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Nuclear factor erythroid 2-related factor 2–Kelch-like ECH-associated protein 1 signaling pathway (NRF2–KEAP1 signaling pathway)

Target
NRF2–KEAP1 signaling pathway
Molecular classification
Transcription factor (NRF2 is a transcription factor), Ubiquitin ligase regulator (KEAP1 is a substrate adaptor for a ubiquitin E3 ligase complex), Other (redox signaling pathway component)
01

Overview

The **Nuclear factor erythroid 2-related factor 2–Kelch-like ECH-associated protein 1 (NRF2–KEAP1) signaling pathway** is a master regulator of cellular defense against oxidative and electrophilic stress[1][2][3][5]. Under basal conditions, KEAP1 targets NRF2 for ubiquitin-mediated proteasomal degradation. Upon exposure to oxidative stress or electrophilic agents, KEAP1 undergoes cysteine modifications, releasing NRF2, which accumulates, translocates to the nucleus, and induces transcription of antioxidant and detoxification genes by binding to the antioxidant response element (ARE)[1][2][3]. This pathway is cytoprotective but can be hijacked by cancer cells to promote proliferation, survival, and drug resistance, making it both a promising therapeutic target and a concern for tumorigenesis[1][4][5]. Pharmaceutical modulation of this pathway is being investigated for cancer, chronic inflammatory conditions, and neurodegenerative diseases[2][5].

Other names
KEAP1–NRF2 pathwayNFE2L2–KEAP1 pathwayNRF2–KEAP1 axisKEAP1–NFE2L2 signalingKEAP1–NRF2–ARE pathway
02

Mechanism of action

NRF2 activation by inhibiting KEAP1-mediated degradation (e.g., electrophilic or oxidative modification of KEAP1 cysteines leads to NRF2 stabilization and nuclear accumulation); Direct NRF2 inhibition (rare); Indirect KEAP1 inhibition; Transcriptional upregulation of detoxification and antioxidant genes

03

Biological functions

CytoprotectionAntioxidant responseRedox homeostasisXenobiotic metabolismCell survivalImmune responseCell proliferationCell death (ferroptosis regulation)
04

Disease associations

CancerInflammationNeurodegenerative diseaseCardiovascular diseaseChronic diseases related to oxidative stress
05

Safety considerations

Oncogenic risk with sustained NRF2 activation (promotes cancer cell survival, chemoresistance, and proliferation)Potential to inhibit normal apoptosis and ferroptosis in malignanciesImmunosuppression (with some NRF2 activators)Off-target redox effects
06

Interacting drugs

Bardoxolone methyl (CDDO-Me)

5 more in the full profile.

07

Biomarkers

NRF2 nuclear localizationIncreased expression of NRF2 target genes (e.g., NQO1, GCLC, HO-1, SLC7A11)KEAP1 mutation statusARE (antioxidant response element) gene expression levels

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