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Updated: Nov 18, 2025

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Notch signaling pathway in infectious diseases: role in the regulation of immune response
Ricardo Cardoso Castro1,2, Relber Aguiar Gonçales3, Fabiana Albani Zambuzi2
1Ribeirão Preto Medical School, University of São Paulo, FMRP/USP, Ribeirão Preto, São Paulo, Brazil.
Background:
The Notch signaling pathway is a cell signaling system that is conserved in a variety of eukaryotes. Overall, Notch receptors and their ligands are single-pass transmembrane proteins, which often require cell-cell interactions and proteolytic processing to promote signaling. Since its discovery, it has been the subject of extensive research that revealed its importance in several cellular mechanisms, including cell fate determination, hematopoiesis, tissue self-renewal, proliferation, and apoptosis during embryogenesis. Many studies have described the influence of the Notch pathway in modulating the innate and adaptive immune systems.
Methods:
We analyzed the literature on the role of the Notch pathway in regulating immune responses during infections, aiming to discuss the importance of establishing a Notch signaling pathway-based approach for predicting the outcome of infectious diseases.
Conclusion:
In this review, we present an overview of evidence that demonstrates the direct and indirect effects of interaction between the Notch signaling pathway and the immune responses against bacterial, viral, fungal, and parasitic infections, as well as the importance of this pathway to predict the outcome of infectious diseases.
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