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Immune system receptors recognizing house dust mite allergens

Molecular classification
Receptor, Pattern recognition receptor, G protein-coupled receptor, C-type lectin receptor
01

Overview

Immune system receptors recognizing house dust mite (HDM) allergens comprise a diverse group of pattern recognition receptors (PRRs) and cell surface proteins that initiate the allergic immune response. Key members include Toll-like receptor 4 (TLR4), which is activated by the major allergen Der p 2 through molecular mimicry of the MD-2 co-receptor (PubMed: 19322190, 26315357), and Protease-activated receptor 2 (PAR2), which is triggered by the proteolytic activity of Der p 1 (PMC: 3214062, 4130634). Additionally, C-type lectin receptors such as Dectin-2 (CLEC6A) and the Mannose Receptor (CD206) recognize glycan structures on HDM allergens to promote the production of cysteinyl leukotrienes and Th2-polarizing cytokines (PubMed: 19144989, 24129160). These receptors are primarily expressed on airway epithelial cells and dendritic cells, where their activation leads to the release of alarmins like IL-33 and TSLP, driving the pathogenesis of asthma and allergic rhinitis (PMC: 2727593, 3261116). Therapeutic strategies targeting these receptors, such as TLR4 antagonists (e.g., TAK-242) or experimental PAR2 inhibitors, aim to prevent the initial sensitization and subsequent inflammatory flares associated with HDM exposure (Frontiers: 2018, 2021).

Other names
HDM-recognizing receptorsPattern recognition receptors for house dust miteAllergen-sensing receptorsInnate immune receptors for HDM
02

Mechanism of action

Inhibition of allergen-induced innate immune signaling through the blockade of pattern recognition receptors (TLR4, Dectin-2) or protease-activated receptors (PAR2), preventing the release of pro-Th2 cytokines and alarmins.

03

Biological functions

Immune responseInflammatory responseSignal transductionProteolysisCell activationCytokine production
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Disease associations

AsthmaAllergic rhinitisAtopic dermatitisInflammation
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Safety considerations

Increased risk of infection due to inhibition of innate pattern recognitionPotential for impaired wound healing (associated with PAR2 inhibition)Systemic immunosuppressionAlteration of mucosal barrier homeostasis
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Interacting drugs

TAK-242 (Resatorvid)

5 more in the full profile.

07

Biomarkers

Specific IgE (sIgE) to Der p 1Specific IgE (sIgE) to Der p 2Eosinophil countFractional exhaled nitric oxide (FeNO)Interleukin-33 (IL-33) levelsThymic stromal lymphopoietin (TSLP) levels

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