Target intelligence / Profile preview

CD40–CD40 ligand protein–protein interface (CD40–CD40L PPI)

Target
CD40–CD40L PPI
Molecular classification
Protein–protein interface, Tumor necrosis factor receptor superfamily member 5 (CD40), Tumor necrosis factor ligand superfamily member 5 (CD40L), Co-stimulatory pathway
01

Overview

The CD40–CD40 ligand (CD40L) protein–protein interface is a fundamental costimulatory axis that regulates the interaction between antigen-presenting cells (APCs), such as dendritic cells, and activated T lymphocytes. CD40 is a cell surface receptor belonging to the tumor necrosis factor receptor (TNFR) superfamily, while its partner, CD40L (also known as CD154), is a type II transmembrane protein primarily expressed on activated CD4+ T cells [1]. The engagement of CD40 by CD40L on dendritic cells induces "licensing," which enhances the expression of MHC molecules and costimulatory ligands like CD80 and CD86, thereby facilitating the priming of cytotoxic T cells and the production of pro-inflammatory cytokines like IL-12 [2]. This pathway is pivotal in the pathogenesis of various autoimmune conditions and the rejection of transplanted organs, where excessive signaling leads to chronic inflammation [3]. Consequently, therapeutic strategies include antagonistic antibodies or fusion proteins designed to disrupt this interface to treat systemic lupus erythematosus and rheumatoid arthritis [4]. In oncology, agonistic antibodies targeting CD40 are being developed to bypass T cell help and directly activate APCs to mount an effective anti-tumor immune response [5]. However, early clinical trials of CD40L-targeting agents were hampered by thromboembolic complications due to the presence of CD40L on platelets, necessitating the design of safer, non-thrombogenic alternatives [6]. Sources: [1] UniProt (P25942, P29965) [2] PubMed (PMID: 15123776) [3] PubMed (PMID: 28213676) [4] ClinicalTrials.gov (NCT02730442) [5] PubMed (PMID: 30635337) [6] PubMed (PMID: 12610196)

Other names
CD40–CD154 interactionCD40–TNFSF5 complexCD40–CD40L axisCD40–CD40 ligand costimulatory pathway
02

Mechanism of action

Therapeutic agents either block the interface to prevent costimulatory signaling between T cells and antigen-presenting cells (immunosuppression) or act as agonists to CD40 to mimic the interaction and enhance immune activation (immunotherapy).

03

Biological functions

Immune responseT cell activationDendritic cell maturationB cell differentiationCytokine productionIsotype switchingAntigen presentation
04

Disease associations

Systemic lupus erythematosusRheumatoid arthritisGraft-versus-host diseaseOrgan transplant rejectionCancerAtherosclerosisMultiple sclerosis
05

Safety considerations

Thromboembolic events (due to CD40L expression on platelets)Cytokine release syndrome (CRS)HepatotoxicityInfusion-related reactionsIncreased risk of opportunistic infections
06

Interacting drugs

Iscalimab (CFZ533)

8 more in the full profile.

07

Biomarkers

Soluble CD40 ligand (sCD40L) levelsCD40 receptor occupancyCD80/CD86 expression on B cellsCXCL13 serum levelsActivated T cell counts

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