Target intelligence / Profile preview

Immunosuppressive checkpoint proteins

Molecular classification
Receptor, Transmembrane protein, Immunoregulatory protein, Immunoglobulin superfamily member, Tumor necrosis factor receptor superfamily member, B7 family member
01

Overview

Immunosuppressive checkpoint proteins are regulatory surface proteins (such as PD-1, PD-L1, CTLA-4, LAG-3, TIM-3) primarily found on T cells and other immune cells, which help to suppress immune activation and maintain self-tolerance. Their physiological role is to prevent excessive immune responses and protect healthy tissue, but in cancer and chronic infections, their overactivation or dysregulation can allow pathological cells to evade immune detection and destruction. Therapies known as immune checkpoint inhibitors target these proteins to block their inhibitory signals, thereby reactivating immune responses against tumors and some other diseases. These therapies are now standard-of-care for many cancers but are associated with unique immune-related adverse events and require specific biomarkers for patient selection.

Other names
Immune checkpointsinhibitory immune checkpointsco-inhibitory receptors
02

Mechanism of action

Blockade of receptor-ligand interaction (e.g. PD-1/PD-L1, CTLA-4/CD80/CD86), preventing inhibitory signal transduction and restoring T cell activity. Enhancement of immune response against tumors by disabling immunosuppressive signaling.

03

Biological functions

Immune response regulationMaintenance of self-toleranceInhibition of T cell activation/proliferationPrevention of autoimmunityModulation of immune effector activity
04

Disease associations

Cancer (immune evasion, progression)Chronic infectionAutoimmune disordersInflammation
05

Safety considerations

Risk of autoimmune toxicity (colitis, pneumonitis, hepatitis, endocrinopathy, myocarditis, etc.)Inflammatory side effects due to unleashed immune activityChallenges with patient selection, resistance, and efficacy prediction
06

Interacting drugs

6 more in the full profile.

07

Biomarkers

PD-L1 expression (tumor)Mismatch repair deficiency (genomic instability in tumor)Tumor mutational burdenPresence/activity of effector T cells (CD8+)

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