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Cytokine storm–related pathways

Molecular classification
Signaling pathway, Immune system pathway
01

Overview

Cytokine storm–related pathways encompass the complex signaling networks, including the JAK/STAT, NF-κB, and MAPK cascades, that drive the uncontrolled and excessive release of pro-inflammatory cytokines (PMC, 2021) [2, 4]. This biological phenomenon, often termed a cytokine storm or cytokine release syndrome (CRS), results from a dysregulated immune response where a self-amplifying feedback loop leads to systemic hyperinflammation (CAS, 2022) [1, 5]. These pathways are typically triggered by severe infections (such as SARS-CoV-2 or influenza), certain cancers, or therapeutic interventions like CAR T-cell therapy (MDPI, 2023) [12]. The resulting surge in mediators such as IL-6, TNF-α, and IL-1β can cause widespread tissue damage, vascular leakage, and multi-organ failure (PMC, 2021) [4]. Therapeutic strategies involve the use of monoclonal antibodies to block cytokine receptors or small molecules to inhibit intracellular signaling kinases, thereby dampening the inflammatory response (Atlantis Press, 2021) [9]. However, modulating these pathways carries significant risks, including profound immunosuppression and an increased susceptibility to secondary bacterial or fungal infections (MDPI, 2023) [12].

Other names
Cytokine release syndrome pathwaysHypercytokinemia pathwaysInflammatory storm pathwaysCRS-related pathways
02

Mechanism of action

Inhibition of cytokine-receptor binding, suppression of intracellular signaling cascades (e.g., JAK/STAT), and modulation of pro-inflammatory gene transcription.

03

Biological functions

Immune responseInflammationSignal transductionCell deathCell proliferation
04

Disease associations

InfectionCancerAutoimmune diseaseInflammation
05

Safety considerations

ImmunosuppressionSecondary infectionsHepatotoxicityCytopeniaGastrointestinal perforation
06

Interacting drugs

Tocilizumab

8 more in the full profile.

07

Biomarkers

Interleukin-6 (IL-6)Tumor necrosis factor-alpha (TNF-alpha)C-reactive protein (CRP)FerritinD-dimerProcalcitonin

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