Itaconic acid is a metabolite produced by activated macrophages in the process of body immunity. Itaconic acid is functional in anti-inflammatory, anti-pathogenic organisms and regulation of immunity. Studies have shown that itaconic acid and its derivatives can activate the Keap1/Nrf2/ARE pathway to exert anti-inflammatory, antiviral and immune-enhancing pharmacological activities. Therefore, this paper reviews the pharmacological effects of itaconic acid and its derivatives based on Keap1/Nrf2/ARE signaling pathway. © 202...