Drug intelligence / Profile preview

cytotoxic T-lymphocyte-associated protein 4-immunoglobulin

Development stage
Unknown
Lead developer
Bristol Myers Squibb
Modality
Fc-Fusion Proteins → Carrier/Scaffold Proteins → Recombinant Proteins and Enzymes
Administration
Intravenous, Subcutaneous
01

Overview

Cytotoxic T-lymphocyte-associated protein 4-immunoglobulin (CTLA-4Ig) is a soluble recombinant fusion protein consisting of the extracellular domain of human CTLA-4 (CD152) fused to the Fc portion of human immunoglobulin G1 (IgG1). CTLA-4Ig acts as a selective co-stimulation modulator by binding with high affinity to CD80 (B7-1) and CD86 (B7-2) on antigen-presenting cells (APCs). This binding competitively blocks the interaction of CD80/CD86 with CD28 on T cells, thereby preventing the second co-stimulatory signal required for full T-cell activation, proliferation, and cytokine production. CTLA-4Ig is widely used as an immunosuppressive agent to prevent transplant rejection (e.g., belatacept in kidney transplantation) and to treat autoimmune diseases such as rheumatoid arthritis and juvenile idiopathic arthritis (e.g., abatacept).

Brand names
NulojixOrencia
Other names
CTLA-4-IgCTLA4-IgCTLA 4-IgCTLA-4IgCTLA4IgCTLA 4IgCTLA4-immunoglobulinCTLA-4-immunoglobulinCTLA 4-immunoglobulincytotoxic T-lymphocyte-associated antigen 4-immunoglobulin
02

Targets

CD28 (Cluster of Differentiation 28)CD80 (T-lymphocyte activation antigen CD80)CD86 (T-lymphocyte activation antigen CD86)CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)NeuraminidaseFcγR (Low affinity immunoglobulin gamma Fc region receptor II-c)

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