Target intelligence / Profile preview

B-cell antigen CD22 (CD22)

Target
CD22
Molecular classification
Receptor, Sialic acid-binding immunoglobulin-like lectin (Siglec family), Immunoglobulin superfamily
01

Overview

B-cell antigen CD22 is a transmembrane glycoprotein expressed predominantly on the surface of mature B lymphocytes. It plays a key role as an inhibitory coreceptor of the B-cell receptor (BCR), setting signalling thresholds for B-cell activation and maintaining immune tolerance by dampening BCR-mediated signaling. Structurally, CD22 belongs to the Siglec family (Siglec-2) and the immunoglobulin superfamily, featuring seven extracellular Ig-like domains that bind specifically to α2,6-linked sialic acid-containing glycans. Upon antigen engagement, its cytoplasmic immunoreceptor tyrosine-based inhibitory motifs (ITIMs) are phosphorylated and recruit phosphatases (e.g., SHP-1) that downregulate BCR signaling. CD22 is also involved in B-cell trafficking and adhesion, and its dysfunction or altered expression is implicated in autoimmune diseases and B-cell malignancies. CD22’s restricted expression and endocytic capability have made it an important therapeutic target for monoclonal antibody and antibody-drug conjugate therapies in various hematologic cancers and immune disorders[1][2][3][4][5].

Other names
Siglec-2SIGLEC2Sialic acid-binding Ig-like lectin 2Cluster of differentiation 22
02

Mechanism of action

Monoclonal antibodies: target CD22 to induce B-cell depletion via antibody-dependent cellular cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), or by delivering conjugated toxins directly to malignant B cells[3]. Antibody-drug/toxin conjugates: binding to CD22 and subsequent internalization allows selective delivery of cytotoxic payloads to B-lineage cells, inducing apoptosis or cell death[3]. Inhibition of BCR signaling: therapeutic agents may modulate CD22 to restore or dampen B-cell activation[1][3][5].

03

Biological functions

Inhibitory regulation of B-cell receptor (BCR) signalingImmune responseB-cell adhesionRegulation of B-cell survival, proliferation, and toleranceB-cell trafficking (e.g., homing to bone marrow, Peyer's patches)
04

Disease associations

Cancer (esp. B-cell malignancies, e.g., non-Hodgkin lymphoma, acute lymphoblastic leukemia)Autoimmune disease (e.g., systemic lupus erythematosus, rheumatoid arthritis)Other immune dysregulation disorders
05

Safety considerations

B-cell depletion leading to immunosuppression and increased infection riskPotential for cytokine release syndrome with antibody therapiesOff-target effects on normal B cells expressing CD22Resistance mechanisms (e.g., antigen escape, downregulation of CD22)Autoimmunity if balance of inhibitory signaling is disrupted
06

Interacting drugs

Epratuzumab (monoclonal antibody)

3 more in the full profile.

07

Biomarkers

CD22 protein expression on B cells as a biomarker for patient selection in B-cell depletion therapies, especially in B-cell acute lymphoblastic leukemia and certain lymphomas[3].CD22 expression levels correlate with response to anti-CD22 therapies.

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