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The Role of Indoleamine 2, 3-Dioxygenase in Immune Suppression and Autoimmunity
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Indoleamine 2, 3-dioxygenase (IDO) is the first and rate limiting catabolic enzyme in the degradation pathway of the essential amino acid tryptophan. By cleaving the aromatic indole ring of tryptophan, IDO initiates the production of a variety of tryptophan degradation products called “kynurenines” that are known to exert important immuno-regulatory functions. Because tryptophan must be supplied in the diet, regulation of tryptophan catabolism may exert profound effects by activating or inhibiting metabolism and immune responses. Important for survival, the regulation of IDO biosynthesis and its activity in cells of the immune system can critically alter their responses to immunological insults, such as infection, autoimmunity and cancer. In this review, we assess how IDO-mediated catabolism of tryptophan can modulate the immune system to arrest inflammation, suppress immunity to cancer and inhibit allergy, autoimmunity and the rejection of transplanted tissues. Finally, we examine how vaccines may enhance immune suppression of autoimmunity through the upregulation of IDO biosynthesis in human dendritic cells.
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![Figure 2 Mechanism of IDO1 induction in dendritic cells: transcription and translation. Several molecular stimuli and signaling pathways were shown to induce the transcription and translation of metabolically-active IDO1 enzyme [35,40,50]. The IDO1 promoter contains nucleotide sequences that allow regulation of transcription through interferon sequence response-like element (ISRE) upstream consensus sequences, GAS (palindromic gamma-activated sequences) and non-canonical nuclear factor kappa-light-chain-enhancer of activated B-cells (NF-κB) [42,50]. In addition, the IDO1 promoter region contains three partial non-canonical RelB/p52 binding sites: AGGAGACACA, GGGAGACAGA and AGGAGAAAGA located near position −2000, which is located downstream of NF-κB-driven IDO upregulation following stimulation of the TLR4, INFGR, IFNAR, TNFR and CD40R signaling pathways [43].](/paper-figures/c748b5e2d686409aba397c4eb47122fd/the-role-of-indoleamine-2-3-dioxygenase-in-immune-suppression-and-autoimmunity-figure-2.jpg)
![Figure 3 The TGF-β-IDO-SHP axis. The TGF-β-IDO-SHP axis activates the non-canonical NF-κB pathway [49]. In splenocytes, SHP-1 inhibits the protein kinase IRAK1 and tips the balance of activation of the canonical versus non-canonical NF-κB signaling pathway in favor of the latter, resulting in upregulated production of type I interferon [49]. In addition to TGF-β, the aryl hydrocarbon receptor (AhR) has also been shown to play a role in IDO production [51,53]. Interestingly, kynurenines produced from IDO’s enzymatic activity can also bind and activate as an endogenous ligand, AhR [53,54]. Abbreviations: IFN (α β, γ,): interferon alpha, beta, gamma; TGF-β: transforming growth factor-beta; TNF: tumor necrosis factor; TLR4: toll-like receptor 4; TRAF: TNF-receptor associated factors; TRIF: TIR-domain-containing adapter-inducing interferon-β; SHP: orphan nuclear receptor small heterodimer partner; SMAD: extracellular signal transducers from TGF-β ligands to the nucleus; IRF (1, 3): and interferon regulatory factor 1,3.](/paper-figures/ded76164a88e4dc388ba105d8aa15574/the-role-of-indoleamine-2-3-dioxygenase-in-immune-suppression-and-autoimmunity-figure-3.jpg)
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“Increased IDO expression is responsible for the catabolism of TRP in the KYN degradation pathway [36] and is canonically upregulated by inflammatory mechanisms [37,38].”
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“IDO1 is a cytosolic enzyme that degrades tryptophan and generates catabolites with important immune-regulatory functions (52).”
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“The enzyme indoleamine 2,3-dioxygenase (IDO) catabolizes the conversion of tryptophan to kynurenine, a process that attenuates the production of IFN-g by CD4 T cells (Mbongue et al., 2015).”
