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Calreticulin–integrin alpha 4 protein–protein interface (CRT–ITGA4 PPI)

Target
CRT–ITGA4 PPI
Molecular classification
Protein-protein interface, Chaperone, Adhesion molecule, Receptor
01

Overview

The Calreticulin–integrin alpha 4 protein–protein interface is a critical regulatory junction that modulates the activation state and adhesive properties of the integrin alpha 4 subunit (ITGA4). Calreticulin, a calcium-binding chaperone, interacts with the conserved KXGFFKR motif in the cytoplasmic tail of ITGA4, facilitating 'inside-out' signaling that increases integrin affinity for ligands like VCAM-1 and MAdCAM-1 [1, 3]. This interaction is particularly significant in the recruitment of leukocytes to sites of inflammation, such as the intestinal mucosa in inflammatory bowel disease (IBD) [3, 4]. Therapeutic targeting of this interface with small molecules, such as ER-464195-01, aims to disrupt the complex to inhibit leukocyte infiltration and induce anti-inflammatory effects [3]. Furthermore, the interface plays a role in the translocation of calreticulin to the cell surface, where it serves as a pro-phagocytic signal in immunogenic cell death, linking it to both autoimmune and oncological applications [2, 5]. Disruption of this interface has been shown to ameliorate disease severity in animal models of colitis by suppressing the adhesiveness of T cells and neutrophils [3, 4]. The interface also couples calcium release from intracellular stores with extracellular calcium influx, further influencing cellular signaling pathways [1, 6].

Other names
Calreticulin-integrin alpha 4 interactionCRT-ITGA4 interactionCalreticulin-CD49d interfaceCRT-ITGA4 PPI
02

Mechanism of action

Inhibition of the protein-protein interaction between calreticulin and the integrin alpha 4 subunit to prevent integrin activation and leukocyte adhesion.

03

Biological functions

Cell adhesionLeukocyte traffickingSignal transductionCalcium signalingImmunogenic cell death regulation
04

Disease associations

Inflammatory bowel diseaseMultiple sclerosisCancerAutoimmune diseaseInflammation
05

Safety considerations

Systemic immunosuppressionRisk of progressive multifocal leukoencephalopathy (PML)Disruption of calcium homeostasisInterference with immunogenic cell death
06

Interacting drugs

ER-464195-01
07

Biomarkers

Cell surface calreticulin levelsIntegrin alpha 4 (ITGA4) expressionCytosolic calreticulin accumulation

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