Target intelligence / Profile preview

Cytotoxic and regulatory T cell molecule (CRTAM)

Target
CRTAM
Molecular classification
Immunoglobulin superfamily member, Cell adhesion molecule, Surface receptor, CD molecule
01

Overview

Cytotoxic and regulatory T cell molecule (CRTAM, CD355) is a cell surface transmembrane protein and a member of the immunoglobulin superfamily, with a structure that includes V and C1-like Ig domains and an intracellular PDZ-binding motif[1][2][4]. CRTAM is strongly and transiently upregulated on activated CD8+ T cells, CD4+ T cells, NKT cells, and NK cells, where it functions as both a cell adhesion molecule and as a modulator of immune cell polarity, cytotoxicity, and cytokine production[2][4][5]. Through interaction with its ligand Necl-2 (CADM1/TSLC1), CRTAM helps drive immune synapse formation, promotes effector cytokine secretion (e.g., IFN-γ, IL-17, IL-22), supports the cytotoxic response of NK and CD8+ T cells, and influences CD4+ T cell differentiation into a cytotoxic lineage[1][2][4]. CRTAM is implicated in a wide range of immune processes—playing roles in antitumor immunity, inflammation, and autoimmune pathologies, and is being explored as a therapeutic target particularly in oncology and immune modulation[1][2][4][5]. With its capacity to influence both innate and adaptive immune responses and regulate tissue retention of effector and regulatory T cells, CRTAM is of interest as a biomarker and a target for novel immunotherapies.

Other names
Class I MHC-restricted T cell-associated moleculeClass-I MHC-restricted T-cell-associated moleculeCD355Cytotoxic and regulatory T-cell moleculeClass I MHC restricted T cell associated moleculeClass-I MHC-Restricted T Cell Associated Molecule
02

Mechanism of action

Antibody blockade or modulation of CRTAM to alter T cell or NK cell activation, adhesion, or cytotoxicity; Inhibition/mimicry of the CRTAM–Necl-2 (CADM1/TSLC1) interaction to modulate immune effector or regulatory responses[1][2]

03

Biological functions

Cell-cell adhesionRegulation of T cell development and maturationImmune cell polarityImmune cell differentiationCytokine production (e.g., IFN-γ, IL-17, IL-22)Promotion of cytotoxicity in CD8+ T cells and NK cellsRegulation of effector and memory T cell lineage fateRetention of activated T cells in tissues and lymph nodes
04

Disease associations

CancerInflammationAsthmaAutoimmune diseaseInfection (including modulation during viral and parasitic infection)
05

Safety considerations

Potential loss of normal immune surveillance (possible increased infection, tumor escape) if CRTAM pathway is suppressedUnintended promotion of inflammation or autoimmune activity if CRTAM pathway is overstimulatedModulation may impact both cytotoxic and regulatory arms of immune function, introducing risks of immune imbalance or excessive inflammation[1][2]
06

Interacting drugs

HBM-1054 (clinical-stage therapeutic antibody targeting CRTAM)

1 more in the full profile.

07

Biomarkers

CRTAM surface expression as a marker for activated cytotoxic and regulatory T cellsCRTAM+ CD4 T cells serve as a marker for cytotoxic lineage conversionIFN-γ production by CRTAM+ T cells (disease/response correlation)CRTAM expression on iNKT cells in type 1 diabetes (correlates with IFN-γ production)

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