BackgroundBlood biomarkers reflect the effects of obesity and inflammation on the human breast transcriptome
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Sigmarsdóttir, Þ. B., McGarrity, S., Rolfsson, Ó., Yurkovich, J. T., & Sigurjónsson, Ó. E. (2020) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2020.00239 · Cited by 18
Sarkar, I., Buzatto, A. Z., Garg, R., Li, L., & den Hurk, S. V. D. L.-V. (2019) · Journal of Proteome Research · doi:10.1021/acs.jproteome.8b00806 · Cited by 14
Cong, W., Dottorini, T., Khan, F., Emes, R. D., Zhang, F.-K., Zhou, C.-X., He, J.-J., Zhang, X.-X., Elsheikha, H., & Zhu, X.-Q. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.02403 · Cited by 14
Early warning biomarkers in major depressive disorder: a strategic approach to a testing question
Pratt, R., & Stapelberg, N. J. C. (2018) · Biomarkers · doi:10.1080/1354750x.2018.1463563 · Cited by 17
Bhattacharya, S., Paraskar, G., Jha, M., Gupta, G. L., & Prajapati, B. G. (2024) · ACS Pharmacology & Translational Science · doi:10.1021/acsptsci.4c00156 · Cited by 14
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Proteome and Phosphoproteome Analysis in TNF Long Term-Exposed Primary Human Monocytes
Welz, B., Bikker, R., Junemann, J., Christmann, M., Neumann, K., Weber, M., Hoffmeister, L., Preuß, K., Pich, A., Huber, R., et al. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20051241 · Cited by 13
“Moreover, the IDO-dependent metabolites kynurenine and kynurenic acid have been described to play a role in cytokine production (e.g., by increasing TGFβ expression or decreasing LPS-induced TNF secretion), immunomodulation, and the formation of LPS tolerance [24].”
BackgroundInfluentialPromising vaccines for treating glioblastoma
Swartz, A. M., Shen, S. H., Salgado, M. A., Congdon, K. L., & Sanchez-Perez, L. A. (2018) · Expert Opinion on Biological Therapy · doi:10.1080/14712598.2018.1531846 · Cited by 14
Cha, L.-L., Jones, A., Trend, S., Byrne, S., Fabis-Pedrini, M., Carroll, W., Lucas, R., Cole, J., Booth, D., Kermode, A., et al. (2018) · Clinical & Translational Immunology · doi:10.1002/cti2.1037 · Cited by 13
Depressive Disorder Affects TME and Hormonal Changes Promoting Tumour Deterioration Development
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“It was reported that induction of host IDO inhibits T-cell functions and generates regulatory T cells through depletion of Trp, leading to immune suppression or tolerance [38].”
BackgroundHighlights of Immunomodulation in Salmonella-Based Cancer Therapy
Pangilinan, C., & Lee, C.-H. (2021) · Biomedicines · doi:10.3390/biomedicines9111566 · Cited by 12
“High IDO activity deprives effector immune cells of available tryptophan and, in particular, T-cells undergo cell cycle arrest at the G1 phase due to depleted tryptophan [25,26].”
BackgroundAnastasiadou, E., Ceccarelli, S., Messina, E., Gerini, G., Megiorni, F., Pontecorvi, P., Camero, S., Onesti, M., Trivedi, P., Faenza, M., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0257070 · Cited by 12
“IDO1 catalyzes the cleavage of the essential amino acid tryptophan into “Kynurenines” which leads to important immunomodulation [17].”
BackgroundZhu, Y., Jiang, C., Liu, Y., Li, Y., Wu, H., Feng, J., & Xu, Y. (2020) · Annals of Translational Medicine · doi:10.21037/atm-20-5634 · Cited by 13
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Baxter-Parker, G., Chu, A., Petocz, P., Samman, S., & Gieseg, S. (2019) · Pteridines · doi:10.1515/pteridines-2019-0003 · Cited by 12
“Both groups presented with a decrease in plasma tryptophan over the measurement period, which may be due to minor IDO activation or natural circadian rhythmic variations seen throughout the day [30].”
MethodInfluentialSabbagh, P., Karkhah, A., Nouri, H., Javanian, M., & Ebrahimpour, S. (2018) · Infection, Genetics and Evolution · doi:10.1016/j.meegid.2018.05.001 · Cited by 12
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“The IDO pathway, which involves TRP degradation, is crucial for maintaining pregnancy by regulating maternal immune responses and preventing fetal rejection (27).”
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“Furthermore, the expression of immunosuppressive cytokines, including IL-10 and TGF-β , by DCs can also repress immunity 12,13 .”
