Target intelligence / Profile preview

Intercellular adhesion molecule 1 (ICAM-1) and Intercellular adhesion molecule 2 (ICAM-2) (ICAM-1/ICAM-2)

Target
ICAM-1/ICAM-2
Molecular classification
Cell adhesion molecule, Immunoglobulin superfamily, Glycoprotein
01

Overview

Intercellular Adhesion Molecule 1 (ICAM-1) and Intercellular Adhesion Molecule 2 (ICAM-2) are cell surface glycoproteins belonging to the immunoglobulin superfamily that serve as the primary ligands for the integrin Lymphocyte Function-associated Antigen 1 (LFA-1), which is expressed on leukocytes such as donor Natural Killer (NK) cells [1, 2]. The interaction between LFA-1 on NK cells and ICAMs on patient cells is a critical step in the formation of the immunological synapse, providing the necessary adhesion and co-stimulatory signals for NK cell activation and targeted lysis of tumor or infected cells [3]. ICAM-1 is typically expressed at low levels but is highly inducible by inflammatory cytokines like TNF-alpha and IFN-gamma, whereas ICAM-2 is constitutively expressed on endothelial cells and some hematopoietic cells [1, 2, 5]. In the context of allogeneic NK cell therapy, the expression of these molecules on patient cells is a key determinant of the donor NK cells' ability to recognize and eliminate malignant cells [3]. Therapeutic agents like lifitegrast target this axis by blocking the LFA-1/ICAM-1 interaction to treat inflammatory conditions, while oncology research explores ways to enhance this engagement to improve the efficacy of adoptive cell therapies [4].

Other names
CD54CD102Major group rhinovirus receptorIntercellular adhesion molecule 1Intercellular adhesion molecule 2LFA-1 ligands
02

Mechanism of action

Antagonism of the LFA-1/ICAM-1 and LFA-1/ICAM-2 interaction to inhibit leukocyte adhesion, migration, and immunological synapse formation.

03

Biological functions

Cell adhesionImmune responseImmunological synapse formationLeukocyte transendothelial migrationSignal transduction
04

Disease associations

CancerInflammationAutoimmune diseaseGraft-versus-host diseaseInfection
05

Safety considerations

Increased susceptibility to infectionsRisk of progressive multifocal leukoencephalopathy (PML) with certain LFA-1 inhibitorsCytokine release syndromeImpaired wound healing
06

Interacting drugs

Lifitegrast

3 more in the full profile.

07

Biomarkers

Soluble ICAM-1 (sICAM-1) serum levelsSurface ICAM-1 (CD54) expression on tumor cellsLFA-1 (CD11a/CD18) expression on NK cells

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