Target intelligence / Profile preview

Indoleamine 2,3-dioxygenase 1 (IDO1)

Target
IDO1
Molecular classification
Enzyme, Heme-containing oxidoreductase
01

Overview

Indoleamine 2,3-dioxygenase 1 is a heme-containing enzyme that catalyzes the first and rate-limiting step in the degradation of tryptophan along the kynurenine pathway, converting L‑tryptophan into N-formylkynurenine. It is physiologically expressed in various tissues including the small intestine, lungs, female genital tract, and placenta. IDO1 plays a crucial role in modulating immune responses by depleting local tryptophan concentrations and generating immunosuppressive metabolites that inhibit effector T-cell function while promoting regulatory T cell differentiation. This mechanism contributes to peripheral tolerance but can be hijacked by tumors to evade immune surveillance; thus, IDO inhibitors are being explored as cancer therapeutics—especially as adjuncts to other forms of immunotherapy or chemotherapy. Elevated expression has been observed across several cancers such as acute myeloid leukemia, ovarian cancer, and colorectal cancer[1][6][8].

Other names
Indoleamine-pyrrole 2,3-dioxygenaseIDOINDOEC 1.13.11.52
02

Mechanism of action

Inhibition of enzymatic activity to restore anti-tumor immunity by preventing tryptophan depletion and reducing immunosuppressive kynurenine metabolites[1]

03

Biological functions

Tryptophan catabolism via the kynurenine pathwayImmune response modulation (immunosuppression)Regulation of T-cell function and immune tolerance[1][3][8]
04

Disease associations

Cancer (immune escape in tumors)Inflammation (modulation of immune responses)Infection (host defense mechanism)[1][3]
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Safety considerations

Potential for immune-related adverse effects due to loss of peripheral tolerance when inhibiting IDO1-mediated immunosuppression[1]
06

Interacting drugs

Epacadostat (IDO inhibitor; investigational/clinical trials)
07

Biomarkers

IDO1 expression levels in tumor tissue or blood as a biomarker for patient selection or monitoring efficacy in cancer immunotherapy[1]

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