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DNAX accessory molecule-1 ligand (commonly: Poliovirus receptor and Nectin-2 as individual ligands) (null)

Target
null
Molecular classification
Immunoglobulin-like adhesion molecule (CD155/PVR and CD112/Nectin-2), Receptor ligand, Other (cell surface protein)
01

Overview

The DNAM-1 pathway is a critical axis for immune recognition and elimination of tumor and virus-infected cells. DNAX accessory molecule-1 (DNAM-1, CD226) is an activating receptor found on NK cells and cytotoxic T lymphocytes. Its main ligands, Poliovirus receptor (CD155, PVR) and Nectin-2 (CD112, PVRL2), are cell surface proteins upregulated on many solid and hematologic cancer cells, as well as stressed or infected cells. Recognition of these ligands by DNAM-1 promotes immune cell cytotoxicity and cytokine secretion, contributing to tumor immunosurveillance. Some cancer therapies aim to exploit this axis, for example by using DNAM-1-based CAR-NK cells or by blocking inhibitory receptors (such as TIGIT) that compete with DNAM-1 for ligand binding. Loss or reduced expression of these ligands, or their masking by soluble forms, represents a mechanism of immune escape by tumors[1][2][3][5][7].

Other names
DNAM-1 ligandCD155 (Poliovirus receptor, PVR)CD112 (Nectin-2, PVRL2)DNAM-1 ligands
02

Mechanism of action

Immune checkpoint modulation (e.g., anti-TIGIT antibodies block inhibitory signals, tipping balance towards DNAM-1-mediated activation) Adoptive cell therapy (e.g., DNAM-1 chimeric antigen receptor-NK cells target ligand-expressing tumors)

03

Biological functions

Immune responseCell adhesionTumor cell recognitionImmunosurveillance
04

Disease associations

CancerInfectionInflammationOther (immune evasion by tumors)
05

Safety considerations

Potential for autoimmunity or off-target tissue damage if therapies broadly activate immune cells[5]Tumor immune evasion via downregulation of ligands or release of soluble decoy ligands, e.g., soluble CD155[5]Limited selectivity, as ligands can be upregulated by normal cells under stress
06

Interacting drugs

No direct, approved drugs target CD155/CD112 ligands themselves, but anti-TIGIT antibodies (e.g., tiragolumab, vibostolimab) and DNAM-1 chimeric receptor-engineered NK cells are in clinical and preclinical studies[1][5]. Research compounds/therapies target this axis.
07

Biomarkers

Surface expression of CD155 or CD112 on tumor cells (used for patient selection in immunotherapy trials, or as a prognostic marker)[1][7]

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