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CD5 antigen-like (CD5L) is a secreted, 36–40 kDa protein primarily produced by tissue-resident macrophages, especially in lymphoid and inflamed tissues[1][2][3][6]. Structurally, it contains three SRCR domains, which confer broad ligand recognition capacity[1][7]. In blood, CD5L binds to the J-chain of IgM pentamers, forming stable complexes and influencing B cell and IgM receptor interactions[4][5][7]. Functionally, CD5L supports macrophage survival by inhibiting apoptosis, regulates lipid metabolism in adipocytes via CD36-mediated uptake, modulates Th17 cell immune programs, and participates in pattern recognition and autophagy, especially during infection[1][2][3][7]. It is implicated in the pathophysiology of several diseases, including cardiovascular, metabolic, autoimmune, and infectious conditions, making it a promising therapeutic target[2][3][7].
(Experimental/therapeutic proposals) Drugs targeting CD5L would theoretically impact its macrophage survival-promoting actions, cytokine modulation, lipid metabolism effects, and its role in immune complex formation with IgM[7][2][3].
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