Target intelligence / Profile preview

Proinflammatory cytokines – indirect pathway-level modulation

Molecular classification
Signaling Pathway, Transcription Factor, Kinase, Proteasome
01

Overview

Proinflammatory cytokines – indirect pathway-level modulation is a therapeutic strategy focused on regulating the intracellular signaling networks that govern the production and activity of multiple inflammatory mediators (NCBI, 2017: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5542673/). Rather than targeting a single cytokine like TNF-alpha or IL-6 with a}

Other names
Indirect cytokine modulationCytokine signaling pathway inhibitionUpstream inflammatory signaling modulationIntracellular cytokine pathway modulation
02

Mechanism of action

Inhibition of intracellular signaling nodes such as Janus kinases (JAKs), the IKK complex, or phosphodiesterases, and the modulation of transcription factors like NF-kappaB or the glucocorticoid receptor to suppress the transcription and translation of multiple proinflammatory cytokine genes.

03

Biological functions

Immune responseInflammationSignal transductionGene expression regulationCytokine production
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Disease associations

Rheumatoid arthritisPsoriatic arthritisInflammatory bowel diseaseCytokine release syndromeSystemic lupus erythematosusAnkylosing spondylitis
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Safety considerations

Increased risk of serious opportunistic infectionsMalignancy (e.g., lymphoma)Major adverse cardiovascular events (MACE)ThromboembolismCytopeniaHepatotoxicity
06

Interacting drugs

6 more in the full profile.

07

Biomarkers

C-reactive protein (CRP)Erythrocyte sedimentation rate (ESR)Serum Interleukin-6 (IL-6) levelsSerum Tumor necrosis factor-alpha (TNF-alpha) levels

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