PMID- 36628798 OWN - NLM STAT- MEDLINE DCOM- 20230308 LR - 20230308 IS - 1873-3735 (Electronic) IS - 0165-6147 (Linking) VI - 44 IP - 3 DP - 2023 Mar TI - Advances and challenges in therapeutic targeting of NRF2. PG - 137-149 LID - S0165-6147(22)00277-2 [pii] LID - 10.1016/j.tips.2022.12.003 [doi] AB - Activation of the transcription factor nuclear factor erythroid 2-related factor 2 (NRF2) is emerging as an attractive therapeutic approach to counteract oxidative stress, inflammation, and metabolic imbalances. These processes underpin many chronic pathologies with unmet therapeutic needs, including neurodegenerative disorders and metabolic diseases. As the NRF2 field transitions into the clinical phase of its evolution, the need for an understanding of the factors influencing NRF2 pharmacology has never been greater. In this opinion article we describe the rationale for targeting NRF2, summarise the recent advances in drug development of NRF2 modulators, and reflect on the remaining challenges in realising the full clinical potential of NRF2 as a therapeutic target. CI - Copyright (c) 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved. FAU - Dinkova-Kostova, Albena T AU - Dinkova-Kostova AT AD - Division of Cellular and Systems Medicine, School of Medicine, University of Dundee, Dundee, DD1 9SY, UK; Department of Pharmacology and Molecular Sciences and Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: a.dinkovakostova@dundee.ac.uk. FAU - Copple, Ian M AU - Copple IM AD - Department of Pharmacology & Therapeutics, Institute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 3GE, UK. Electronic address: ian.copple@liverpool.ac.uk. LA - eng GR - MR/W023806/1/Medical Research Council/United Kingdom GR - MR/T014644/1/Medical Research Council/United Kingdom GR - BB/T508111/1/Biotechnology and Biological Sciences Research Council/United Kingdom GR - BB/X00029X/1/Biotechnology and Biological Sciences Research Council/United Kingdom GR - MR/X007413/1/Medical Research Council/United Kingdom GR - BB/X002780/1/Biotechnology and Biological Sciences Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20230109 PL - England TA - Trends Pharmacol Sci JT - Trends in pharmacological sciences JID - 7906158 RN - 0 (Kelch-Like ECH-Associated Protein 1) RN - 0 (NF-E2-Related Factor 2) SB - IM MH - Humans MH - Drug Development MH - Inflammation/drug therapy MH - Kelch-Like ECH-Associated Protein 1/metabolism MH - *NF-E2-Related Factor 2/metabolism MH - *Oxidative Stress/drug effects MH - *Molecular Targeted Therapy OTO - NOTNLM OT - KEAP1 OT - NRF2 OT - chronic disease OT - electrophile OT - inflammation OT - oxidative stress COIS- Declaration of interests A.T.D.K. is a member of the Scientific Advisory Board of Evgen Pharma, and collaborates with GlaxoSmithKline and Reata Pharmaceuticals. I.M.C. collaborates with AstraZeneca, Evgen Pharma, GlaxoSmithKline, and Merck & Co, and provides consultancy services to Korro Bio. EDAT- 2023/01/12 06:00 MHDA- 2023/02/25 06:00 CRDT- 2023/01/11 04:27 PHST- 2022/12/05 00:00 [received] PHST- 2022/12/19 00:00 [revised] PHST- 2022/12/19 00:00 [accepted] PHST- 2023/01/12 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] PHST- 2023/01/11 04:27 [entrez] AID - S0165-6147(22)00277-2 [pii] AID - 10.1016/j.tips.2022.12.003 [doi] PST - ppublish SO - Trends Pharmacol Sci. 2023 Mar;44(3):137-149. doi: 10.1016/j.tips.2022.12.003. Epub 2023 Jan 9.