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The cellular antioxidant and reactive oxygen species (ROS) defense systems comprise an integrated network of enzymes and non-enzymatic molecules dedicated to maintaining redox homeostasis. Key enzymatic components include superoxide dismutase (SOD), which disproportionates superoxide radicals; catalase and glutathione peroxidase (GPX), which neutralize hydrogen peroxide; and the thioredoxin system (PubMed: 29123456). This system is primarily regulated by the transcription factor Nrf2, which orchestrates the expression of numerous cytoprotective genes in response to oxidative stress (Nature Reviews Drug Discovery: 10.1038/nrd.2017.243). Dysregulation of this system leads to oxidative stress, a state characterized by macromolecular damage to DNA, proteins, and lipids, which is a hallmark of aging, cancer, and neurodegenerative diseases like Parkinson's (NIH: PMC4310836). Pharmacological intervention typically involves either direct ROS scavengers or Nrf2 activators, such as dimethyl fumarate, which are used to mitigate inflammation and tissue damage (StatPearls: NBK547687). However, therapeutic targeting is complex because ROS also serve as essential signaling molecules for cell proliferation and immune response, meaning excessive suppression can disrupt normal physiological processes (PubMed: 24453297). Furthermore, while antioxidants can prevent cancer initiation, they may inadvertently protect established tumor cells from oxidative stress-induced apoptosis. The balance between ROS production and scavenging is therefore critical for cellular health and therapeutic efficacy.
Activation of the Nrf2-Keap1 signaling pathway to induce phase II antioxidant enzymes, direct neutralization of reactive oxygen species, and replenishment of cellular thiol pools such as glutathione (PubMed: 28267488).
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