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

Target
Nrf2–Keap1 complex
Molecular classification
Transcription factor, E3 ubiquitin ligase substrate adapter, Protein-protein interaction
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Overview

The Nuclear factor erythroid 2-related factor 2 (Nrf2)–Kelch-like ECH-associated protein 1 (Keap1) complex is a master regulator of the cellular antioxidant response (UniProt: Q16236, Q14145). Under basal conditions, Keap1 acts as a substrate adapter for the Cullin 3-based E3 ubiquitin ligase, targeting Nrf2 for rapid proteasomal degradation (PubMed: 14585973). Upon exposure to oxidative stress or electrophilic compounds, specific cysteine residues on Keap1, such as C151, are modified, leading to a conformational change that prevents Nrf2 ubiquitination (PubMed: 15983046). This allows Nrf2 to translocate to the nucleus, where it binds to Antioxidant Response Elements (ARE) to induce the transcription of cytoprotective genes involved in detoxification and redox balance (PubMed: 25911330). Pharmacological modulation of this complex, primarily through Nrf2 activators like dimethyl fumarate and omaveloxolone, is a major therapeutic strategy for treating chronic inflammatory and neurodegenerative diseases (FDA: Tecfidera, Skyclarys). However, constitutive activation of Nrf2 is also associated with cancer progression and drug resistance, presenting a complex therapeutic window often referred to as the "dark side" of Nrf2 (PubMed: 23434377).

Other names
NFE2L2–KEAP1 complexNrf2–Keap1 pathwayNrf2–Keap1–Cul3 complexNrf2–Keap1–Cullin-3 E3 ubiquitin ligase complex
02

Mechanism of action

Activation of Nrf2 by inhibiting its Keap1-mediated ubiquitination and degradation, either through covalent modification of Keap1 cysteine residues or direct disruption of the Nrf2–Keap1 protein-protein interaction (PubMed: 15983046, 25911330).

03

Biological functions

Oxidative stress responseAntioxidant responseXenobiotic metabolismInflammation regulationProteostasisRedox homeostasis
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Disease associations

CancerNeurodegenerative diseaseChronic kidney diseaseInflammationCardiovascular diseaseDiabetesMultiple sclerosisFriedreich's ataxia
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Safety considerations

Potential for promoting tumor growth and chemoresistance in established cancers (PubMed: 23434377)Cardiovascular toxicity, including increased risk of heart failure (PubMed: 23972480)Off-target reactivity of electrophilic activatorsGastrointestinal irritation associated with fumarate esters
06

Interacting drugs

Bardoxolone methyl

6 more in the full profile.

07

Biomarkers

NAD(P)H quinone dehydrogenase 1 (NQO1)Heme oxygenase 1 (HMOX1)Glutamate-cysteine ligase catalytic subunit (GCLC)Glutamate-cysteine ligase modifier subunit (GCLM)

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