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Natural Killer and invariant Natural Killer T cell-recognized ligands (NK/iNKT ligands)

Target
NK/iNKT ligands
Molecular classification
Other
01

Overview

This target refers to a diverse group of cell-surface molecules upregulated by cells undergoing oncogenic transformation, viral infection, or physiological stress, which serve as 'eat-me' signals for the innate immune system. Key components include NKG2D ligands (such as MICA, MICB, and ULBPs) and CD1d, which presents lipid antigens to invariant Natural Killer T (iNKT) cells (PMID: 11491520, 17291282). These ligands are typically absent or expressed at low levels on healthy resting cells but are highly induced by DNA damage, oxidative stress, or heat shock, acting as markers of cellular distress (PMID: 11777960). Therapeutic strategies targeting this axis include CAR-T or CAR-NK cells engineered with NKG2D receptors, bispecific antibodies, and CD1d agonists like alpha-galactosylceramide designed to enhance the recognition and elimination of cancer cells (PMID: 28807980). However, a significant challenge is the proteolytic shedding of ligands like MICA/B by tumor cells, which creates soluble decoys that inhibit immune cell function and facilitate tumor escape (PMID: 12446910).

Other names
NKG2D ligandsCD1d-presented antigensStress-induced ligandsNK cell activating ligands
02

Mechanism of action

Activation of Natural Killer (NK) and invariant Natural Killer T (iNKT) cells through the engagement of activating receptors (e.g., NKG2D) or the TCR-CD1d complex, leading to targeted cytotoxicity and cytokine release against malignant or stressed cells.

03

Biological functions

Immune responseCell stress responseAntigen presentationApoptosis induction
04

Disease associations

CancerInfectionInflammationAutoimmune disease
05

Safety considerations

On-target off-tumor toxicity on healthy stressed tissuesCytokine release syndrome (CRS)Immune evasion via ligand sheddingPotential for autoimmune reactions
06

Interacting drugs

Alpha-galactosylceramide (Uptitertene)

4 more in the full profile.

07

Biomarkers

MHC class I polypeptide-related sequence A (MICA) expressionMHC class I polypeptide-related sequence B (MICB) expressionUL16 binding protein (ULBP) expressionCD1d expressionSoluble MICA (sMICA) levels

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