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Immune system modulation targets (ISMTs)

Target
ISMTs
Molecular classification
G protein-coupled receptor, Receptor, Enzyme, Cytokine, Transcription factor, Ion channel, Other
01

Overview

Immune system modulation targets represent a broad and heterogeneous category of molecular structures—including receptors, enzymes, and cytokines—that are pharmacologically manipulated to regulate the immune response [Source: PubMed - PMID 30205096]. These targets are central to modern oncology, where checkpoint inhibitors like PD-1 and CTLA-4 are used to overcome tumor-induced immunosuppression, and to rheumatology, where TNF-alpha and interleukin receptors are targeted to mitigate chronic inflammation [Source: Nature Reviews Drug Discovery]. By modulating these pathways, therapeutics can either amplify a patient’s defense against pathogens and malignant cells or dampen pathological immune activity in autoimmune conditions [Source: NIH - NIAID]. Because these targets often control systemic signaling networks, their therapeutic engagement requires a delicate balance to avoid severe toxicity, such as cytokine storms or systemic autoimmunity [Source: StatPearls - Immunotherapy]. This entry is considered 'incorrect' as a single target because it encompasses an entire functional class rather than a specific protein or receptor subunit.

Other names
Immunomodulatory targetsImmune checkpointsImmunotherapeutic targetsImmunosuppressive targetsImmune stimulatory targets
02

Mechanism of action

Drugs targeting these entities work through diverse mechanisms including immune checkpoint blockade (e.g., PD-1/CTLA-4 inhibition), cytokine neutralization (e.g., TNF-alpha or IL-6 antagonism), T-cell activation/co-stimulation, and modulation of E3 ubiquitin ligase activity (e.g., CRBN modulation) [Source: NIH/StatPearls - Immunomodulators].

03

Biological functions

Immune responseSignal transductionInflammationApoptosisCell proliferationCell death
04

Disease associations

CancerInflammationInfectionAutoimmune diseaseAllergyNeurodegenerative disease
05

Safety considerations

Immune-related adverse events (irAEs)Cytokine release syndrome (CRS)Opportunistic infectionsAutoimmunityInfusion reactionsSecondary malignancies
06

Interacting drugs

9 more in the full profile.

07

Biomarkers

Programmed death-ligand 1 (PD-L1) expressionTumor Mutational Burden (TMB)Microsatellite Instability (MSI)C-reactive protein (CRP)Cytokine profilesAbsolute lymphocyte count

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