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Protein / target

Thioredoxin reductase 1, cytoplasmic

Encoded byTXNRD1Q16881Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
3
Approved medicines
Open Targets target-level
View by indication →
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Thioredoxin-disulfide reductase (NADPH)

Strongest disease association

Schizophrenia

Via encoding gene TXNRD1 · Genetic evidence · score 0.52

Therapeutic position

Established drug target

Small molecules

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 overview

Reduces disulfide protein thioredoxin (Trx) to its dithiol-containing form.

View complete UniProt function annotation

Reduces disulfide protein thioredoxin (Trx) to its dithiol-containing form (PubMed:8577704). Homodimeric flavoprotein involved in the regulation of cellular redox reactions, growth and differentiation. A selenocysteine residue at the C-terminal active site is essential for catalysis (Probable). Also has reductase activity on hydrogen peroxide (H2O2) (PubMed:10849437)

Subcellular location

CytoplasmNucleus
Domains and Gene Ontology detail (12)

Domains & features

Glutaredoxin

Gene Ontology

  • Ccytoplasm
  • Ccytosol
  • Cextracellular exosome
  • Cmitochondrion
  • Cnucleoplasm
  • FFAD binding
  • Fidentical protein binding
  • FNADPH peroxidase activity
  • Fthioredoxin-disulfide reductase (NADPH) activity
  • Pcell redox homeostasis
  • Psignal transduction

649 aa · 71 kDa · 7 isoforms

Approved medicines with mapped indications

1 medicine · 1 area

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Neoplasms1 medicine

3 medicines meet Open Targets' target-level approved-medicine definition; the 1 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

1

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

arsenic trioxide
Narrow target profileApprovedInhibitor

Thioredoxin reductase 1 inhibitor

Indicated for Neoplasms

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

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

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene TXNRD1

Gene-level evidence surfaced through the gene TXNRD1that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Acute promyelocytic leukemia
0.72Moderately supported

Clinical evidence dominant · Open Targets 0.59

Neoplasms
0.53Moderately supported

Clinical evidence dominant · Open Targets 0.40

Schizophrenia
0.52Moderately supported

Genetic evidence dominant · Open Targets 0.31

Leukemia, Myeloid, Acute
0.47Limited support

Clinical evidence dominant · Open Targets 0.37

Brain Neoplasms
0.46Limited support

Clinical evidence dominant · Open Targets 0.37

View evidence synthesis (5)
Acute promyelocytic leukemiaModerately supported
0.72
agreement 0.570.88
Clinical100%Literature0%

Open Targets aggregate 0.59 · 2 independent evidence families

NeoplasmsModerately supported
0.53
agreement 0.370.68
Clinical78%Literature22%

Open Targets aggregate 0.40 · 2 independent evidence families

SchizophreniaModerately supported
0.52
agreement 0.400.64
Genetic100%

Open Targets aggregate 0.31 · 1 independent evidence family

Leukemia, Myeloid, AcuteLimited support
0.47
agreement 0.320.63
Clinical90%Literature10%

Open Targets aggregate 0.37 · 2 independent evidence families

Brain NeoplasmsLimited support
0.46
agreement 0.310.62
Clinical98%Literature2%

Open Targets aggregate 0.37 · 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 per-type scores above show the calculation.

Show all associations
Acute promyelocytic leukemia0.59
Neoplasms0.40
Brain Neoplasms0.37
Leukemia, Myeloid, Acute0.37
Carcinoma, Non-Small-Cell Lung0.32
Schizophrenia0.31

Drug development

3 compounds recorded · 3 approved

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 1 drug that targets this protein in Forefront's canonical graph (1 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (3)
AUROTHIOGLUCOSEApproval
MOTEXAFIN GADOLINIUMApproval
ARSENIC TRIOXIDEApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and Structure with Ligand support this modality.

Protein degradersEmerging

Feasibility evidence (uniprot ubiquitination and database ubiquitination) — no clinical-stage drug of this modality recorded.

View underlying tractability evidence (9)
SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyPR · UniProt UbiquitinationPR · Database UbiquitinationPR · Half-life DataPR · Small Molecule Binder

Raw Open Targets tractability assessment buckets, by modality.

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. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (26)

RECRUITING · via arsenic trioxide · NCT04793919

ENROLLING_BY_INVITATION · via arsenic trioxide · NCT03031249

WITHDRAWN · via arsenic trioxide · NCT03377725

UNKNOWN · via arsenic trioxide · NCT04869475

TERMINATED · via arsenic trioxide · NCT01738360

ClinicalTrials.gov via the drug-target graph.

What's happening now

5

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for a drug that targets this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Withdrawn from market2025-04-14

    Market withdrawal: Arsenic trioxide Mylan (EMA)

    ema · market · ema · via arsenic trioxide

  2. Regulatory approval2020-09-17

    Approval: Arsenic trioxide medac (EMA)

    ema · regulatory · ema · via arsenic trioxide

  3. Regulatory approval2019-11-14

    Approval: Arsenic trioxide Accord (EMA)

    ema · regulatory · ema · via arsenic trioxide

  4. New publication2016-05-03
    Patient-derived xenografts faithfully replicated clinical outcome in a phase II co-clinical trial of arsenic trioxide in relapsed small cell lung cancer.

    Journal of translational medicine · 2016 · 73 citations · Europe PMC · via arsenic trioxide

  5. Regulatory approval2002-03-05

    Approval: Trisenox (EMA)

    ema · regulatory · ema · via arsenic trioxide

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.

Related family literature

1

Papers about “selenoproteins” — a broader family this protein belongs to. Shown as context; not counted as papers specifically about this protein.

Europe PMC literature, reached through curated HGNC family membership. Membership is a taxonomic relationship — it does not imply this protein participates in every mechanism these papers discuss.