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Fas receptor, TNF-related apoptosis-inducing ligand receptor (Fas, TRAIL (often refers to both the ligand and receptors; for the receptors, DR4/TRAIL-R1, DR5/TRAIL-R2))

Target
Fas, TRAIL (often refers to both the ligand and receptors; for the receptors, DR4/TRAIL-R1, DR5/TRAIL-R2)
Molecular classification
Receptor, Tumor necrosis factor receptor superfamily member, Death receptor
01

Overview

The Fas receptor and TRAIL receptors (DR4/TRAIL-R1, DR5/TRAIL-R2) are members of the tumor necrosis factor receptor superfamily and function as death receptors. Upon binding their respective ligands (Fas ligand for Fas, TRAIL for DR4/DR5), these receptors trimerize and recruit the adaptor protein FADD, which in turn recruits procaspase-8 and -10 to form the DISC. This leads to caspase activation, initiating the extrinsic apoptotic pathway[1][2][6]. Fas signaling is critical for immune homeostasis, particularly in the deletion of activated lymphocytes, and defects in this pathway are linked to autoimmunity and lymphoproliferation[1][5]. TRAIL receptors are widely expressed in normal tissues but can selectively induce apoptosis in transformed cells, making them attractive cancer therapeutic targets; however, cancer cells often develop resistance through diverse mechanisms[2]. Both Fas and TRAIL receptors can also activate non-apoptotic pathways (e.g., NF-κB, ERK, Akt), which may contribute to tumor progression and immune evasion in certain contexts[2]. The structural basis for Fas receptor signaling involves a unique trimeric transmembrane domain assembly stabilized by a proline-containing motif, and similar principles may apply to other TNF receptor family members[1].

Other names
CD95Apo-1APT1TNFRSF6 (Tumor Necrosis Factor Receptor Superfamily Member 6)Fas cell surface death receptorDR4 (Death Receptor 4)TRAIL-R1TNFRSF10A (Tumor Necrosis Factor Receptor Superfamily Member 10A)DR5 (Death Receptor 5)TRAIL-R2TNFRSF10B (Tumor Necrosis Factor Receptor Superfamily Member 10B)
02

Mechanism of action

Induction of apoptosis via extrinsic pathway through formation of death-inducing signaling complex (DISC), leading to caspase-8/10 activation and downstream caspase cascade[1][2][6] - For TRAIL receptors, apoptotic signaling is similar to Fas, but can also activate non-apoptotic pathways (e.g., ERK, Akt, NF-κB) in certain contexts[2] - Mutations in Fas disrupt DISC formation, impairing apoptosis[1] - TRAIL signaling can be hijacked by tumors to promote survival, invasion, metastasis, and immune evasion[2]

03

Biological functions

ApoptosisSignal transductionCell deathImmune responseImmunosurveillance
04

Disease associations

Cancer (promotion and suppression)Autoimmune disorders (e.g., autoimmune lymphoproliferative syndrome, ALPS)InflammationImmunodeficiency
05

Safety considerations

On-target toxicity (hepatotoxicity for Fas agonists)Resistance mechanisms in cancer (e.g., downregulation of caspase-8, overexpression of anti-apoptotic proteins, activation of survival pathways)[2][8]Dual role in cancer: can suppress or promote tumor growth depending on context and signaling pathway activation[2]Potential for autoimmune side effects with Fas modulationLimited clinical efficacy of TRAIL pathway agonists in solid tumors, possibly due to compensatory survival signaling[2]
06

Interacting drugs

Dulanermin (recombinant TRAIL ligand, investigational)

3 more in the full profile.

07

Biomarkers

Expression levels of Fas, DR4, DR5 in tumor cellsCaspase-8/10 activation statusSomatic/germline mutations in FAS (e.g., in ALPS)[1]TRAIL receptor polymorphismsCytokine/chemokine profiles (e.g., CXCL1, CXCL5, CCL2, IL-8, NAMPT)[2]

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