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IDO1: The Metabolic Gatekeeper of Immune Regulation and Its Therapeutic Promise

Endocrinology Diagnostics

IDO1 is a heme-containing enzyme crucial in tryptophan metabolism and immune regulation. It breaks down L-tryptophan into kynurenine through a complex oxygen-dependent process.

Key functions include:

  • Immune system modulation
  • Maintaining immune tolerance
  • Suppressing immune responses

Mechanism of immune suppression:

  • Reduces tryptophan levels
  • Increases kynurenine metabolites
  • Triggers T cell dysfunction
  • Promotes regulatory T cell development

Pathological implications:

  • Cancer: Tumors exploit IDO1 to evade immune detection
  • Autoimmune diseases: IDO1 dysfunction can trigger immune reactions
  • Chronic infections: Altered IDO1 expression impacts immune function

In pregnancy, IDO1 helps prevent fetal rejection by fostering immune tolerance.

Therapeutic approaches:

  • Developing IDO1 inhibitors
  • Targeting cancer treatment
  • Exploring potential in: Autoimmune diseases, Chronic infections, Transplant medicine

Challenges:

  • Optimizing inhibitor effectiveness
  • Identifying optimal patient groups
  • Balancing immune suppression and activation

Current research focuses on:

  • Precise inhibitor development
  • Combination treatment strategies
  • Understanding IDO1's signalling pathways
ENQUIRY FORM

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