“…As described in ‘5.2.1 Regulating KEAP1 activity’, itaconate increases the alkylation of cysteine residues 151, 257, 273, 288, and 297 on KEAP1, enhances the degradation of KEAP1 and leads to the dissociation and activation of Nrf2. Bambouskova et al demonstrated that itaconate and DI reacted with glutathione and activated Nrf2 [ 21 ], then in the process of periodontal destruction [ 179 ], liver fibrosis [ 72 ], vitiligo [ 180 ], pulmonary fibrosis [ 181 ], renal injury [ 175 ], osteoporosis [ 182 ], and neurodegenerative diseases [ 183 ], itaconate and its derivatives functioned as activators of the Nrf2 pathway and attenuated oxidative stress. Moreover, Yi et al reported that itaconate activated Nrf2 to mitigate oxidative stress in liver IRI, which demonstrated the antioxidant effect in nonimmune cells [ 163 ].…”