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CD74, also known as the HLA class II-associated invariant chain (Ii), is a non-polymorphic type II transmembrane glycoprotein essential for the MHC class II antigen presentation pathway [1, 4]. It functions as a molecular chaperone, stabilizing MHC class II alpha-beta heterodimers in the endoplasmic reticulum and blocking the peptide-binding groove with its Class II-associated invariant chain peptide (CLIP) region to prevent premature loading of endogenous peptides [4]. During transport through the endocytic pathway, CD74 is proteolytically processed, leaving the CLIP fragment in the groove until it is catalyzed for exchange with exogenous antigenic peptides by HLA-DM [1]. Beyond its chaperone role, CD74 acts as a high-affinity receptor for Macrophage Migration Inhibitory Factor (MIF), activating survival pathways such as NF-kappaB and MAPK/ERK, which are often hijacked in malignancies [2]. CD74 is highly expressed in B-cell lineages and various cancers, including multiple myeloma and non-Hodgkin lymphoma, making it a validated target for monoclonal antibodies and antibody-drug conjugates (ADCs) like milatuzumab [3]. Therapeutic targeting of CD74 or the CLIP/MHC II complex offers a dual approach: direct induction of apoptosis in tumor cells and modulation of the immune microenvironment [3, 4]. Sources: [1] UniProt Consortium. CD74 - HLA class II antigen-associated invariant chain. UniProtKB - P04233. [2] Beswick, E. J., et al. (2009). CD74: a receptor for macrophage migration inhibitory factor with a role in cancer. Expert Opinion on Therapeutic Targets. [3] Stein, R., et al. (2007). CD74: a new candidate target for the immunotherapy of B-cell neoplasms. Clinical Cancer Research. [4] Roche, P. A., & Furuta, K. (2015). The ins and outs of MHC class II-mediated antigen processing and presentation. Nature Reviews Immunology.
Monoclonal antibodies target CD74 on the cell surface, leading to rapid internalization and induction of apoptosis or delivery of cytotoxic payloads in the case of antibody-drug conjugates. It also functions by blocking the binding of Macrophage Migration Inhibitory Factor (MIF) to CD74, thereby inhibiting pro-survival signaling pathways such as MAPK/ERK and NF-kappaB.
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