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The Thioredoxin-related redox and inflammatory signaling pathways constitute a fundamental cellular system responsible for maintaining thiol-disulfide homeostasis and regulating the response to oxidative stress (PMID: 28213285). Centered around Thioredoxin (Trx), Thioredoxin Reductase (TrxR), and Thioredoxin-interacting protein (TXNIP), this system facilitates DNA synthesis by providing reducing equivalents to ribonucleotide reductase and modulates various transcription factors like NF-κB and p53 (PMID: 22449905, PMID: 19769458). In disease states, particularly cancer, the system is often upregulated to protect malignant cells from oxidative damage and promote survival, making it a significant target for chemotherapy (PMID: 22449905). Furthermore, TXNIP acts as a critical bridge between redox status and the innate immune response by activating the NLRP3 inflammasome, making it a key player in inflammatory diseases such as type 2 diabetes and atherosclerosis (PMID: 20023630). Pharmacological targeting typically involves small-molecule inhibitors of TrxR, such as auranofin, which disrupt the redox balance to induce apoptosis in tumor cells or mitigate chronic inflammation (PMID: 15607520, PMID: 21217704). Overall, this pathway represents a versatile therapeutic target for both oncology and inflammatory disorders.
Inhibition of thioredoxin reductase (TrxR) activity, leading to the accumulation of oxidized thioredoxin, increased reactive oxygen species (ROS), and induction of apoptosis; or modulation of TXNIP to inhibit NLRP3 inflammasome activation (PMID: 15607520, PMID: 20023630).
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