Target intelligence / Profile preview

Interleukin-18 receptor complex (IL-18R complex)

Target
IL-18R complex
Molecular classification
Receptor, Cytokine receptor, Immunoglobulin superfamily
01

Overview

The Interleukin-18 receptor complex is a heterodimeric assembly composed of IL-18Rα and IL-18Rβ subunits, both members of the immunoglobulin superfamily. The complex specifically binds the pro-inflammatory cytokine IL-18, triggering conformational receptor changes that recruit the MyD88 adaptor protein and downstream kinases (IRAKs, TRAF6), leading to activation of key immune transcription factors such as NF-κB and the MAP kinase pathway. This signaling results in enhanced production of inflammatory cytokines (including IFN-γ), critical for both host defense and pathological chronic inflammation[1][2][4][7]. Dysregulation of the IL-18/IL-18R pathway has been linked to atherogenesis, autoimmune syndromes, and hyperinflammatory states. The soluble decoy receptor IL-18 binding protein (IL-18BP) tightly regulates IL-18 activity in vivo and serves as a therapeutic antagonist by sequestering IL-18 away from its cell-surface receptors[2][3][5]. The receptor is a validated target for drug development in immunoinflammatory conditions.

Other names
IL-18R complexIL-18Rα/β complexInterleukin-18 receptorIL-18R
02

Mechanism of action

Ligand (IL-18) binds to the receptor complex, triggering recruitment of MyD88 adaptor and IRAK kinases, leading to NF-κB and MAPK pathway activation, and increased production of inflammatory cytokines[1][2][4]. Antagonists (e.g., IL-18BP) bind IL-18 and prevent receptor activation, thereby downregulating cytokine production[2][3][5].

03

Biological functions

Immune responseSignal transductionInflammatory cytokine productionActivation of NF-κB and MAPK pathwaysInduction of interferon gamma (IFN-γ), other cytokines
04

Disease associations

InflammationAutoimmune diseaseAtherosclerosisTumor immunityInfection
05

Safety considerations

Targeting this pathway may suppress essential immune functions, raising potential risk of increased infection or impaired tumor surveillance.Systemic IL-18 inhibition might contribute to dysregulated Th1/Th2 balance or impaired antiviral defense[2].
06

Interacting drugs

Recombinant IL-18 binding protein (tadekinig alfa; not a direct receptor-targeted drug but blocks ligand-receptor interaction)

1 more in the full profile.

07

Biomarkers

Circulating IL-18Circulating IL-18BP (used in monitoring inflammatory states such as COVID-19, autoimmune diseases)

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