Target intelligence / Profile preview

T-lymphocytes via adhesion molecules and paracrine factors

Molecular classification
Cellular process, Immune signaling pathway, Other
01

Overview

T-lymphocytes via adhesion molecules and paracrine factors refers to the integrated biological process of T-cell recruitment, extravasation, and localized signaling within tissues. This cascade is initiated by the interaction of T-cell adhesion molecules, such as integrins (e.g., VLA-4, LFA-1) and selectins, with ligands on the vascular endothelium, facilitating the movement of leukocytes from the blood into sites of inflammation (Ley et al., 2007). Once situated in the tissue, T-lymphocytes utilize paracrine factors, including various cytokines and chemokines, to communicate with neighboring cells and orchestrate a complex immune response (Abbas et al., 2022). This pathway is a major therapeutic focus in autoimmune and inflammatory diseases where T-cell infiltration drives pathology. Drugs like Natalizumab and Vedolizumab are designed to disrupt this process by targeting specific integrin subunits, thereby preventing pathogenic T-cells from entering sensitive tissues like the brain or gut (Polman et al., 2006). Because this entry describes a multi-component cellular mechanism rather than a single molecular entity, it is classified as a biological process or mechanism of action rather than a discrete therapeutic target.

Other names
T-cell traffickingLeukocyte adhesion cascadeT-lymphocyte adhesion and signalingT-cell recruitment pathway
02

Mechanism of action

Inhibition of T-lymphocyte migration and activation by blocking the interaction between leukocyte adhesion molecules (e.g., integrins) and their endothelial ligands, or by modulating the paracrine signaling environment (e.g., cytokine neutralization) to prevent tissue infiltration.

03

Biological functions

Cell adhesionImmune responseSignal transductionLeukocyte migrationParacrine signaling
04

Disease associations

InflammationAutoimmune diseaseMultiple sclerosisInflammatory bowel diseasePsoriasisGraft-versus-host disease
05

Safety considerations

Progressive multifocal leukoencephalopathy (PML)Increased risk of opportunistic infectionsInfusion-related reactionsImmunogenicity and anti-drug antibody formationParadoxical inflammation
06

Interacting drugs

Natalizumab

5 more in the full profile.

07

Biomarkers

VLA-4 (CD49d) expression levelsSoluble VCAM-1Soluble ICAM-1T-cell subset counts (CD4+, CD8+)Pro-inflammatory cytokine profiles (TNF-alpha, IL-6, IFN-gamma)

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