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Immune checkpoint receptor

Molecular classification
Receptor, Cell surface receptor, Transmembrane protein, Immunoglobulin superfamily member (for many; e.g., PD-1, CTLA-4), Tumor necrosis factor receptor family member (for some; e.g., OX40, CD137), C-type lectin-like receptor (for some; e.g., NKG2 family), I-type lectin (for some; e.g., Siglec family)
01

Overview

Immune checkpoint receptors are a class of cell membrane receptors, such as programmed cell death protein 1 (PD-1), cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), lymphocyte activation gene 3 (LAG-3), TIGIT, and many others, which act to either inhibit or stimulate immune cell activation by transmitting signals upon engaging their specific ligands. These molecules play central roles in maintaining immune tolerance and homeostasis under normal conditions. However, in the context of cancer and chronic infection, they can be exploited by malignant or infected cells to suppress the immune response. Therapeutic drugs ("checkpoint inhibitors") targeting these receptors have revolutionized cancer therapy by enhancing the body's own immune system to recognize and destroy tumor cells[1][4][5][6][7][8]. The term "immune checkpoint receptors" refers to a **family** of related but distinct proteins, not a single molecular entity, so for structured database use, refer to specific protein entries (e.g., PD-1, CTLA-4) for accurate mapping. Key points to note: - The term is a **broad category**, not a unique target; precise entries should focus on specific known checkpoint molecules for downstream data structuring. - Members of this class include receptors with both inhibitory and stimulatory functions, and drug development efforts predominantly target the inhibitory subset for cancer immunotherapy[1][4][6][7].

Other names
immune checkpointimmune checkpoint moleculecheckpoint proteinimmune regulator
02

Mechanism of action

Blockade of inhibitory signals (releasing "brakes" on T cells and NK cells), leading to enhanced anti-tumor immunity; Activation or agonism (for a minority of stimulatory checkpoint receptors); Modulation of T cell or NK cell exhaustion, tolerance, or functional activity.

03

Biological functions

Regulation of immune activationInhibition or stimulation of T cell and NK cell responseImmune homeostasisMaintenance of self-tolerancePrevention of autoimmunityModulation of anti-tumor immunity
04

Disease associations

Cancer (tumor immune escape)Autoimmune diseasesChronic infectionsInflammatory diseases
05

Safety considerations

Immune-related adverse events (irAEs), including colitis, dermatitis, pneumonitis, endocrinopathiesRisk of autoimmune manifestationsHyperprogression of cancer (rarely observed)Cytokine release syndrome (rare for this class)Variable efficacy depending on baseline immune competence
06

Interacting drugs

9 more in the full profile.

07

Biomarkers

Tumor PD-L1 expressionTumor mutational burdenMicrosatellite instability statusPresence/absence of checkpoint molecule expression (e.g., PD-1/PD-L1/LAG-3)

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