Target intelligence / Profile preview

Kelch-like ECH-associated protein 1 (KEAP1) (KEAP1)

Target
KEAP1
Molecular classification
E3 ubiquitin ligase substrate adapter, Kelch-like protein family, Oxidative stress sensor, BTB-Kelch protein
01

Overview

Kelch-like ECH-associated protein 1 (KEAP1) is a primary regulator of the cellular antioxidant response, functioning as a substrate adapter for the Cullin 3-based E3 ubiquitin ligase complex (Source: UniProt Q14145). Under basal conditions, KEAP1 binds to the transcription factor NRF2 via its C-terminal Kelch domain, specifically interacting with the ETGE and DLG motifs in the NRF2 Neh2 domain to facilitate its ubiquitination and proteasomal degradation (Source: PMC4488171). Upon exposure to oxidative stress or electrophilic insults, the KEAP1-NRF2 interaction is disrupted—either through modification of KEAP1 cysteine residues or direct competitive inhibition at the Kelch domain interface—allowing NRF2 to translocate to the nucleus (Source: PMID: 36086898). In the nucleus, NRF2 binds to antioxidant response elements (AREs) to induce the expression of cytoprotective and detoxification genes such as NQO1 and HMOX1 (Source: PMID: 26238464). While NRF2 activation is therapeutic in chronic inflammatory and neurodegenerative diseases, its constitutive activation in certain cancers can promote tumor survival and resistance to therapy, a phenomenon known as the "NRF2 paradox" (Source: PMC4488171). Modern drug discovery efforts focus on developing non-covalent protein-protein interaction (PPI) inhibitors that target the Kelch domain to achieve more selective NRF2 activation compared to traditional electrophilic compounds (Source: PMID: 36086898).

Other names
KEAP1Kelch-like ECH-associated protein 1INRPWKIAA0132KLHL19Kelch-like protein 19
02

Mechanism of action

Direct inhibition of the KEAP1-NRF2 protein-protein interaction (PPI) at the Kelch domain interface, preventing NRF2 ubiquitination and promoting its nuclear translocation and activation of antioxidant response element (ARE)-driven genes.

03

Biological functions

Oxidative stress responseProtein ubiquitinationTranscription regulationProteasomal degradationRedox homeostasisXenobiotic metabolism
04

Disease associations

CancerInflammationNeurodegenerative diseaseChronic kidney diseaseDiabetesCardiovascular diseaseAutoimmune disease
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Safety considerations

NRF2 paradox (potential to promote survival of established tumor cells)Off-target reactivity of electrophilic activators with other cellular cysteinesFluid retention and risk of heart failure (observed with bardoxolone)Potential for exacerbating autoimmune conditions
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Interacting drugs

Dimethyl fumarate

5 more in the full profile.

07

Biomarkers

NRF2 protein levelsNQO1 (NAD(P)H quinone dehydrogenase 1) expressionHMOX1 (Heme oxygenase 1) expressionGCLC (Glutamate-cysteine ligase catalytic subunit) expressionGSH (Glutathione) levels

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