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Interleukin-4 receptor alpha – Type II receptor complex (IL-4Rα/IL-13Rα1)

Target
IL-4Rα/IL-13Rα1
Molecular classification
Receptor, Cytokine receptor, Type I cytokine receptor, Heterodimeric receptor complex
01

Overview

The Interleukin-4 receptor alpha – Type II receptor complex is a heterodimeric cytokine receptor composed of the Interleukin-4 receptor alpha (IL-4Rα) and the Interleukin-13 receptor alpha 1 (IL-13Rα1) subunits [1, 3]. It serves as a functional signaling unit for both Interleukin-4 (IL-4) and Interleukin-13 (IL-13), which are key drivers of Type 2 (Th2) inflammation [7, 8]. Upon ligand binding, the complex activates the Janus kinase (JAK)/Signal Transducer and Activator of Transcription 6 (STAT6) pathway, leading to downstream effects such as IgE class switching in B cells, mucus hypersecretion, and recruitment of eosinophils [5, 15]. This receptor complex is predominantly expressed on non-hematopoietic cells like epithelial cells, smooth muscle cells, and fibroblasts, making it a critical mediator of tissue-level allergic responses and remodeling [7, 8]. Therapeutic targeting of this complex, most notably through the IL-4Rα-binding monoclonal antibody dupilumab, has proven highly effective in treating chronic inflammatory conditions such as asthma, atopic dermatitis, and eosinophilic esophagitis [2, 6, 13]. By blocking the shared IL-4Rα subunit, these therapies simultaneously inhibit the signaling of both IL-4 and IL-13, addressing the underlying pathophysiology of multiple comorbid allergic diseases [8, 15].

Other names
Type II IL-4 receptorIL-4Rα/IL-13Rα1 complexInterleukin-4 receptor type IIIL-4R type IIIL-4Rα/IL-13Rα1 heterodimer
02

Mechanism of action

Inhibition of IL-4 and IL-13 signaling by binding to the IL-4Rα subunit, preventing the formation of the active signaling complex and subsequent activation of the JAK/STAT6 pathway [2, 8, 15].

03

Biological functions

Signal transductionImmune responseCell proliferationCell differentiationMucus secretionIgE class switchingAlternative macrophage activation
04

Disease associations

InflammationAsthmaAtopic dermatitisChronic rhinosinusitis with nasal polypsEosinophilic esophagitisPrurigo nodularisChronic obstructive pulmonary disease
05

Safety considerations

Injection site reactionsConjunctivitisNasopharyngitisTransient eosinophiliaHypersensitivity
06

Interacting drugs

5 more in the full profile.

07

Biomarkers

Serum IgEFractional exhaled nitric oxide (FeNO)Blood eosinophil count

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