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C-type lectin domain family 4 member L, widely known as Dendritic cell-specific ICAM-3-grabbing non-integrin (DC-SIGN) or CD209, is a calcium-dependent type II transmembrane receptor primarily expressed on the surface of dendritic cells and specific macrophage subsets (UniProt: Q9NNX6). It plays a pivotal role in the immune system by mediating cell-cell adhesion through binding with ICAM-3 on T cells, which is essential for the initiation of primary immune responses and the formation of the immunological synapse (Geijtenbeek et al., 2000, PMID: 10688190). Additionally, DC-SIGN acts as a pattern recognition receptor (PRR) that identifies and captures a broad range of pathogens, including HIV-1, Ebola virus, Mycobacterium tuberculosis, and SARS-CoV-2, by recognizing high-mannose or fucose-containing glycans (PMID: 33833023). In the context of infectious disease, DC-SIGN is frequently exploited by viruses to facilitate host entry or to promote "trans-infection," a process where the receptor captures viral particles and transmits them to susceptible target cells like CD4+ T cells (Thépaut et al., 2020, PMID: 32582158). Beyond infections, it is involved in the immune evasion mechanisms of certain tumors and the regulation of inflammatory signaling. Consequently, DC-SIGN is a significant therapeutic target for the development of glycomimetic inhibitors and monoclonal antibodies designed to block pathogen attachment and modulate immune activation in chronic infections and oncology.
Competitive inhibition of the carbohydrate recognition domain (CRD) to prevent pathogen binding and entry (PMID: 32582158).
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