@article {Muller:1 August 2005:1472-8222:831, author = "Muller, Alexander J", author = "Malachowski, William P", author = "Prendergast, George C", title = "Indoleamine 2,3-dioxygenase in cancer: targeting pathological immune tolerance with small-molecule inhibitors", journal = "Expert Opinion on Therapeutic Targets", volume = "9", year = "1 August 2005", abstract = "Indoleamine 2,3-dioxygenase (IDO) is an interferon (IFN)-gamma-inducible, extrahepatic enzyme that catalyses the initial and rate-limiting step in the degradation of the essential amino acid tryptophan. Elevated tryptophan catabolism mediated by IDO is associated with a wide variety of human cancers and has historically been thought to be a tumoricidal consequence of IFN-gamma exposure. Evidence of a physiological requirement for IDO activity in protecting the allogeneic fetus from rejection by the maternal immune system has stimulated a radical shift in thinking about the role of IDO in cancer. Evidence now suggests that tumours can exploit IDO-mediated peripheral tolerance to promote immune escape. This review summarises key studies that implicate IDO as an important mediator of peripheral immune tolerance as well as the development of a promising new anticancer modality that incorporates the use of IDO inhibitors. The second part focuses on the current state of development of IDO inhibitory compounds as potential phar-maceutical agents.", pages = "831-849(19)", url = "http://www.ingentaconnect.com/content/apl/ett/2005/00000009/00000004/art00012" doi = "doi:10.1517/14728222.9.4.831" }