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Immune regulatory proteins are a broad class of molecules that modulate the immune system's activity to maintain self-tolerance and control the intensity of immune responses [1, 2]. This category includes immune checkpoint receptors (e.g., PD-1, CTLA-4), their ligands (e.g., PD-L1, CD80/86), co-stimulatory molecules (e.g., CD28, 4-1BB), and various cytokines [2, 5, 11]. These proteins are critical in disease; for example, tumors often exploit inhibitory immune regulatory proteins to evade immune surveillance, while defects in these pathways can lead to autoimmune diseases [2, 11]. Therapeutic strategies targeting these proteins have revolutionized oncology through the use of checkpoint inhibitors, which block inhibitory signals to restore anti-tumor T-cell activity [2, 5]. Conversely, in inflammatory and autoimmune conditions, drugs may act as agonists for inhibitory pathways or antagonists for pro-inflammatory regulatory proteins to suppress overactive immunity [2, 8].
Drugs targeting immune regulatory proteins primarily function as checkpoint inhibitors, which block inhibitory signals to enhance immune activity against tumors, or as agonists/modulators that suppress overactive immune responses in autoimmune conditions.
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