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**1-methyl-tryptophan** is a synthetic tryptophan analog that exists as two stereoisomers (D- and L- forms). It is a competitive inhibitor of the enzyme **indoleamine 2,3-dioxygenase (IDO1)**, which is a rate-limiting enzyme in the kynurenine pathway responsible for tryptophan degradation[1][5]. The L-isomer acts as a weak IDO1 inhibitor and partial substrate, while the D-isomer (known as **Indoximod**) inhibits IDO2 and restores mTOR signaling under tryptophan starvation[1]. By inhibiting IDO1/IDO2, 1-methyl-tryptophan modulates immune responses, counteracting tryptophan-mediated immunosuppression (e.g., in cancer, chronic inflammation)[5]. It has low toxicity, good intestinal absorption, and low plasma protein binding[5][7]. Indoximod has undergone clinical trials for advanced melanoma and as an immunomodulatory agent in oncology[1][7].
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