Target intelligence / Profile preview

Interleukin-4 receptor subunit alpha (IL-4Rα) (IL-4Rα)

Target
IL-4Rα
Molecular classification
Type I cytokine receptor, Receptor, Transmembrane protein
01

Overview

Interleukin-4 receptor subunit alpha (IL-4Rα), also known as CD124, is a critical component of the receptor complexes for both interleukin-4 (IL-4) and interleukin-13 (IL-13) [6, 13]. It is a type I transmembrane protein that pairs with the common gamma chain to form the Type I IL-4 receptor or with IL-13Rα1 to form the Type II IL-4 receptor [3, 6]. This subunit is a central mediator of Type 2 (Th2) inflammation, driving processes such as IgE class switching in B cells, Th2 cell differentiation, and alternative macrophage activation [1, 12]. Dysregulation of the IL-4Rα signaling pathway is strongly linked to various allergic and inflammatory diseases, including asthma, atopic dermatitis, and eosinophilic esophagitis [5, 15]. Therapeutic targeting of IL-4Rα, most notably by the monoclonal antibody dupilumab, has revolutionized the treatment of these conditions by simultaneously blocking the pro-inflammatory effects of both IL-4 and IL-13 [7, 15]. Clinical use of IL-4Rα inhibitors is generally well-tolerated, though it is uniquely associated with side effects like conjunctivitis in certain patient populations [5, 15]. Beyond allergic diseases, IL-4Rα is being investigated for its role in other conditions such as chronic obstructive pulmonary disease (COPD) and certain cancers [1, 17]. The receptor's ability to modulate both innate and adaptive immune responses makes it a versatile target for precision medicine in immunology [11, 18].

Other names
CD124IL4RIL-4RAIL4RAInterleukin-4 receptor alpha chainBSF receptor
02

Mechanism of action

Antagonist; monoclonal antibody that binds to the IL-4Rα subunit, blocking the signaling of both IL-4 and IL-13 by preventing the formation of Type I and Type II receptor complexes.

03

Biological functions

Signal transductionImmune responseT-helper 2 (Th2) cell differentiationIgE class switchingAlternative macrophage activationCell proliferationMucus production
04

Disease associations

AsthmaAtopic dermatitisChronic rhinosinusitis with nasal polyposis (CRSwNP)Eosinophilic esophagitis (EoE)Prurigo nodularisBullous pemphigoidAllergic rhinitisChronic obstructive pulmonary disease (COPD)
05

Safety considerations

Injection site reactionsConjunctivitisNasopharyngitisTransient eosinophiliaHypersensitivity
06

Interacting drugs

4 more in the full profile.

07

Biomarkers

Serum IgEBlood eosinophilsFractional exhaled nitric oxide (FeNO)Thymus and activation-regulated chemokine (TARC/CCL17)Periostin

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