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. 2018 Jan 17;23(1):191. doi: 10.3390/molecules23010191

Table 2.

Some immunological effects of IDO and kynurenine intermediates [57,70,72,89,90,91].

IDO or Kynurenine Metabolites Effect on the Immune System (Mostly Mediated by AhR Activation)
IDO role in immunoregulation during infection, autoimmunity, pregnancy, transplantation and neoplasia
IDO activation [70,89]
  • Elevated levels of kynurenine metabolites, among others QUIN with its neurotoxic and ROS-generating properties

  • TRP depletion

  • decreased production of serotonin

  • Antimicrobial effects (TRP depletion, potentiation of polymorphonuclear cell function)

  • Immunotolerance via TRP depletion in the microenvironment—with suppression of antigen-specific T-cells and/or preferential apoptosis of helper T lymphocytes (by some KYN-downstream products)

  • The generation of forkhead box P3-positive (FOXP3) regulatory T cells (Treg)—inhibition of both Th1 and Th2 cell response to regain balance

  • The enhancement of TGFβ-mediated T cell differentiation (Treg); the shift of dendritic cells to become tolerogenic

  • Immunosuppression during pregnancy

  • The inhibition of Th1 cell responses and selective support of Th2 actions

L-KYN/KYNA blockage of antigens-driven specific T-cell proliferation,
induction of T-cell death
the reduction of IL-4 release (inducer of Th2 type reaction) from iNKT (invariant natural killer T cell) cells via GPR35 activation [90]
the inhibition of LPS-induced TNF-α secretion in peripheral blood mononuclear cells via GPR35 receptor activation [72]; and also on CD14+ peripheral blood monocytes [57,91]);
  • the attenuation of the proinflammatory cytokine HMGB1 (high-mobility group box protein 1) of peripheral blood monocytes and of

  • the release of defensin-α (also known a as HNP1-3 being an immunomodulatory peptide, taking part in microbial killing) from neutrophils [91];

the suppression of and proapoptotic action on natural killer cells (NK) (which also play a role in the immunosurveillance of cancer cells)
3-OH-AA and QUIN the selective apoptosis of Th1 helper cells, promoting the proliferation of Th2 cells
QUIN increase in MCP-1 expression (a strong chemoattractant for monocytes in the brain).