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Bone marrow stromal cell antigen 2 (BST2), also known as Tetherin or CD317, is a type II transmembrane glycoprotein that serves as a key component of the innate immune system and a significant marker in oncology (UniProt: Q10589). Its primary biological function is acting as a viral restriction factor, where it physically anchors budding enveloped viruses, such as HIV-1 and Ebola, to the host cell membrane to prevent their dissemination (PubMed: 18193035). In addition to its antiviral role, BST2 is involved in cell-to-cell adhesion and the activation of pro-inflammatory signaling pathways like NF-kappaB (PubMed: 23136159). In the context of disease, BST2 is frequently overexpressed in various cancers, including multiple myeloma, breast cancer, and lung cancer, where it promotes tumor growth and metastasis (PubMed: 25605115). This high expression on malignant cells makes it a viable therapeutic target for monoclonal antibodies and bispecific T-cell engagers, such as XmAb24306, which aim to induce targeted immune-mediated destruction of tumor cells (ClinicalTrials.gov: NCT03513939). However, the presence of BST2 on some healthy tissues and the evolution of viral proteins like Vpu to counteract its effects remain important considerations for drug development.
Antibody-dependent cellular cytotoxicity (ADCC), T-cell redirection via bispecific antibodies, and physical restriction of viral budding (PubMed: 18193035, PubMed: 23136159).
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