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C-X-C motif chemokine 9 (CXCL9), historically known as Monokine Induced by Gamma Interferon (MIG), is a small signaling protein and a potent chemoattractant for immune cells expressing the CXCR3 receptor, such as effector T cells and natural killer (NK) cells. It is primarily produced by macrophages, dendritic cells, and endothelial cells in response to interferon-gamma (IFNγ) stimulation via the JAK-STAT1 pathway. In the context of oncology, CXCL9 generally functions as a tumor suppressor by promoting the infiltration of cytotoxic lymphocytes and exerting angiostatic effects; consequently, high levels of CXCL9 are often predictive of a favorable response to immune checkpoint inhibitors like anti-PD-1 therapy. However, pathological overproduction of CXCL9 is a hallmark of hyperinflammatory conditions such as hemophagocytic lymphohistiocytosis (HLH) and various autoimmune diseases, where it serves as a critical biomarker for monitoring systemic IFNγ activity. Therapeutic intervention typically involves suppressing CXCL9 production through IFNγ-targeted agents (e.g., emapalumab) or JAK inhibitors (e.g., ruxolitinib), while direct neutralizing antibodies are under investigation to mitigate inflammatory tissue damage.
Neutralization of the CXCL9 ligand to prevent recruitment of CXCR3-expressing immune cells or inhibition of the upstream IFN-gamma/JAK/STAT signaling pathway to suppress CXCL9 expression.
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