Target intelligence / Profile preview

Host immune signaling at the gut interface

Molecular classification
Other
01

Overview

Host immune signaling at the gut interface refers to the complex regulatory network of interactions between the intestinal microbiota, the epithelial barrier, and the underlying mucosal immune system (Mowat & Agace, 2014). This process is not a single therapeutic target but rather a physiological environment where multiple signaling pathways, including those mediated by pattern recognition receptors (PRRs) and various cytokines, maintain homeostasis or drive inflammation (Belkaid & Hand, 2014). In diseases like inflammatory bowel disease (IBD), this signaling becomes dysregulated, leading to chronic inflammation and tissue damage (Xavier & Podolsky, 2007). Therapeutic strategies often target specific components of this interface, such as tumor necrosis factor (TNF), interleukins (IL-12/23), or integrins, to restore balance and promote mucosal healing (Neurath, 2017). Understanding these interactions is crucial for developing precision medicines that can modulate the gut-immune axis without compromising systemic immunity (Danese et al., 2015).

Other names
Mucosal immune signalingGut-immune axisIntestinal immune homeostasisHost-microbe crosstalkGastrointestinal immune signaling
02

Mechanism of action

Modulation of specific cytokine pathways (e.g., TNF-alpha or IL-23 inhibition) or blockade of leukocyte trafficking (e.g., alpha-4-beta-7 integrin antagonism) to restore mucosal homeostasis (Neurath, 2017).

03

Biological functions

Immune responseSignal transductionHomeostasisBarrier functionCell-cell signaling
04

Disease associations

Inflammatory bowel diseaseCrohn's diseaseUlcerative colitisCeliac diseaseInfectionColorectal cancer
05

Safety considerations

Increased risk of opportunistic infectionsPotential for malignancy (e.g., lymphoma)Loss of response due to anti-drug antibodiesImpaired mucosal wound healing
06

Interacting drugs

Infliximab

6 more in the full profile.

07

Biomarkers

Fecal calprotectinC-reactive protein (CRP)Serum cytokine levels (TNF, IL-6)Endoscopic healing scores

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