“…It is important to note that NRF2 regulates the transcription of approximately 1% of the human genome ( Cuadrado et al, 2019 ) and that beside maintaining the cellular redox homeostasis, multiple cellular processes, including regulation of inflammation, differentiation, proliferation, cell survival, protein homeostasis, and metabolism, are among the functions influenced by its activity ( Corenblum et al, 2016 ; Robledinos-Antón et al, 2017 ; Cuadrado et al, 2019 ; Dodson et al, 2019 ; La Rosa et al, 2019 ; Turchi et al, 2020b ). Two processes were recently shown to be deeply connected to FRDA pathogenesis: (i) ferroptosis, an iron-dependent cell death caused by impaired GSH metabolism, lipid peroxidation, and mitochondrial failure ( Cotticelli et al, 2019 ; La Rosa et al, 2020d ; Turchi et al, 2020b ); and (ii) inflammation, a mechanism not yet fully understood in FRDA, but potentially involved, as demonstrated in fibroblasts of patients, where the anti-inflammatory heme-oxygenase 1 (HO-1) gene was found to be reduced ( Petrillo et al, 2019 ) and in patients who showed beneficial effects upon treatment with an NF-kB suppressor ( Lynch et al, 2019 ). Although it is undeniable that the NRF2 activation can ameliorate FRDA pathogenesis rescuing, at least in part, the detrimental effects generated by these processes, deeper and more complex regulations could be responsible for the NRF2-mediated protection observed in asymptomatic members of the family.…”