Target intelligence / Profile preview

B-lymphocyte stimulator and A proliferation-inducing ligand (BLyS (BAFF) and APRIL)

Target
BLyS (BAFF) and APRIL
Molecular classification
Cytokine, TNF ligand superfamily member
01

Overview

BLyS (BAFF, TNFSF13B) and APRIL (TNFSF13) are closely related cytokines of the tumor necrosis factor ligand superfamily. Both are produced predominantly by myeloid-lineage cells, but also by B and T cells. BLyS and APRIL are critical for B cell maturation, survival, and differentiation, largely via binding to receptors BCMA, TACI, and (for BLyS only) BAFF-R. They exist as homotrimers, can form biologically active heterotrimers, and are involved in signaling pathways that promote B cell proliferation and inhibit apoptosis. Dysregulated BLyS/APRIL signaling is implicated in autoimmunity (notably SLE and RA) and B cell-related malignancies. Therapeutic antagonists—mainly monoclonal antibodies and fusion proteins—target these molecules to modulate immune response.

Other names
BAFFB-cell activating factorTumor necrosis factor ligand superfamily member 13B (TNFSF13B)TALL-1THANKzTNF4Tumor necrosis factor ligand superfamily member 13 (TNFSF13)CD256TALL-2TRDL-1
02

Mechanism of action

Neutralization (fusion proteins/antibodies block receptor-ligand interactions, inhibit downstream survival/proliferation of B cells) Receptor blockade (prevent binding of cytokines to BCMA, TACI, or BAFF-R)

03

Biological functions

Immune responseB cell survivalCell proliferationIsotype switchingApoptosis (context dependent, via interaction with certain TNF receptors)
04

Disease associations

Autoimmune disease (especially systemic lupus erythematosus, rheumatoid arthritis)Cancer (B cell malignancies, multiple myeloma)Inflammation
05

Safety considerations

Risk of immunosuppression (increased infection risk due to B cell depletion)Potential for unintended autoimmunity or loss of humoral immunityOff-target effects due to overlapping receptor specificity
06

Interacting drugs

Atacicept (TACI-Fc fusion protein, inhibits both BLyS and APRIL)

4 more in the full profile.

07

Biomarkers

Serum BLyS/BAFF levels (correlate with autoimmune disease activity)Serum APRIL levels (biomarker for B cell malignancy and certain autoimmune diseases, though clinical utility is debated)

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