Target intelligence / Profile preview

Thioredoxin/thioredoxin reductase system (Trx/TrxR system)

Target
Trx/TrxR system
Molecular classification
Enzyme (specifically, oxidoreductase), Flavoprotein, Redox regulatory system (enzyme system)
01

Overview

The Thioredoxin/thioredoxin reductase system is a ubiquitous and essential cellular enzyme system composed primarily of thioredoxin (Trx), a small redox-active protein, and thioredoxin reductase (TrxR), a selenocysteine-containing flavoenzyme. Together, these proteins maintain the cellular redox environment by catalyzing electron transfer from NADPH (via TrxR) to protein disulfide bonds (via Trx), controlling redox signaling, antioxidative defense, and many fundamental processes such as DNA synthesis and repair, apoptosis, immune response, and metabolic regulation[1][2][3][5]. The system is evolutionary conserved and exists in several isoforms in mammals (TrxR1, TrxR2, TrxR3), with distinct subcellular localizations. Aberrant regulation or overexpression of components of this system is implicated in the pathogenesis of cancer, inflammatory disorders, cardiovascular diseases, neurodegeneration, and infection[1][5]. Multiple clinically or preclinically relevant compounds target this system to induce oxidative stress, especially in cancer cells, by inhibiting TrxR activity. However, due to its systemic importance, inhibition also risks toxicity in normal tissues[1][5].

Other names
Thioredoxin systemThioredoxin reductase (TrxR) and Thioredoxin (Trx)Trx systemNADPH-dependent thioredoxin system
02

Mechanism of action

Irreversible or competitive inhibition of thioredoxin reductase, causing disruption of redox homeostasis and leading to increased intracellular oxidative stress and apoptosis (e.g. by auranofin, arsenic trioxide)[1]. Targeting the active site selenocysteine of TrxR, leading to enzyme inactivation. Blockade of electron transfer from NADPH to thioredoxin, resulting in oxidation of cellular proteins and stress-induced cell death.

03

Biological functions

Antioxidant defenseRegulation of cellular redox homeostasisRedox signalingDNA synthesis and repair (via ribonucleotide reductase)Regulation of cell proliferationRegulation of apoptosisControl of metabolism and immune responseRegulation of transcription factor activity
04

Disease associations

CancerNeurodegenerative diseaseInflammationCardiovascular diseaseDiabetesInfectionOther (general oxidative stress-related disorders)
05

Safety considerations

Off-target effects due to broad cellular redox rolePotential toxicity due to increased oxidative stress in non-cancerous tissuesImmunosuppression, neurotoxicity, liver toxicity (notably with drugs like auranofin)Selenium deficiency risk (TrxR in mammals is a selenoprotein)[2]
06

Interacting drugs

Auranofin

4 more in the full profile.

07

Biomarkers

Expression levels of Trx and TrxR (as measured in tumor biopsies or blood)Redox state of Trx (ratio of reduced to oxidized Trx)Intracellular NADPH/NADP+ ratio (surrogate)

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