Target intelligence / Profile preview

CD4-positive CD25-positive regulatory T cell (Treg)

Target
Treg
Molecular classification
Other
01

Overview

CD4-positive CD25-positive regulatory T cells, commonly known as Tregs, are a specialized subpopulation of T lymphocytes essential for maintaining immune homeostasis and preventing autoimmunity [1, 41]. They are defined by the constitutive expression of the interleukin-2 receptor alpha chain (CD25) and the master transcription factor FOXP3 [4, 15]. Tregs exert their suppressive effects through multiple mechanisms, including the secretion of anti-inflammatory cytokines like IL-10 and TGF-beta, the consumption of IL-2 to starve effector T cells, and direct cell-to-cell contact-mediated inhibition [9, 13]. In oncology, Tregs often infiltrate the tumor microenvironment and suppress anti-tumor immunity, making them a target for depletion or functional blockade to improve the efficacy of cancer treatments [5, 11]. Conversely, in autoimmune diseases and organ transplantation, therapeutic strategies focus on expanding the Treg population or using adoptive cell transfer to restore self-tolerance and prevent graft rejection [8, 42]. This entry describes a cell population rather than a single molecular target, although specific surface receptors on these cells are often the direct targets of pharmacological intervention [11, 18].

Other names
Regulatory T cellCD4+ CD25+ TregSuppressor T cellFoxp3+ TregCD4+ CD25+ Foxp3+ T cell
02

Mechanism of action

Therapeutic strategies targeting these cells involve the depletion of regulatory T cells to enhance anti-tumor immunity, the expansion of regulatory T cells to restore immune tolerance in autoimmune diseases, the inhibition of their suppressive function, or the adoptive transfer of ex vivo expanded or engineered regulatory T cells [11, 13, 42].

03

Biological functions

Immune response [1, 41]Immune tolerance [1, 41]Suppression of T cell activation [9, 13]Cytokine production [9, 13]Cell-cell contact-mediated suppression [1, 9]Metabolic disruption [5, 36]
04

Disease associations

Cancer [5, 11]Autoimmune disease [1, 13]Inflammation [1, 41]Graft-versus-host disease [8, 10]Transplantation rejection [8, 10]Type 1 diabetes [19, 31]Systemic lupus erythematosus [30, 35]Atopic dermatitis [20, 29]Alopecia areata [19, 33]
05

Safety considerations

Systemic autoimmunity (IPEX-like syndrome) [7, 11]Cytokine release syndrome [10, 42]Systemic immunosuppression [3, 8]Increased risk of infection [8, 32]Potential for promoting tumor growth [3, 5]
06

Interacting drugs

Daclizumab [11, 18]

8 more in the full profile.

07

Biomarkers

FOXP3 [4, 15]CD25 [4, 15]CD127 low [8, 15]CTLA-4 [4, 6]GITR [4, 6]CCR4 [6, 11]CCR8 [11, 38]Helios [15]

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