Target intelligence / Profile preview

DNAX accessory molecule-1 – Poliovirus receptor interaction (DNAM-1 – PVR/CD155)

Target
DNAM-1 – PVR/CD155
Molecular classification
Immunoglobulin superfamily, Cell adhesion molecule, Immune checkpoint, Activating receptor, Nectin-like family
01

Overview

The DNAX accessory molecule-1 (DNAM-1), also known as CD226, is a potent activating receptor expressed on the surface of Natural Killer (NK) cells and cytotoxic T cells. It primarily interacts with the Poliovirus receptor (PVR), also known as CD155, which is a cell adhesion molecule frequently overexpressed in various malignancies. This interaction triggers the release of cytotoxic granules and proinflammatory cytokines like IFN-gamma, facilitating the immune-mediated destruction of tumor cells. However, the DNAM-1 – PVR axis is part of a complex regulatory network where PVR also binds to inhibitory receptors such as TIGIT and CD96 with higher affinity, often leading to immune evasion in the tumor microenvironment. Chronic exposure to high levels of CD155 can lead to the downregulation and internalization of DNAM-1, rendering immune cells exhausted or dysfunctional. Consequently, this axis has become a significant focus for cancer immunotherapy, with strategies aiming to block inhibitory competitors or enhance DNAM-1 signaling to restore anti-tumor immunity.

Other names
CD226 – CD155 axisDNAM1 – PVR axisTLiSA1 – Necl-5 interactionCD226 – Poliovirus receptor interaction
02

Mechanism of action

Antagonism of inhibitory receptors (TIGIT/PVRIG) to favor DNAM-1 binding; Agonism of DNAM-1 to enhance cytotoxicity; Oncolytic viral entry via CD155; Blockade of CD155 to inhibit tumor cell migration.

03

Biological functions

Immune responseCell adhesionCytotoxicityCytokine productionCell migrationT cell activationNK cell-mediated tumor surveillance
04

Disease associations

CancerAcute myeloid leukemiaMelanomaNeuroblastomaOvarian cancerAutoimmune diseaseViral infectionGraft rejection
05

Safety considerations

Immune-related adverse events (irAEs)Autoimmunity due to excessive T cell activationDNAM-1 downregulation/internalization leading to therapeutic resistanceCytokine release syndrome
06

Interacting drugs

PVSRIPO (Oncolytic poliovirus)

6 more in the full profile.

07

Biomarkers

CD155 (PVR) surface expression on tumor cellsDNAM-1 (CD226) expression levels on tumor-infiltrating lymphocytesSoluble CD155 (sCD155) serum levelsTIGIT/DNAM-1 expression ratio on NK cellsCD112 (Nectin-2) expression on blasts (in AML)

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