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Interferon lambda 4 (IFNL4)

Target
IFNL4
Molecular classification
Cytokine, Type III interferon, Receptor ligand (binds the interferon lambda receptor complex IFNλR1/IL-10Rβ)
01

Overview

Interferon lambda 4 (IFNL4) is a type III interferon and cytokine discovered in humans in 2013, encoded by the IFNL4 gene, which is present or inactive depending on a common polymorphism. Unlike other type III interferons (IFNλ1-3), IFNL4 is often poorly secreted, tends to accumulate inside cells, and structurally interacts with the IFNλR1 and IL-10R2 receptor chains to mediate antiviral and immune responses. Recent evidence also highlights a unique role for IFNL4 as a direct antibacterial protein in the gut, inducing bacterial agglutination and direct killing, which is not observed for other IFNλ family members. Genetic differences in IFNL4 expression have strong effects on host responses to hepatitis C virus and possibly other infections, with expression associated with impaired viral clearance and altered interferon-stimulated gene profiles. IFNL4 signaling activates the JAK-STAT pathway, leading to upregulation of ISGs and modulation of epithelial and mucosal immunity. The molecule presents challenges as a drug target due to secretion issues and complex, sometimes paradoxical, effects on disease outcomes. Notes on ambiguity or issues: IFNL4 is sometimes absent as a functional protein in much of the human population due to a frameshift polymorphism. No small-molecule drugs are currently approved for or known to target IFNL4 directly.

Other names
Interferon lambda-4IFNL4IFN-lambda-4IFNANinterferon lambda-4interferon, lambda 4
02

Mechanism of action

Endogenous ligand for IFN lambda receptor complex (IFNλR1/IL-10Rβ), leading to JAK-STAT signaling cascade and induction of antiviral and antibacterial genes

03

Biological functions

Antiviral response (activation of interferon-stimulated genes, ISGs)Immune response modulationSignal transduction via JAK-STAT pathwayAntibacterial response (unique for IFNL4 among IFNλs: induces bacterial agglutination and direct bacterial killing)
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Disease associations

Infection (notably in viral hepatitis C, and potentially other viral infections)InflammationOther (may contribute to outcomes in other mucosal or epithelial infections, and polymorphisms affect disease course)
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Safety considerations

Poor secretion and intracellular accumulation can induce cell stressPotential for exaggerated immune responses and inflammationGenetic polymorphisms leading to differences in infection outcome and prevalence of effective protein among human populations
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Interacting drugs

None directly used clinically that target IFNL4 specifically as of current knowledge; type III interferons (e.g., pegylated IFNλ1) have been studied, but no IFNL4-specific drugs are approved or in widespread trials
07

Biomarkers

IFNL4 polymorphism (rs368234815) predictive of hepatitis C clearance and response to therapyInduced ISGs (e.g., IFIT1, MX1, OASL as markers of pathway activation)

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