Target intelligence / Profile preview

Co-stimulation pathway (null)

Target
null
Molecular classification
Receptor, Transmembrane glycoprotein, Immunoglobulin superfamily member, Tumor necrosis factor receptor superfamily member
01

Overview

The **co-stimulation pathway** refers to a collection of molecular interactions and signaling events necessary for full activation of immune cells, most notably T lymphocytes[1][3]. T cell activation requires two signals: the first is antigen recognition via the T cell receptor (TCR); the second is co-stimulation, provided by co-stimulatory molecules (e.g., CD28 on T cells engaging CD80/CD86 on antigen-presenting cells)[1][2][3]. Co-stimulatory receptors belong mainly to the immunoglobulin superfamily (with well-known examples such as CD28, ICOS) and the tumor necrosis factor receptor superfamily (e.g., CD40, OX40)[2][6]. Therapies that modulate co-stimulatory pathways—including antagonists that dampen autoimmunity and agonists that boost anti-cancer immunity—are in clinical and preclinical use[2][3]. Because "Co-stimulation pathway" itself is not a discrete molecule, it is not appropriate to treat it as a single therapeutic target; instead, individual co-stimulatory and co-inhibitory molecules within the pathway (such as CD28, CD80, CD86, ICOS, CTLA-4) are the therapeutic targets[2][3][6].

Other names
Co-stimulatory moleculeCo-stimulatory pathwaySecondary signal in immune activation
02

Mechanism of action

Inhibition or activation of T cell co-stimulation (blocking ligand binding, agonism of co-stimulatory receptors)

03

Biological functions

Immune responseSignal transductionT cell activationCell proliferationImmune tolerance
04

Disease associations

CancerAutoimmune diseaseInflammationInfection
05

Safety considerations

Risk of immune overactivation (cytokine release syndrome, autoimmunity) or excessive immune suppression (infections, malignancy), depending on direction of modulation
06

Interacting drugs

Abatacept and belatacept (CTLA-4-Ig fusion proteins; block CD80/CD86-CD28 interaction)

2 more in the full profile.

07

Biomarkers

Expression of CD28, CD80, CD86, CTLA-4, and ICOS on peripheral blood T cells; soluble forms in serum are also investigated

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