Target intelligence / Profile preview

Inducible T cell co-stimulator receptor (ICOS)

Target
ICOS
Molecular classification
Receptor, Co-stimulatory receptor, Immunoglobulin superfamily
01

Overview

The Inducible T cell co-stimulator receptor (ICOS, also known as CD278) is a cell surface co-stimulatory molecule belonging to the immunoglobulin superfamily, highly homologous to CD28. It is not expressed on resting T cells but is rapidly upregulated following T cell receptor (TCR) engagement and/or CD28 co-stimulation. ICOS provides a crucial secondary signal that promotes the activation, differentiation, and survival of both CD4+ and CD8+ T cells, and is particularly essential for the formation and function of T follicular helper cells, supporting B cell affinity maturation within germinal centers. Its main ligand, ICOSL (ICOS ligand), is predominantly expressed on antigen-presenting cells. The ICOS-PI3K signaling pathway is central to its effects on T cell cytokine gene induction, proliferation, and mediating class-switch recombination in B cells. Pharmacological modulation of ICOS signaling is explored for cancer immunotherapy, autoimmunity, and chronic inflammation due to its pivotal role in adaptive immune responses[1][2][4][6].

Other names
Inducible costimulatorInducible co-stimulatory moleculeCD278
02

Mechanism of action

Modulation of T cell activation by providing a secondary co-stimulatory signal in concert with the T cell receptor (TCR)[2][1] Activation of phosphoinositide 3-kinase (PI3K) pathway, leading to downstream Akt activation and cytokine gene expression; particularly important for the generation of follicular B helper T cells and germinal center reaction[4] Promotes proliferation, survival, and cytokine production in activated T cells[1][2][4]

03

Biological functions

Immune responseSignal transductionT cell activationT follicular helper cell differentiationPromotion of T cell proliferation and survival
04

Disease associations

CancerInflammationAtherosclerosisAutoimmunityInfection
05

Safety considerations

Potential for immune overactivation leading to autoimmunity or exacerbated inflammation[2]Suppression of normal immune regulation when targeted, as ICOS is involved in the delicate balance of immune tolerance vs. activation
06

Interacting drugs

Antibodies targeting ICOS or its ligand (e.g., anti-ICOSL antibodies used experimentally)[2]

1 more in the full profile.

07

Biomarkers

ICOS expression on T cells (may be used as a marker of activated T cells or T follicular helper cells)ICOS levels in tumor-infiltrating lymphocytes (as a potential marker for immunotherapy response)

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