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Integrin alpha-4 beta-1 (very late antigen-4), Integrin alpha-4 beta-7 (lymphocyte Peyer's patch adhesion molecule-1) (α4β1 (VLA-4), α4β7 (LPAM-1))

Target
α4β1 (VLA-4), α4β7 (LPAM-1)
Molecular classification
Receptor, Cell adhesion molecule, Integrin family, Transmembrane glycoprotein
01

Overview

Integrin alpha-4 beta-1 and integrin alpha-4 beta-7 are heterodimeric cell adhesion receptors widely expressed on leukocytes and certain precursor cells. The α4β1 heterodimer (VLA-4) interacts primarily with vascular cell adhesion molecule-1 (VCAM-1) and the CS-1 fragment of fibronectin, supporting immune cell migration and costimulation during inflammation. The α4β7 heterodimer (LPAM-1) is specialized for homing lymphocytes to mucosal (gut) tissues via binding to mucosal addressin cell adhesion molecule-1 (MAdCAM-1). Both integrins mediate critical steps in immune surveillance and are validated targets for monoclonal antibody therapeutics in autoimmune diseases. Their activation state is modulated by conformational shifts and metal ion binding, and their expression is induced or upregulated during immune cell activation. Blockade of these integrin-ligand interactions suppresses inappropriate immune cell migration, providing benefit in conditions like Crohn's disease, ulcerative colitis, and multiple sclerosis, but presents infectious and neurologic safety risks.

Other names
α4β1 integrinVLA-4CD49d/CD29α4β7 integrinLPAM-1CD49d/beta-7
02

Mechanism of action

Blocking integrin-ligand interaction (prevents cell adhesion and migration); Inhibition of lymphocyte trafficking to inflamed tissue; Suppression of immune cell activation; Interference with firm adhesion/extravasation into tissues.

03

Biological functions

Cell adhesionImmune cell trafficking/homingSignal transductionCell migrationInteraction with extracellular matrix
04

Disease associations

InflammationAutoimmune disease (e.g., inflammatory bowel disease, multiple sclerosis)InfectionCancer (particularly tumor metastasis and immune cell infiltration)
05

Safety considerations

Progressive multifocal leukoencephalopathy (PML) with natalizumab (especially when α4β1 is inhibited systemically)Increased infection riskPotential for immune suppression-related malignancies (rare)
06

Interacting drugs

Vedolizumab (targets α4β7)

3 more in the full profile.

07

Biomarkers

α4β7 or α4β1 expression on immune cells for patient selection in IBD, MS, and other immune-mediated diseasesCirculating lymphocyte subsets expressing α4β7 or α4β1 as pharmacodynamic biomarkers

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