Protein / target

Kelch-like ECH-associated protein 1

KEAP1Q14145Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
3
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Ubiquitin-like ligase-substrate adaptor activity

Strongest disease association

multiple sclerosis

Genetic evidence · score 0.25

Therapeutic maturity

Clinically validated target

3 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

3 approved · 1 in clinical development

30 linked trials

Research activity

Emerging research

10 papers · latest 2025

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Substrate-specific adapter of a BCR (BTB-CUL3-RBX1) E3 ubiquitin ligase complex that regulates the response to oxidative stress by targeting NFE2L2/NRF2 for ubiquitination (PubMed:14585973, PubMed:15379550, PubMed:15572695, PubMed:15601839, PubMed:15983046, PubMed:37339955). KEAP1 acts as a key sensor of oxidative and electrophilic stress: in normal conditions, the BCR(KEAP1) complex mediates ubiquitination and degradation of NFE2L2/NRF2, a transcription factor regulating expression of many cytoprotective genes (PubMed:15601839, PubMed:16006525). In response to oxidative stress, different electrophile metabolites trigger non-enzymatic covalent modifications of highly reactive cysteine residues in KEAP1, leading to inactivate the ubiquitin ligase activity of the BCR(KEAP1) complex, promoting NFE2L2/NRF2 nuclear accumulation and expression of phase II detoxifying enzymes (PubMed:16006525, PubMed:17127771, PubMed:18251510, PubMed:19489739, PubMed:29590092). In response to selective autophagy, KEAP1 is sequestered in inclusion bodies following its interaction with SQSTM1/p62, leading to inactivation of the BCR(KEAP1) complex and activation of NFE2L2/NRF2 (PubMed:20452972). The BCR(KEAP1) complex also mediates ubiquitination of SQSTM1/p62, increasing SQSTM1/p62 sequestering activity and degradation (PubMed:28380357). The BCR(KEAP1) complex also targets BPTF and PGAM5 for ubiquitination and degradation by the proteasome (PubMed:15379550, PubMed:17046835)

Subcellular location

CytoplasmNucleus
Domains and Gene Ontology detail (23)

Domains & features

BTBBACK

Gene Ontology

  • Cactin filament
  • CCul3-RING ubiquitin ligase complex
  • Ccytoplasm
  • Ccytosol
  • Cendoplasmic reticulum
  • Cinclusion body
  • Cmidbody
  • Cnucleoplasm
  • Fdisordered domain specific binding
  • Fidentical protein binding
  • FRNA polymerase II-specific DNA-binding transcription factor binding
  • Ftranscription regulator inhibitor activity

624 aa · 70 kDa

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Transcriptional regulationUniProt · GOImmune signallingReactomeProteolysisReactomeMuscle contractionGO
View supporting evidence

Transcriptional regulation

  • ·Substrate-specific adapter of a BCR (BTB-CUL3-RBX1) E3 ubiquitin ligase complex that reg…
  • ·RNA polymerase II-specific DNA-binding transcription factor binding
  • ·transcription regulator inhibitor activity
  • ·negative regulation of transcription by RNA polymerase II

Immune signalling

  • ·Antigen processing: Ubiquitination & Proteasome degradation

Proteolysis

  • ·Ub-specific processing proteases

Muscle contraction

  • ·actin filament
View underlying pathways (6)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

CUL3RBX1SQSTM1NFE2L2NEIL2PGAM5IKBKBPALB2PTMADPP3KEAP1

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

dimethyl fumarate
Narrow target profileApprovedInhibitor

Kelch-like ECH-associated protein 1 inhibitor

Appears in clinical studies involving multiple sclerosis, psoriasis, relapsing-remitting multiple sclerosis, immune system disorder

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

multiple sclerosis0.25

Genetic · overall 0.64

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

relapsing-remitting multiple sclerosis0.92

Clinical · overall 0.56

psoriasis0.77

Clinical · overall 0.48

immune system disorder0.76

Clinical · overall 0.46

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

lung adenocarcinoma0.61

Somatic mutation

non-small cell lung carcinoma0.55

Literature

squamous cell lung carcinoma0.51

Somatic mutation

hepatocellular carcinoma0.47

Literature

neurodegenerative disease0.44

Pathway

Show all associations
multiple sclerosis0.64
lung adenocarcinoma0.61
relapsing-remitting multiple sclerosis0.56
non-small cell lung carcinoma0.55
squamous cell lung carcinoma0.51
psoriasis0.48
hepatocellular carcinoma0.47
immune system disorder0.46
neurodegenerative disease0.44
lung carcinoma0.40

