Target intelligence / Profile preview

Kelch-like ECH-associated protein 1–nuclear factor erythroid 2-related factor 2–antioxidant response element signaling pathway (Keap1–Nrf2–ARE pathway)

Target
Keap1–Nrf2–ARE pathway
Molecular classification
Transcription factor (Nrf2), Protein repressor/regulator (Keap1), DNA response element (ARE), Ubiquitin ligase complex component (Keap1 with CUL3)
01

Overview

The Keap1-Nrf2-ARE pathway is a central redox-sensitive cell signaling axis that monitors and manages cellular response to oxidative and electrophilic stress. Under basal conditions, Keap1 binds Nrf2 in the cytoplasm, promoting its ubiquitination and degradation via the proteasome. Upon exposure to oxidative or electrophilic agents, cysteine residues in Keap1 become modified, leading to release and stabilization of Nrf2. Stabilized Nrf2 translocates to the nucleus, dimerizes with small Maf proteins, and binds to antioxidant response elements (ARE) in the promoter regions of target genes, driving the expression of cytoprotective and detoxification enzymes. This pathway is vital for cell survival and homeostatic maintenance, but can also confer a growth advantage to malignant cells and enhance chemoresistance when aberrantly activated.

Other names
Keap1-Nrf2 pathwayNrf2/Keap1 signalingNRF2 pathwayAntioxidant response element pathway
02

Mechanism of action

Covalent modification or alkylation of Keap1 cysteine residues, leading to release/activation of Nrf2. Inhibition of Nrf2 degradation through Keap1/CUL3 ubiquitin ligase complex inhibition. Stabilization/activation of Nrf2, allowing nuclear translocation and ARE-driven gene transcription.

03

Biological functions

Cellular defense against oxidative/electrophilic stressRegulation of detoxification and antioxidant enzyme expressionCell survival promotionRegulation of apoptosisMaintenance of redox homeostasisGene transcription regulation (via ARE elements)
04

Disease associations

Cancer (tumor suppression/chemoresistance)InflammationNeurodegenerative diseasesCardiovascular diseasesMetabolic disorders
05

Safety considerations

Constitutive Nrf2 activation may promote tumor growth and chemoresistance in cancer cellsOveractivation may interfere with normal cell death/apoptosis pathwaysLack of selectivity may lead to imbalance in cellular redox state
06

Interacting drugs

Bardoxolone methyl (CDDO-Me)

5 more in the full profile.

07

Biomarkers

Expression levels of Nrf2 or target genes (e.g., NQO1, HO-1, GCLM/GCLC)Oxidative stress markers (e.g., 8-hydroxy-2'-deoxyguanosine, nitrotyrosine)KEAP1 or NFE2L2 (Nrf2) mutation status (esp. in cancer)

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