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Inflammatory mediators and immune cell infiltration

Molecular classification
Other, Biological process, Pathological mechanism
01

Overview

Inflammatory mediators and immune cell infiltration describes a complex biological process involving the release of signaling molecules and the subsequent migration of leukocytes into tissues. This process is mediated by a wide variety of molecules, including cytokines, chemokines, and lipid mediators like prostaglandins [1]. Immune cell infiltration is facilitated by the upregulation of adhesion molecules on the vascular endothelium, allowing cells like neutrophils and macrophages to exit the bloodstream [2]. While this mechanism is vital for responding to infection and injury, its dysregulation is a primary driver of chronic inflammatory diseases, such as rheumatoid arthritis and psoriasis [3]. In oncology, the infiltration of specific immune subsets can either promote or inhibit tumor growth, making it a key focus of cancer immunotherapy [4]. Therapeutic interventions often target specific components of this process, such as TNF-alpha inhibitors or integrin blockers, to reduce pathological inflammation [5]. Because it encompasses hundreds of distinct molecular interactions, it is classified as a physiological pathway or therapeutic area rather than a single druggable target [6]. Monitoring this process often involves measuring systemic biomarkers like C-reactive protein or assessing tissue biopsies for cellular density [1]. Sources: [1] StatPearls: Inflammation (https://www.ncbi.nlm.nih.gov/books/NBK493173/); [2] Nature Reviews Immunology: Leukocyte trafficking (https://www.nature.com/articles/nri.2016.10); [3] NIH: Chronic Inflammation (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147653/); [4] PubMed: Immune infiltration in cancer (https://pubmed.ncbi.nlm.nih.gov/28930642/); [5] Journal of Clinical Investigation: Targeting cytokines (https://www.jci.org/articles/view/124611); [6] Pharmacology & Therapeutics: Drug targets in inflammation (https://doi.org/10.1016/j.pharmthera.2020.107502).

Other names
Inflammatory responseLeukocyte recruitmentInflammatory signaling cascadeLeukocyte infiltrationInflammatory milieu
02

Mechanism of action

Modulation of pro-inflammatory signaling, neutralization of specific cytokines, inhibition of lipid mediator synthesis, or blockade of leukocyte adhesion and trafficking molecules.

03

Biological functions

Immune responseInflammationChemotaxisCell adhesionCytokine signalingTissue repair
04

Disease associations

InflammationCancerAutoimmune diseaseInfectionCardiovascular diseaseNeurodegenerative disease
05

Safety considerations

ImmunosuppressionIncreased risk of serious infectionsImpaired wound healingReactivation of latent tuberculosisOpportunistic infections
06

Interacting drugs

Infliximab

7 more in the full profile.

07

Biomarkers

C-reactive protein (CRP)Erythrocyte sedimentation rate (ESR)Interleukin-6 (IL-6)Tumor necrosis factor-alpha (TNF-alpha)Calprotectin

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