Open Targets ranks 1,010 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 4 total

DIMETHYL FUMARATEApproval

multiple sclerosis · psoriasis · relapsing-remitting multiple sclerosis

DIROXIMEL FUMARATEApproval

multiple sclerosis · relapsing-remitting multiple sclerosis · immune system disorder

MONOMETHYL FUMARATEApproval

multiple sclerosis · B-cell non-Hodgkin lymphoma · relapsing-remitting multiple sclerosis

BARDOXOLONE METHYLPhase 3

mixed connective tissue disease · pulmonary arterial hypertension · pulmonary hypertension

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyPR · UniProt UbiquitinationPR · Database UbiquitinationPR · Half-life DataPR · Small Molecule Binder

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

COMPLETED · via dimethyl fumarate · NCT02959658

WITHDRAWN · via dimethyl fumarate · NCT04890379

TERMINATED · via dimethyl fumarate · NCT04890353

ClinicalTrials.gov via the drug-target graph.

Research activity

10 papers · to 2025

Papers linked directly to this protein. This is the protein's own literature — descriptor-derived papers are kept separate below.

Most cited

Zhang J · Oxidative medicine and cellular longevity · 2016

Robledinos-Antón N · Oxidative medicine and cellular longevity · 2019

Yu C · Oxidative medicine and cellular longevity · 2021

Recent

Europe PMC papers linked directly to this protein.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

multiple sclerosisWell supported
0.81
agreement 0.700.91
Clinical74%Genetic25%Literature1%

Open Targets aggregate 0.64 · 3 independent evidence families

relapsing-remitting multiple sclerosisModerately supported
0.69
agreement 0.530.84
Clinical100%Literature0%

Open Targets aggregate 0.56 · 2 independent evidence families

psoriasisModerately supported
0.59
agreement 0.440.75
Clinical94%Literature7%

Open Targets aggregate 0.48 · 2 independent evidence families

immune system disorderModerately supported
0.57
agreement 0.420.73
Clinical100%Literature0%

Open Targets aggregate 0.46 · 2 independent evidence families

lung adenocarcinomaModerately supported
0.56
agreement 0.400.72
Somatic mutation85%Literature15%

Open Targets aggregate 0.61 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

17

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. Regulatory approval2024-04-22

    Approval: Dimethyl fumarate Neuraxpharm (EMA)

    ema · regulatory · ema · via dimethyl fumarate

  2. Regulatory approval2024-04-22

    Approval: Dimethyl fumarate Accord (EMA)

    ema · regulatory · ema · via dimethyl fumarate

  3. Regulatory approval2024-04-22

    Approval: Dimethyl fumarate Mylan (EMA)

    ema · regulatory · ema · via dimethyl fumarate

  4. Withdrawn from market2023-12-13

    Market withdrawal: Dimethyl fumarate Mylan (EMA)

    ema · market · ema · via dimethyl fumarate

  5. Withdrawn from market2023-12-13

    Market withdrawal: Dimethyl fumarate Polpharma (EMA)

    ema · market · ema · via dimethyl fumarate

  6. Withdrawn from market2023-12-13

    Market withdrawal: Dimethyl fumarate Accord (EMA)

    ema · market · ema · via dimethyl fumarate

  7. Withdrawn from market2023-12-13

    Market withdrawal: Dimethyl fumarate Neuraxpharm (EMA)

    ema · market · ema · via dimethyl fumarate

  8. Withdrawn from market2023-12-13

    Market withdrawal: Dimethyl fumarate Teva (EMA)

    ema · market · ema · via dimethyl fumarate

  9. Regulatory approval2021-11-15

    Approval: Vumerity (EMA)

    ema · regulatory · ema · via dimethyl fumarate

  10. Safety communication2021-01-07

    Drug Safety Update: Dimethyl fumarate (Tecfidera): updated advice on the risk of progressive multifocal leukoencephalopathy (PML) associated with mild lymphopenia

    mhra · safety · mhra · via dimethyl fumarate

  11. Regulatory approval2020-12-18

    Approval: Lenalidomide Mylan (EMA)

    ema · regulatory · ema · via dimethyl fumarate

  12. New publication2020-10-02
    SARS-CoV2-mediated suppression of NRF2-signaling reveals potent antiviral and anti-inflammatory activity of 4-octyl-itaconate and dimethyl fumarate.

    Nature communications · 2020 · 351 citations · Europe PMC · via dimethyl fumarate

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.