Target intelligence / Profile preview

Neural cell adhesion molecule 1 (NCAM-1) (NCAM1)

Target
NCAM1
Molecular classification
Cell adhesion molecule, Immunoglobulin superfamily, Receptor, Glycoprotein
01

Overview

Neural cell adhesion molecule 1 (NCAM-1), widely known as CD56, is a homophilic binding glycoprotein belonging to the immunoglobulin superfamily that mediates cell-cell adhesion and signaling (UniProt P13591). In the context of immunotherapy, NCAM-1 is a defining marker for Cytokine-Induced Killer (CIK) cells, a heterogeneous population of cytotoxic lymphocytes (primarily CD3+CD56+) generated ex vivo to exhibit potent, non-MHC-restricted antitumor activity (PMID: 21833314). The interaction between NCAM-1 and other adhesion receptors on CIK cells with their corresponding ligands on tumor cells is critical for the formation of the immunological synapse, which allows for the targeted delivery of lytic granules containing perforin and granzymes (PMID: 26433536). While NCAM-1 serves as a primary target for antibody-drug conjugates like Lorvotuzumab mertansine in malignancies such as small cell lung cancer and multiple myeloma, its physiological expression in neural tissues poses significant challenges for therapeutic window and safety (PMID: 24651523). The target description provided in the prompt is considered 'incorrect' as it describes a complex multi-receptor biological interaction and cell-cell interface rather than a single discrete molecular entity.

Other names
CD56NCAMMSK39Leu-19NKH-1Antigen identified by monoclonal antibody 5.1H11
02

Mechanism of action

CIK cells utilize NCAM-1 (CD56) and other adhesion molecules (such as LFA-1) to form a stable immunological synapse with target cells, facilitating the non-MHC-restricted release of perforin and granzymes to induce target cell lysis (PMID: 26433536, 30631114).

03

Biological functions

Cell-cell adhesionImmune responseSignal transductionNeurite outgrowthSynaptic plasticityApoptosis induction
04

Disease associations

CancerNeuroblastomaMultiple myelomaSmall cell lung cancerAcute myeloid leukemiaNeurodegenerative disease
05

Safety considerations

Neurotoxicity due to NCAM-1 expression in the central and peripheral nervous system (UniProt P13591)Off-target effects on healthy CD56+ NK cells and subsets of T cellsCytokine release syndrome (CRS) associated with CIK cell infusion
06

Interacting drugs

Lorvotuzumab mertansine

3 more in the full profile.

07

Biomarkers

CD56 expressionNKG2D expressionMICA/B expression on target cellsCD3+CD56+ cell count

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