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Kelch-like ECH-associated protein 1–Nuclear factor erythroid 2-related factor 2 complex (Keap1–Nrf2 complex)

Target
Keap1–Nrf2 complex
Molecular classification
Protein complex, Transcription factor, E3 ubiquitin ligase substrate adapter
01

Overview

The Keap1–Nrf2 complex is a primary cellular defense mechanism against oxidative and electrophilic stress. Kelch-like ECH-associated protein 1 (Keap1) functions as a substrate adapter for the Cullin 3 (Cul3)-containing E3 ubiquitin ligase complex, which targets Nuclear factor erythroid 2-related factor 2 (Nrf2) for polyubiquitination and subsequent proteasomal degradation under homeostatic conditions (Yamamoto et al., 2018, Physiological Reviews). When cells encounter oxidative stress or electrophiles, critical cysteine residues on Keap1 (notably Cys151, Cys273, and Cys288) are modified, causing a conformational change that disrupts the Keap1–Nrf2 interaction (Saito et al., 2016, Advances in Biological Regulation). This stabilization allows Nrf2 to accumulate, translocate to the nucleus, and heterodimerize with small Maf proteins to bind Antioxidant Response Elements (ARE) in the promoter regions of over 200 cytoprotective genes (Itoh et al., 1997, Genes & Development). These genes encode proteins involved in glutathione synthesis, redox homeostasis, and xenobiotic metabolism, such as Heme oxygenase 1 (HMOX1) and NAD(P)H quinone dehydrogenase 1 (NQO1). Pharmacological modulation of this complex, primarily through Nrf2 activators like Omaveloxolone and Dimethyl fumarate, is utilized to treat neurodegenerative and inflammatory diseases, though concerns remain regarding the potential for Nrf2 to support the survival of established cancer cells (Rojo de la Vega et al., 2018, Cancer Cell).

Other names
Keap1-Nrf2 pathwayKeap1-Nfe2l2 complexINrf2-Nrf2 complexKelch-like ECH-associated protein 1-Nuclear factor erythroid 2-related factor 2 signaling module
02

Mechanism of action

Nrf2 activation via inhibition of Keap1-mediated degradation, typically through electrophilic modification of Keap1 cysteine residues (e.g., Cys151) or disruption of the Keap1-Nrf2 protein-protein interaction (PPI).

03

Biological functions

Oxidative stress responseAntioxidant defenseXenobiotic metabolismInflammation regulationProteostasisCell survival
04

Disease associations

CancerNeurodegenerative diseaseInflammationChronic kidney diseaseCardiovascular diseaseAutoimmune diseaseDiabetes mellitus
05

Safety considerations

Potential for promoting tumor growth and chemoresistance in established cancers (Nrf2 dark side)Fluid retention and heart failure risk (specifically associated with Bardoxolone methyl)Off-target reactivity of electrophilic activators with other cellular thiolsGastrointestinal distressLiver enzyme elevations
06

Interacting drugs

Omaveloxolone

6 more in the full profile.

07

Biomarkers

Heme oxygenase 1 (HMOX1)NAD(P)H quinone dehydrogenase 1 (NQO1)Glutamate-cysteine ligase catalytic subunit (GCLC)Nrf2 nuclear translocationGlutathione levels

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