Target intelligence / Profile preview

Interleukin 4 (IL-4), Interleukin 5 (IL-5), Interleukin 9 (IL-9), Interleukin 13 (IL-13), Tumor necrosis factor alpha (TNF-alpha), and Interleukin 17A (IL-17A) (IL-4, IL-5, IL-9, IL-13, TNF-alpha, IL-17A)

Target
IL-4, IL-5, IL-9, IL-13, TNF-alpha, IL-17A
Molecular classification
Cytokine, Interleukin, Tumor necrosis factor superfamily member
01

Overview

This target entry represents a collection of six distinct cytokines—Interleukin 4 (IL-4), IL-5, IL-9, IL-13, Tumor Necrosis Factor alpha (TNF-alpha), and Interleukin 17A (IL-17A)—that function as pivotal mediators in inflammatory and autoimmune signaling. IL-4 and IL-13 are central to Type 2 (Th2) immune responses, driving IgE production and airway hyperresponsiveness, while IL-5 is the primary regulator of eosinophil recruitment and activation (Gandhi et al., 2016, Expert Rev Clin Immunol; Varricchi et al., 2017, Front Med). IL-9 is involved in mast cell growth and mucus production, and IL-17A is a hallmark of Th17-mediated inflammation, crucial for host defense and the pathogenesis of psoriasis (Goswami & Kaplan, 2011, J Interferon Cytokine Res; McInnes et al., 2014, Nat Rev Rheumatol). TNF-alpha is a master pro-inflammatory cytokine that triggers systemic inflammatory cascades and is a major driver of joint and gut inflammation (Kalliolias & Ivashkiv, 2016, Nat Rev Rheumatol). These cytokines are targeted by a wide range of approved biologics, such as dupilumab (IL-4/13), mepolizumab (IL-5), adalimumab (TNF-alpha), and secukinumab (IL-17A), to treat chronic conditions including asthma, atopic dermatitis, rheumatoid arthritis, and psoriasis.

Other names
Type 2 CytokinesPro-inflammatory CytokinesTh2/Th17 Cytokine PanelB-cell stimulatory factor 1 (IL-4)Eosinophil differentiation factor (IL-5)P600 (IL-13)Cachectin (TNF-alpha)CTLA-8 (IL-17A)
02

Mechanism of action

Monoclonal antibodies or fusion proteins that bind to and neutralize the soluble cytokine ligands or their specific cell-surface receptors, thereby inhibiting downstream signaling pathways such as JAK-STAT, NF-kappaB, and MAPK (Gandhi et al., 2016; Kalliolias & Ivashkiv, 2016).

03

Biological functions

Immune responseInflammationSignal transductionCell proliferationLeukocyte activationImmunoglobulin class switchingEosinophil maturation
04

Disease associations

AsthmaAtopic dermatitisPsoriasisRheumatoid arthritisInflammatory bowel diseaseAllergic rhinitisAnkylosing spondylitis
05

Safety considerations

Increased risk of serious infectionsReactivation of latent tuberculosis (specifically for TNF inhibitors)Injection site reactionsHypersensitivity reactionsPotential for malignancyConjunctivitis (associated with IL-4/IL-13 inhibition)Exacerbation of inflammatory bowel disease (associated with IL-17A inhibition)
06

Interacting drugs

10 more in the full profile.

07

Biomarkers

Blood eosinophil countFractional exhaled nitric oxide (FeNO)Serum IgE levelsC-reactive protein (CRP)Erythrocyte sedimentation rate (ESR)

Beyond the preview

Go deeper on Interleukin 4 (IL-4), Interleukin 5 (IL-5), Interleukin 9 (IL-9), Interleukin 13 (IL-13), Tumor necrosis factor alpha (TNF-alpha), and Interleukin 17A (IL-17A) (IL-4, IL-5, IL-9, IL-13, TNF-alpha, IL-17A).

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