Target intelligence / Profile preview

Cellular oxidative stress response pathways

Molecular classification
Transcription factor, Enzyme, Receptor, Kinase
01

Overview

Cellular oxidative stress response pathways are a complex network of signaling cascades and enzymatic systems designed to maintain redox homeostasis and protect cells from damage caused by reactive oxygen species (ROS) and reactive nitrogen species (RNS). The primary orchestrator of this response is the Nrf2-Keap1-ARE pathway, which regulates the expression of numerous cytoprotective and detoxification genes, such as superoxide dismutase (SOD), catalase, and glutathione peroxidase. Under physiological conditions, low levels of ROS act as essential signaling molecules, but their excessive accumulation leads to oxidative stress, which is a key driver in the pathogenesis of cancer, neurodegenerative diseases, and cardiovascular disorders. Therapeutic strategies targeting these pathways involve either activating antioxidant defenses to mitigate inflammation and tissue damage or inducing oxidative stress to selectively trigger apoptosis in cancer cells. However, the dual role of ROS in cell survival and death presents significant challenges, as antioxidants may inadvertently support tumor progression or interfere with necessary redox signaling.

Other names
Antioxidant response pathwayNrf2-Keap1-ARE pathwayRedox homeostasis pathwaysCellular antioxidant defense systemRedox signaling pathways
02

Mechanism of action

Activation of Nrf2-ARE signaling to induce antioxidant enzymes; Scavenging of reactive oxygen species; Inhibition of ROS-producing enzymes like NADPH oxidase; Induction of cytotoxic oxidative stress in cancer cells.

03

Biological functions

Redox homeostasisSignal transductionApoptosisCell survivalDetoxificationInflammationCell proliferationDNA repair
04

Disease associations

CancerNeurodegenerative diseaseCardiovascular diseaseInflammationDiabetesChronic obstructive pulmonary disease (COPD)Chronic kidney disease
05

Safety considerations

Potential for antioxidants to promote tumor survival and resistanceOff-target toxicity of pro-oxidant therapies (e.g., cardiotoxicity)Nrf2-mediated drug resistance in cancer cellsThe 'antioxidant paradox' where supplementation may lack efficacy or cause harmDisruption of physiological redox signaling
06

Interacting drugs

Dimethyl fumarate

9 more in the full profile.

07

Biomarkers

8-Hydroxy-2'-deoxyguanosine (8-OHdG)Malondialdehyde (MDA)4-Hydroxynonenal (4-HNE)F2-isoprostanesProtein carbonylsGlutathione (GSH) to Oxidized Glutathione (GSSG) ratioSuperoxide dismutase (SOD) activityCatalase activity

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