Target intelligence / Profile preview

Interleukin-12 (IL-12) and Interleukin-23 (IL-23) (IL-12, IL-23)

Target
IL-12, IL-23
Molecular classification
Cytokine, Heterodimeric cytokine, Immune signaling molecule
01

Overview

Interleukin-12 and Interleukin-23 are heterodimeric cytokines that regulate immune responses. Both molecules share the p40 (IL-12B) subunit but have distinct partner subunits (p35 for IL-12, p19 for IL-23), leading to different biological effects. IL-12 primarily drives the differentiation of naïve T cells into Th1 cells, promoting cell-mediated immunity, whereas IL-23 is essential for the maintenance and expansion of Th17 cells, contributing to chronic inflammation and defense against certain pathogens. Dysregulation of these cytokines is associated with autoimmune and inflammatory diseases as well as cancer, making them important therapeutic targets. Multiple monoclonal antibodies have been developed to target either the p40 subunit (inhibiting both cytokines) or the p19 subunit (selectively inhibiting IL-23). Important caveat: There is no single protein called “Interleukin 12/23”; it is essential to specify whether the target of interest is IL-12, IL-23, or their shared p40 subunit.

Other names
IL-12 (“Interleukin-12”)IL-23 (“Interleukin-23”)IL-12p70IL-23p40/p19p40IL-12 family cytokines
02

Mechanism of action

Neutralization of cytokine signaling (by binding IL-12 and/or IL-23 and preventing receptor activation); Suppression of downstream T cell activation (blockade of Th1/Th17 differentiation and cytokine release); Decrease of proinflammatory cytokine production

03

Biological functions

Immune response regulationT cell differentiation (IL-12 to Th1 cells, IL-23 to Th17 cells)Promotion of inflammationInduction of cytokine production (e.g., IFN-γ, IL-17)Cell proliferation (notably in T cells)
04

Disease associations

Autoimmune diseases (e.g., psoriasis, Crohn’s disease, rheumatoid arthritis)CancerInflammatory diseasesInfection (especially bacterial and fungal)
05

Safety considerations

Increased infection risk (due to immune suppression, especially mycobacterial, fungal, and opportunistic infections)Malignancy (long-term immune suppression may alter tumor surveillance)Immunogenicity and hypersensitivity reactions to monoclonal antibodiesPossible worsening of certain infections
06

Interacting drugs

Ustekinumab

4 more in the full profile.

07

Biomarkers

Serum IL-12 and IL-23 levelsp40 subunit concentrationDownstream cytokines (e.g., IFN-γ for IL-12 activity, IL-17 for IL-23 activity)Th17 cell frequency (for IL-23-targeted responses)

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