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Herpesvirus entry mediator (HVEM) and Lymphotoxin beta receptor (LTβR) (HVEM (for Herpesvirus entry mediator), LTβR (for Lymphotoxin beta receptor))

Target
HVEM (for Herpesvirus entry mediator), LTβR (for Lymphotoxin beta receptor)
Molecular classification
HVEM: Receptor, Tumor necrosis factor receptor superfamily, Cell surface receptor, LTβR: Receptor, Tumor necrosis factor receptor superfamily, Cell surface receptor
01

Overview

Herpesvirus entry mediator (HVEM) and Lymphotoxin beta receptor (LTβR) are both members of the tumor necrosis factor receptor superfamily. HVEM (TNFRSF14) functions as a hub integrating signals from multiple ligands, including LIGHT (TNFSF14), BTLA, and CD160, controlling both costimulatory and inhibitory signaling cascades vital to T and B cell activation, survival, and immune homeostasis[1][3]. It is also involved in viral pathology, serving as an entry receptor for herpes simplex virus. LTβR (TNFRSF3) primarily binds lymphotoxin-α1β2 and LIGHT, orchestrating the development and maintenance of lymphoid organs, regulation of immune responses, inflammatory signaling, and apoptotic pathways[4][5]. Both receptors play significant roles in immune signaling networks, are being explored as therapeutic targets in cancer, autoimmune and inflammatory diseases, and are integral to maintaining proper lymphoid tissue architecture and immune cell function[1][2][4][5].

Other names
HVEM: Tumor necrosis factor receptor superfamily member 14 (TNFRSF14), HveALTβR: Lymphotoxin-beta receptor, Tumor necrosis factor receptor superfamily member 3 (TNFRSF3), LTBR
02

Mechanism of action

Blockade or activation of ligand–receptor interactions (e.g., inhibition of LIGHT binding to HVEM/LTβR) Modulation of downstream NF-κB signaling pathways Regulation of immune cell activation or suppression (costimulation or coinhibition) Induction of apoptosis or enhancement of cell survival, depending on cellular context

03

Biological functions

Immune responseSignal transductionRegulation of inflammationLymphoid organogenesisCell survivalCell death (apoptosis)Cell proliferationCytokine regulation
04

Disease associations

CancerInflammationInfectionAutoimmunityImmunodeficiency
05

Safety considerations

Potential for overactive immune responses and autoimmunity with pathway stimulation[1][5]Risk of immunosuppression and increased infection susceptibility with pathway inhibitionDisruption of lymphoid organ structure and homeostasis with chronic modulation[5]
06

Interacting drugs

No FDA-approved drugs explicitly targeting HVEM or LTβR directly are broadly used; however, preclinical and clinical candidates targeting the LIGHT–HVEM or LIGHT–LTβR pathways (such as ligand traps, monoclonal antibodies, and antagonistic biologics) are in development[1][5].

1 more in the full profile.

07

Biomarkers

Expression levels of HVEM or LTβR on immune and stromal cells (potentially for patient selection in immunotherapy)LIGHT (TNFSF14) levels in serum or tissueDownstream chemokines (e.g., CXCL13, CCL19, CCL21) for pathway activity assessment

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