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Intercellular adhesion molecule 1 receptor (ICAM-1 (commonly used abbreviation; also known as CD54))

Target
ICAM-1 (commonly used abbreviation; also known as CD54)
Molecular classification
Receptor (specifically, an adhesion receptor), Immunoglobulin superfamily, Cell adhesion molecule
01

Overview

Intercellular adhesion molecule 1 receptor (ICAM-1, CD54) is a type I transmembrane glycoprotein of the immunoglobulin superfamily, primarily expressed on endothelial cells and immune cells. It consists of five extracellular Ig-like domains, a single transmembrane domain, and a short cytoplasmic tail[2][8]. ICAM-1 facilitates firm adhesion and transmigration of leukocytes through the endothelium by binding to integrins (LFA-1/CD11a/CD18 and Mac-1/CD11b/CD18) on leukocytes[1][3][7]. Additionally, it acts as a receptor for major group human rhinoviruses and is implicated in pathogenesis and immune responses associated with infections, cancer, inflammatory diseases, and cardiovascular diseases. ICAM-1 may be upregulated in response to cytokines such as IL-1 and TNF and is involved in costimulatory signaling during T cell activation[3][2][7]. Its expression and soluble form (sICAM-1) are used as biomarkers for several pathological conditions. Targeting the ICAM-1/LFA-1 axis has therapeutic implications for managing excessive inflammation, immune-mediated diseases, and viral infections[3][2][7].

Other names
ICAM-1CD54ICAM1Intercellular adhesion molecule 1Cluster of differentiation 54
02

Mechanism of action

Inhibition of leukocyte-endothelial cell adhesion; Blockade of integrin (LFA-1/Mac-1) interaction; Inhibition of virus (e.g., rhinovirus) cellular entry; Modulation of immune cell trafficking and activation

03

Biological functions

Immune responseLeukocyte adhesion and transmigrationSignal transductionInflammatory responseCell-cell adhesion
04

Disease associations

InflammationInfectionCancerCardiovascular diseaseAutoimmune diseaseInvolvement in atherosclerosisInvolvement in asthmaInvolvement in ischemiaRejection in transplantationMalariaRhinovirus infections
05

Safety considerations

Interference with normal immune surveillance and host defensePotential for increased infection risk or impaired wound healing if ICAM-1 is blocked systemicallyRisk of immunosuppression-related adverse effects
06

Interacting drugs

Natalizumab (monoclonal antibody targeting leukocyte trafficking; indirect)

2 more in the full profile.

07

Biomarkers

Soluble ICAM-1 (sICAM-1) in plasma as a marker of inflammation or endothelial activationICAM-1 expression as a prognostic biomarker in various cancers and inflammatory diseases

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