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Epithelial antiviral response pathway

Molecular classification
Receptor, Enzyme, Transcription factor, Signal transduction
01

Overview

The epithelial antiviral response pathway represents the primary innate defense mechanism of mucosal surfaces, particularly in the respiratory, gastrointestinal, and urogenital tracts. This pathway is initiated by the recognition of pathogen-associated molecular patterns (PAMPs) by pattern recognition receptors (PRRs) such as Toll-like receptors (TLRs) and RIG-I-like receptors (RLRs) [1.1.3, 1.1.4]. Upon activation, these receptors trigger signaling cascades involving adaptor proteins like MAVS and STING, leading to the activation of IRF3 and IRF7 transcription factors and the subsequent production of Type I and Type III interferons (IFNs) [1.1.4]. Type III IFNs (IFN-lambda) are especially critical in epithelial cells as their receptors are primarily restricted to these tissues, providing a localized antiviral state without the systemic inflammation often associated with Type I IFNs [1.2.4]. Dysregulation of these pathways is linked to increased susceptibility to viral infections like influenza and COVID-19, as well as chronic inflammatory conditions like asthma and COPD [1.1.1, 1.2.4]. Therapeutic strategies include the use of IFN-lambda analogs, TLR agonists, and RIG-I activators to bolster the epithelial barrier and prevent viral spread [1.2.1, 1.2.4].

Other names
Epithelial innate immune responseMucosal antiviral responseType III interferon pathwayEpithelial innate immunity
02

Mechanism of action

Modulation of innate immune signaling through the activation of pattern recognition receptors (PRRs) or the administration of exogenous interferons to induce an antiviral state and the expression of interferon-stimulated genes (ISGs) in epithelial cells [1.1.3, 1.2.4].

03

Biological functions

Immune responseSignal transductionApoptosisCell-cell communication
04

Disease associations

InfectionInflammationAsthmaChronic obstructive pulmonary disease (COPD)
05

Safety considerations

Risk of cytokine release syndrome or cytokine stormPotential for autoimmune reactionsEpithelial barrier disruption from chronic inflammationSystemic toxicity from non-specific PRR activation
06

Interacting drugs

Peginterferon lambda-1a

4 more in the full profile.

07

Biomarkers

MX1 (Myxovirus resistance protein 1)OAS1 (2'-5'-Oligoadenylate Synthetase 1)ISG15 (Interferon-stimulated gene 15)Interferon-lambda (IFNL1, IFNL2, IFNL3)Beta-defensin 2

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