Target intelligence / Profile preview

Indoleamine 2,3-dioxygenase 1 (IDO1) and Tryptophan 2,3-dioxygenase (TDO) (IDO1, TDO)

Target
IDO1, TDO
Molecular classification
Enzyme, Heme-containing dioxygenase, Oxidoreductase, EC 1.13.11.52 (for IDO1), EC 1.13.11.11 (for TDO)
01

Overview

Indoleamine 2,3-dioxygenase 1 (IDO1) and tryptophan 2,3-dioxygenase (TDO) are heme-containing enzymes that catalyze the first and rate-limiting step in the degradation of the essential amino acid tryptophan along the kynurenine pathway. This process leads to depletion of tryptophan and accumulation of immunosuppressive metabolites such as kynurenine. IDO1 is broadly inducible by inflammatory stimuli (e.g., interferon-gamma) and is expressed in multiple cell types including dendritic cells and various tumors, playing a crucial role in regulating immune responses and promoting tumor immune escape. TDO is constitutively expressed primarily in the liver and has a more limited tissue distribution, but also contributes to systemic tryptophan metabolism and immune regulation. Both have been implicated in the pathogenesis of cancer, neurodegenerative disorders, infection, and inflammation, and are actively pursued as drug targets, particularly in oncology for reversal of tumor immunosuppression.

Other names
Indoleamine-pyrrole 2,3-dioxygenaseINDOIDOTryptophan dioxygenaseTOTDO2
02

Mechanism of action

Enzyme inhibition (blockade of substrate—tryptophan—catabolism to limit immunosuppressive metabolite production); Restoration of anti-tumor immune responses by reducing kynurenine-mediated T cell suppression.

03

Biological functions

Tryptophan metabolismRegulation of immune response (immunosuppression)Generation of kynurenine and downstream metabolitesRegulation of inflammationAntimicrobial activityRegulation of neuronal signaling (via kynurenine pathway metabolites)
04

Disease associations

Cancer (tumor immune escape, cancer progression)Inflammatory diseasesNeurodegenerative diseasesInfection (host defense against pathogens)Autoimmunity
05

Safety considerations

Potential for autoimmunity due to loss of peripheral immune toleranceNeurotoxicity due to altered kynurenine or tryptophan levelsRisk of exacerbating inflammatory or autoimmune disorders (if inhibition is not selectively targeted)
06

Interacting drugs

Epacadostat

3 more in the full profile.

07

Biomarkers

Expression levels of IDO1 in tumorsKynurenine/tryptophan ratio in plasma or tissueImmune checkpoint profiles

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