Optimization and validation of a high throughput screen for identifying Nrf2 inhibitors Tiffany Nguyen1, David R Lamson1, Xiaoxin L Chen, Ph.D.2, Ben Major, Ph.D.3, Kevin P. Williams, Ph.D.1 1 Department of Pharmaceutical Sciences, Biomanufacturing Research Institute and Technology Enterprise (BRITE), North Carolina Central University, Durham, NC 2 Department of Biological & Biomedical Sciences, Julius L. Chambers Biomedical/Biotechnology Research Institute (BBRI), North Carolina Central University, Durham, NC 3 Department of Cell Biology and Physiology, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC The Nrf2-Keap1 signaling pathway is a primary cell defense and survival pathway. Keap1 (Kelch-like ECHassociated protein 1) regulates the transcription factor Nrf2 (nuclear factor erythroid 2-related factor 2,) which, in turn, activates a wide range of cytoprotective genes including NQO1 to stimulate an antioxidant response and protect cells from a number of toxins and carcinogens. Though the Nrf2-Keap1 pathway is an essential defense mechanism for normal cell survival, recent evidence shows that Nrf2 also promotes cancer cell survival. In particular, esophageal cancer exhibits high expression of Nrf2. Nrf2 overexpression is also associated with chemotherapeutic drug resistance. Several studies have shown that cancer cells with elevated levels of Nrf2 are less sensitive to common chemotherapeutic agents such as etoposide, carboplatin, cisplatin, 5-fluorouracil, and doxorubicin. Additionally, cells that have developed resistance to chemotherapeutic agents have been shown to express high levels of Nrf2. The purpose of this study is to screen for compounds which inhibit the activation of Nrf2 to potentially reduce both its cancer cell protective role and drug resistance role. A GFP reporter human non-small cell lung carcinoma cell line (H1299-GFP NQO1) was used. This cell line contained GFP under control of the NQO1 promoter. In a previous study, these cells were treated with known Nrf2 agonists CDDO [2-cyano3, 12-dioxo-oleana-1,9(11)-dien-28-oic acid, methyl ester] and tBHQ (tert-butylhydroquinone) in a 12well assay to overexpress Nrf2. This resulted in increased GFP levels due to activation of the NQO1 promoter controlling GFP expression. This study optimizes the assay to a 384-well format to validate reproducibility. When it is evident that variability is minimal, a compound library will be screened to find potential inhibitors against Nrf2. In the presence of an Nrf2 inhibitor, decreased Nrf2 expression would be detected as decreased GFP expression.