Dual inhibition of IL-4 and IL-13 signaling may help1:
REDUCE TYPE 2 INFLAMMATION
REDUCE ITCH
ACHIEVE SUSTAINED REMISSION
The mechanism of dupilumab action has not been definitively established.
Type 2 cytokines such as IL-4 and IL-13 may contribute to the development of the itch and lesions of bullous pemphigoid3‑10
aIL-4 acts on both type I and type II receptors to mediate type 2 inflammation.2
bType 2 cytokines (such as IL-4, IL-13, and IL-31) may also be produced by other immune cells, such as ILC2.11,12
DUPIXENT binds to IL-4 receptor alpha, inhibiting IL-4 and IL-13 induced inflammatory responses1,2
The mechanism of dupilumab action has not been definitively established.
IL-4 SIGNALING (TYPE I RECEPTOR)
IL-4/IL-13 SIGNALING (TYPE II RECEPTOR)
aDimerization is when 2 protein subunits combine to form a larger complex. IL-4 signaling through type I receptor requires dimerization of the IL-4Rα with the gamma chain. IL-4 or IL-13 signaling through type II receptor requires dimerization of IL-4Rα with IL-13Rα1.
Assess when your patients might be ready for DUPIXENT
BP, bullous pemphigoid.