Human apul'inic/apyrimidinic endonuclease l/redox effector factor-1 (APEl/Ref·l) is a perfect paradigm of the functional complexity of a biological macromolecule. First, it plays a crucial role, by both redox-dependent and -independent mechanisms, as a transcriptional coactivator for different trnnscription factors, either ubiquitous (i.e., AP-1, Egr-1, NF-KB, p53, HIF) or tissue-specific (i.e., PEBP-2, Pax-Sand -8, TTF-1), in controlling different cellular processes such as apoptosis, proliferation, and differentiation. Second, it acts, as an apurinidapyrimidinic endonuclease, during the second step of the DNA base excision repair pathway, which is responsible for the repair of cellular alkylation and oxidative DNA damages. Thil'd, it controls the intracellular reactive oxygen species production by negatively regulating the activity of the Ras-related GTPase Rael. Despite these known functions of APEl/Ref-1, information is still scanty about the molecular mechanisms responsible for the coordinated control of its several activities. Some evidence suggests that the expression and subcellular localization of APEl/Ref-1 are finely tuned. APEl/Ref-1 is a ubiquitous protein, but its expression pattern differs according to the different cell types. APEl/Ref-1 subcellular localization is mainly nuclear, but cytop1asmic staining has also been reported, the latter being associated with mitochondria and/or presence within the endoplasmic reticulum. It is not by chance that both expression and sub cellular localization a1·e altered in several metabolic and proliferative disorde1·s, such as in tumors and aging. Moreover, a fundamental role played by different posttranslational modifications in modulating APEl/Ref·l functional activity is becoming eYident. In the present review, we tded to put togethe1· a growing body of information concerning APEl/Ref-l's different functions, shedding new light on present and future directions to understand fully this unique molecule. Antioxid. Redox Signal. 7,[367][368][369][370][371][372][373][374][375][376][377][378][379][380][381][382][383][384]