoma (
80) and
TFE3, regulator of the growth factor transforming growth factor beta, are further examples of proliferation and differentiation-related genes that are involved in tumorigenesis. Translocations in the
TFE3 promoter region have been associated with sporadic cases of renal cancer (
81). We also identified NRF2 binding near a number of microRNAs, some of which are implicated in tumor aggressiveness, and we observed NRF2-mediated suppression of miR29B following SFN treatment. Although follow-up of these findings is beyond the scope of this study, further characterization of the impact of NRF2 activation on genes involved in tumor growth is essential.
Finally, we demonstrated NRF2 occupancy of genes involved in the activity and homeostasis of NRF2 itself, such as
KEAP1, MAFG and
SQSTM1. Induction of MAFG, the heterodimeric partner of NRF2, is mediated by NRF2, but binding had not been validated (
17,
82). The autophagy receptor,
SQSTM1/p62, is both a target for NRF2 and a positive regulator of NRF2 (
83). Of particular interest is the observation that NRF2 binds an ARE motif in the
KEAP1 promoter. Sustained NRF2 activity levels likely lead to NRF2-dependent production of KEAP1, which in turn leads to suppressed NRF2-mediated gene expression through a negative feedback mechanism.
Although NRF2 is the master regulator of oxidative stress response, including during human erythroblast differentiation (
46), it is increasingly evident that NRF2 mediates the expression of genes involved in other diverse processes (
21,
68,
84). For example, Nrf2 has been identified as a positive regulator of Notch1 (
85), a negative regulator of osteoblast differentiation in mice (
86) and necessary for adipocyte differentiation (
32). Our experiments have further extended the role of NRF2 signaling in adipogenesis. NRF2 regulation of
RXRA in adipogenesis suggests the potential for NRF2 activators to therapeutically manipulate
RXRA in numerous retinoid-mediated pathways. Further characterization of how these new targets fit into an expanding NRF2-regulated network should reveal how NRF2 activation and suppression can impact processes such as cell homeostasis, adipogenesis, proliferation, environmental response and disease etiology.