Target intelligence / Profile preview

Sialic acid-binding immunoglobulin-like lectin 3 (CD33 (Siglec-3))

Target
CD33 (Siglec-3)
Molecular classification
Receptor, Lectin, Immunoglobulin superfamily, I-type lectin, Cell surface protein
01

Overview

Sialic acid-binding immunoglobulin-like lectin 3 (CD33 or Siglec-3) is a cell surface receptor predominantly expressed on myeloid progenitor cells, monocytes, macrophages, and microglia[2][6]. As a member of the Siglec family within the immunoglobulin superfamily, it binds sialic acid residues via its N-terminal V-set Ig-like domain and plays a critical inhibitory role in immune cell signaling by ITIM motifs in its cytoplasmic tail[1][3][4]. CD33 is a key checkpoint molecule and a therapeutic target in acute myeloid leukemia, where it is engaged by monoclonal antibodies and CAR-T cells to direct cytotoxic activity against malignant cells[2]. Its expression on normal hematopoietic cells presents therapeutic challenges due to potential on-target cytopenias, and careful patient selection based on CD33 expression is required[2].

Other names
CD33Siglec-3GP67SIGLEC3sialic acid-binding immunoglobulin-like lectin 3
02

Mechanism of action

Monoclonal antibodies and antibody-drug conjugates: Bind to CD33 on leukemic cells, deliver cytotoxic drugs, or mediate immune clearance CAR-T cells: Genetically engineered to target CD33, leading to direct cytotoxicity Inhibiting CD33 signaling can enhance immune responses against cancer cells

03

Biological functions

Immune response regulationInhibition of immune cell activationCell signaling inhibition (via ITIM motifs)Self-associated molecular pattern (SAMP) recognitionMaintenance of self-tolerance
04

Disease associations

Cancer (especially acute myeloid leukemia [AML])InflammationPotential roles in infection and immune system diseases
05

Safety considerations

Cytopenia due to CD33 expression on normal hematopoietic progenitor cellsLow cell surface density limiting therapeutic efficacyAntibody-induced internalization of target receptor is slowOff-target effects leading to bone marrow suppression
06

Interacting drugs

Gemtuzumab ozogamicin (Mylotarg)

3 more in the full profile.

07

Biomarkers

CD33 expression on blasts for patient selection in AML therapyCD33 positivity on myeloid cells used to define eligibility for CD33-directed therapies

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