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Melanoma differentiation-associated protein 5 (MDA5) and Retinoic acid-inducible gene I (RIG-I) (MDA5 (for IFIH1 gene), RIG-I (for DDX58 gene))

Target
MDA5 (for IFIH1 gene), RIG-I (for DDX58 gene)
Molecular classification
Pattern recognition receptor (PRR), ATP-dependent DExD/H box RNA helicase, Innate immune sensor
01

Overview

MDA5 and RIG-I are cytosolic RNA sensors belonging to the RIG-I-like receptor (RLR) family. They detect distinct viral RNA signatures: RIG-I recognizes short double-stranded RNA with 5′-triphosphate ends, while MDA5 detects long double-stranded RNA molecules, including those from picornaviruses and other RNA viruses[1][2][3][4][5][7]. Their activation triggers production of type I interferons and other antiviral cytokines by recruiting adaptor proteins (e.g., MAVS), initiating a signaling cascade essential for effective antiviral defense[7]. Deregulation or dysfunction of these receptors can contribute to chronic inflammation, autoimmunity, and sometimes pathogenic reactions during infection or cancer[7]. Recent interest includes developing modulators of these receptors for cancer immunotherapy, antiviral agents, and treatments for autoimmune disorders.

Other names
IFIH1Interferon-induced helicase C domain-containing protein 1DDX58DEAD box protein 58Retinoic acid-inducible gene I
02

Mechanism of action

Agonists bind to the RNA sensor domains, mimicking viral RNA and activating downstream interferon pathways\nPotential antagonists block RNA recognition or downstream signaling to dampen interferon responses.

03

Biological functions

Recognition of viral double-stranded RNAActivation of type I interferon productionInduction of antiviral and pro-inflammatory responsesRegulation of immune homeostasis
04

Disease associations

Infection (viral primarily, e.g., influenza, hepatitis, SARS-CoV-2, picornaviruses)InflammationAutoimmune disorders (inappropriate activation can cause immunopathology, e.g., type I interferonopathies)Cancer (emerging evidence of involvement in tumor immunity)
05

Safety considerations

Risk of excessive immune activation causing cytokine storm or autoimmunityOff-target effects impacting non-infected cellsDifficulty in selective activation
06

Interacting drugs

Polyinosinic-polycytidylic acid (poly(I:C); research agonist for MDA5)

2 more in the full profile.

07

Biomarkers

Elevated interferon-stimulated gene (ISG) expressionDetection of MDA5 or RIG-I autoantibodies as diagnostic markers in some autoimmune diseasesIFIH1/RIG-I gene polymorphisms

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