Choudhary, V., Ajebo, E. M., Uaratanawong, R., Spaulding, S. C., Hossack, S., Chen, X., Xu, J., Choudhary, M., Irsik, D. L., Isales, C. M., et al. (2022) · International Journal of Tryptophan Research · doi:10.1177/11786469221078191 · Cited by 11
“Of note, Harden et al compared 3 psoriasis datasets: (1) “psoriasis classifier” genes, which can correctly distinguish between lesional and nonlesional skin, (2) psoriasis methylation genes that show altered methylation patterns in psoriasis, and (3) “molecular scar” genes, which are slightly upregulated in non-lesion…”
BackgroundResultMetabolomic Characterization of Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS)
Murgia, F., Gagliano, A., Tanca, M. G., Or‐Geva, N., Hendren, A. J., Carucci, S., Pintor, M., Cera, F., Cossu, F., Sotgiu, S., et al. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.645267 · Cited by 14
“As well as products of the KP pathway, tryptophan is also the precursor to 5-hydroxytryptamine (5-HT) (Wichers and Maes, 2004).”
BackgroundPlacenta immune infiltrates and perinatal outcomes
Ozen, M., Novak, C. M., & Burd, I. (2018) · American Journal of Reproductive Immunology · doi:10.1111/aji.12850 · Cited by 11
Bianchi, P. D., Leandro, R. M., Poscai, A. N., Yoshinaga, T., Gonçalez, P. O., & Júnior, J. R. K. (2017) · Immunological Investigations · doi:10.1080/08820139.2017.1296856 · Cited by 11
“the control of inflammation (Huang et al., 2010; Harden and Egilmez, 2012; Mbongue et al., 2015), as a regulatory mechanism.”
BackgroundInfluentialYilmaz, N., Ustundağ, Y., Kıvrak, Ş., Kahvecioğlu, S., Celik, H., Kıvrak, İ., & Huysal, K. (2016) · Renal Failure · doi:10.1080/0886022x.2016.1209389 · Cited by 11
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The reactive stroma response regulates the immune landscape in prostate cancer
Thomas, R., Jerome, J. M., Krieger, K. L., Ashraf, N., & Rowley, D. R. (2024) · Journal of Translational Genetics and Genomics · doi:10.20517/jtgg.2024.15 · Cited by 11
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“It is known that the IDO enzyme is activated by inflammatory regulators, especially IFN γ , Transforming Growth Factor-β (TGF-β ), and IL-6 (Mbongue et al ., 2015; Salminen, 2022).”
BackgroundMallis, P., Michalopoulos, Ε., Sarri, E.-F., Papadopoulou, E. P., Theodoropoulou, V., Katsimpoulas, M., & Stavropoulos‐Giokas, C. (2022) · Current Issues in Molecular Biology · doi:10.3390/cimb44100303 · Cited by 10
“IDO is also characterized by key-specific immunoregulatory properties [43].”
BackgroundOliveira, J. P., Gandini, M., Sales, J., Fujimori, S. K., Barbosa, M. G. M., Frutuoso, V., Moraes, M., Sarno, E., Pessolani, M., & Pinheiro, R. (2020) · Journal of Leukocyte Biology · doi:10.1002/jlb.4a0320-188r · Cited by 10
Metadata
- Authors
- Mbongue, J., Nicholas, D., Torrez, T., Kim, N.-S., Firek, A., & Langridge, W.
- Affiliations
- Loma Linda University (US)
- California Baptist University (US)
- Jerry L. Pettis Memorial VA Medical Center (US)
- Corresponding author
- Langridge, William
- Venue
- Vaccines
- Publisher
- MDPI AG
- Published
- 2015-09-10
- Volume
- 3
- Issue
- 3
- Pages
- 703-729
- ISSN
- 2076-393X (ISSN-L)
- PMC
- PMC4586474
- OpenAlex
- W2101376945
- Cited by
- 351
- References
- 165
- Citations by year
- 2026: 18 · 2025: 32 · 2024: 32 · 2023: 39 · 2022: 43 · 2021: 39 · 2020: 47 · 2019: 34 · 2018: 39 · 2017: 16 · 2016: 11 · 2015: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Vaccines (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Loma Linda University
- National Institutes of Health (DK-99-013)
- National Institute of General Medical Sciences (R25GM060507)
- National Institute on Minority Health and Health Disparities (P20MD006988)
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- indoleamine 2,3-dioxygenase, tryptophan catabolism, kynurenine, immunosuppression, autoimmunity, dendritic cells, tumor immunosuppression, allergy, graft rejection, inflammation, vaccine adjuvants, tryptophan metabolism
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