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CD44 and RHAMM are principal receptors for hyaluronan (HA), a major glycosaminoglycan in the extracellular matrix. CD44 is a transmembrane glycoprotein that mediates cell adhesion, migration, and signal transduction, and is highly expressed in stem/progenitor and cancer cells. RHAMM (receptor for hyaluronan-mediated motility, also known as CD168) is a multifunctional protein that can localize to the cell surface, cytoplasm, and nucleus. RHAMM regulates cell motility, mitotic spindle formation, and interacts with microtubules, as well as signal transduction molecules such as ERK1/2. Both proteins have critical, sometimes redundant, roles in wound healing, inflammation, tumor progression, and cell differentiation. Their expression and activity are notably upregulated in several pathological conditions, especially cancer, making them attractive—though complex—therapeutic targets[2][3][1][4][5][6].
Blockade of HA binding. Inhibition of receptor-mediated motility/migration. Interference with signal transduction (ERK1/2, MAPK pathway). Disruption of RHAMM-CD44/ERK1,2 complexes to inhibit tumor cell motility.
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