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Reactive oxygen species and oxidative stress-related cellular targets (ROS/Oxidative stress targets)

Target
ROS/Oxidative stress targets
Molecular classification
Enzyme, Transcription factor, Ion channel, Receptor, Other
01

Overview

Reactive oxygen species (ROS) and oxidative stress-related cellular targets comprise a broad and heterogeneous group of molecules responsible for the generation, regulation, and neutralization of highly reactive oxygen-containing radicals. This category includes ROS-producing enzymes like NADPH oxidases (NOX) and mitochondria-linked respiratory complexes, as well as antioxidant defense systems such as superoxide dismutase (SOD), catalase, and the glutathione system (Source: NIH/StatPearls, NBK554493). A central regulatory component is the transcription factor Nuclear factor erythroid 2-related factor 2 (Nrf2), which coordinates the cellular response to oxidative stress by inducing the expression of numerous cytoprotective genes (Source: UniProt, Q16236). While physiological levels of ROS are vital for intracellular signaling and immune defense, an imbalance—termed oxidative stress—leads to the damage of lipids, proteins, and DNA, contributing to the etiology of cancer, Alzheimer's disease, and atherosclerosis. Therapeutic interventions in this space focus on restoring redox balance through direct scavenging of radicals or the pharmacological activation of endogenous antioxidant pathways to mitigate tissue damage and disease progression (Source: PubMed, PMID: 25913100).

Other names
ROS-related targetsAntioxidant targetsRedox-sensitive targetsOxidative stress mediatorsRedox signaling components
02

Mechanism of action

Drugs targeting these systems typically act by directly scavenging free radicals, inhibiting ROS-generating enzymes such as NADPH oxidase (NOX) and xanthine oxidase, or activating endogenous antioxidant defense pathways, most notably the Nrf2-KEAP1-ARE signaling axis, to upregulate protective enzymes like superoxide dismutase and glutathione peroxidase (Source: NIH/StatPearls, PMID: 32119401).

03

Biological functions

Redox signalingCellular homeostasisApoptosisSignal transductionImmune responseCell death
04

Disease associations

CancerNeurodegenerative diseaseCardiovascular diseaseInflammationDiabetes mellitusAging
05

Safety considerations

Risk of reductive stress (excessive suppression of ROS)Interference with essential physiological ROS signaling (e.g., insulin signaling, vascular tone)Potential for pro-oxidant effects at high dosesImpairment of immune-mediated pathogen killingPoor clinical translation and bioavailability of many antioxidant compounds
06

Interacting drugs

N-acetylcysteine

7 more in the full profile.

07

Biomarkers

Malondialdehyde (MDA)8-hydroxy-2'-deoxyguanosine (8-OHdG)Glutathione (GSH/GSSG) ratioProtein carbonylsF2-isoprostanesSuperoxide dismutase activity

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