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. 2023 Apr 26;7(4):288–298. doi: 10.4049/immunohorizons.2200061

Table I. Summary of major Nrf2-activating drugs targeting T cell and B cell responses in various pathological conditions.

Compound Cell Type Mechanism of Action Conditions References
BHA Th1, Th2 Electrophilic modification of Keap1 through Cys23, Cys151, Cys226, and Cys368 Th1/Th2 balance in mice (10, 114)
DMF Th1, Th2, Th17, B cells Electrophilic modification of Keap1-Cys151 Multiple sclerosis (41, 75, 89–95, 97–103, 111)
NaB Tregs Uncharacterized (potentially modifying Keap1 through Cys residues) Autoimmune uveitis (58)
Sulforaphane Th1, Th17, B cells Electrophilic modification of Keap1-Cys151 Mixed granulocytic mouse model of asthma
Collagen-induced arthritis mouse model
(55–57, 74, 111)
tBHQ Th1, Th2, B cells Electrophilic modification of Keap1 through Cys23, Cys151, Cys273, Cys288, Cys226, and Cys368 Th1/Th2 balance in mice
IgM production by B cells
(10, 50, 51, 70, 114)
Triterpenoids: CDDO-Im, CDDO-Me, CDDO-EA, CDDO-TFEA Th1, Th17 Electrophilic modification of Keap1 through Cys257, Cys288, Cys489, Cys513, and Cys613 and Tyr85 Experimental autoimmune encephalomyelitis (CDDO-Me, CDDO-EA, and CDO-TFEA)
Multiple Sclerosis (CDDO-Im)
(52, 56, 64, 115, 116)
4-Octyl itaconate Th0 Alkylation of Keap1 cysteine residues 151, 257, 288, 273, and 297 Juvenile idiopathic arthritis (56, 117)
A-1396076 Th0 Uncharacterized (selective binding to Keap1) Rat adjuvant-induced arthritis
IFN-α accelerated lupus nephritis
Rat MOG experimental autoimmune
Encephalomyelitis
Rat collagen-induced arthritis
Mouse GPI-induced arthritis
Collagen Ab-induced arthritis
Mouse OVA lung inflammation
(104)

BHA, butylated hydroxyanisole; CDDO, 1-(2-cyano-3-,12-dioxooleana-1,9(11)-dien-28-oyl); CDDO-EA, CDDO-ethyl amide; CDDO-Me, CDDO-methyl ester; CDDO-TFEA, CDDO-trifluoethylamide; MOG, myelin oligodendrocyte glycoprotein NaB, sodium butyrate.