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Interferon-stimulated gene 15 protein (ISG15)

Target
ISG15
Molecular classification
Ubiquitin-like protein, Enzyme modifier (post-translational modifier), Cytokine (extracellular action)
01

Overview

Interferon-stimulated gene 15 protein (ISG15) is a 15–17 kDa ubiquitin-like protein that is rapidly upregulated in response to type I interferons and pathogen infection[1][2][3]. ISG15 functions in two major ways: as an intracellular protein modifier (attaching covalently to target proteins in a process called ISGylation, analogous to ubiquitylation) and as a secreted cytokine participating in immune cell regulation[2][3][4]. It is involved in innate immunity, antiviral defense, regulation of interferon signaling, and modulation of protein translation and cell stress pathways[3][4]. Dysregulation or mutation of ISG15 impairs immune function, manifests as susceptibility to infectious disease and autoinflammatory syndromes, and is now recognized as an important factor in cancer biology through effects on cell signaling and stemness[1][3][6]. While no drugs are approved specifically for targeting ISG15, it is considered a key molecule in the interferon response and immune-related diseases, as well as a promising future therapeutic target in infection, inflammation, and cancer[2][3][6].

Other names
Ubiquitin-like protein ISG15Ubiquitin cross-reactive protein (UCRP)ISG15 ubiquitin-like modifier
02

Mechanism of action

Drugs or experimental compounds targeting ISG15 may act by: - Inhibiting ISGylation (blocking conjugation of ISG15 to target proteins) - Modulating its cytokine activity - Affecting interactions with other components of the ubiquitin-proteasome system

03

Biological functions

Innate immune responseProtein modification (ISGylation)Cytokine activity (stimulation of IFN-gamma production, neutrophil chemotaxis)Regulation of protein translation, autophagy, exosome secretion, cytoskeleton dynamics, DNA damage response, telomere shorteningNegative regulation of interferon type I response
04

Disease associations

Infection (notably viral and mycobacterial)Cancer (modulating cancer cell stemness, tumor microenvironment)Inflammation (autoinflammatory disorders)Primary immunodeficiency (ISG15-deficiency is a genetic immunodeficiency)
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Safety considerations

Excessive ISG15 or dysregulated ISGylation may lead to autoinflammatory disease (type I interferonopathy), neurologic symptoms (basal ganglia calcifications, seizures), and enhanced susceptibility to infection by interfering with host-pathogen interactionsTargeting ISG15 or its pathway may cause immunosuppression or alter host immune responses; detailed safety data are lacking for direct inhibition
06

Interacting drugs

No approved drugs directly target ISG15 as of now; research is ongoing regarding molecules that influence ISGylation or ISG15 pathways. Specific compounds (e.g., inhibitors of ISGylation enzymes) have been studied in preclinical models, but none are clinically established.
07

Biomarkers

Levels of ISG15 (or ISGylated proteins) in blood/urine can be used as markers of interferon activity and immune activation in viral infection, autoinflammatory disease, and cancerISG15 mutation identified genetically in primary immunodeficiency

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