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T cell checkpoint protein (null (No single abbreviation; individual checkpoint proteins have standard abbreviations such as CTLA-4, PD-1, LAG-3, TIM-3, etc.[6][8]))

Target
null (No single abbreviation; individual checkpoint proteins have standard abbreviations such as CTLA-4, PD-1, LAG-3, TIM-3, etc.[6][8])
Molecular classification
Receptor (transmembrane receptor), Glycoprotein (for many, including PD-1, CTLA-4, TIM family)[2][6][10], Superfamilies: Immunoglobulin superfamily (IGSF), B7-CD28 superfamily, TNF receptor superfamily[4][6][8][10]
01

Overview

T cell checkpoint proteins are a diverse group of transmembrane and glycoprotein receptors—or their ligands—expressed on T cells and other immune cells. They play a critical role in regulating the immune response by acting as molecular switches: some checkpoints (e.g., CD28, ICOS) stimulate T cell activation, while others (e.g., CTLA-4, PD-1, LAG-3, TIM-3, TIGIT, CD112R) deliver inhibitory signals that maintain peripheral tolerance, prevent autoimmunity, and restrict the magnitude and duration of immune responses. Many tumors exploit these inhibitory checkpoints to escape immune surveillance; as a result, drugs that block these proteins (checkpoint inhibitors) have become major cancer therapies. While checkpoint inhibition has revolutionized cancer treatment through reactivation of T cells, it introduces risks of immune-related toxicities. Precise molecular targeting—usually to specific checkpoint receptors—is necessary for clinical applications; hence, "T cell checkpoint proteins" is a functional family, not a single molecular entity[1][2][3][5][6][7][8][9][10].

Other names
Immune checkpoint proteinsT cell immune checkpointsInhibitory checkpoint moleculesCostimulatory checkpoint molecules (for stimulatory family members)[4][6][8][9]
02

Mechanism of action

Checkpoint inhibition: Blockade of checkpoint proteins prevents inhibitory signaling, “turning on” T cell immune responses against cancer and infected cells[1][5][6][7][9] Monoclonal antibody binding prevents interaction with partner ligands (e.g., PD-1/PD-L1, CTLA-4/CD80/86), disrupting “off” signals to T cells[5][6][9] Some drugs (agonists/antagonists) modulate stimulatory checkpoint proteins, enhancing T cell expansion and effector functions[4][10]

03

Biological functions

Regulation of immune response (positive and negative, depending on checkpoint)Signal transductionMaintenance of peripheral tolerancePrevention of autoimmunityControl of T cell activation, proliferation, and survivalRegulation of inflammationCell death (via phagocytosis of apoptotic cells by TIM family)[1][2][3][6][9][10]
04

Disease associations

Cancer (immune evasion)[5][6][7][9]Autoimmune disease (loss of tolerance)[2][6]Infection (regulation of cellular response)[6][9]Transplant rejection/tolerance[2][6]Allergies and asthma (immunoregulation)[2]Inflammation[1][2][3][6][9]
05

Safety considerations

Immune-related adverse events (irAEs): autoimmune toxicity, colitis, hepatitis, endocrinopathy, pneumonitis[5][6][7][9]Excessive immune activation/failure of self-toleranceCytokine release syndromeInflammation of non-target organs
06

Interacting drugs

Ipilimumab (CTLA-4 inhibitor)

8 more in the full profile.

07

Biomarkers

PD-L1 expression on tumors (predicts response for PD-1/PD-L1 inhibitors)[9]Tumor mutational burdenMismatch repair deficiency (dMMR)Microsatellite instability (MSI)Tumor infiltration lymphocytes (TILs)Expression of checkpoint genes (CTLA4, PDCD1, LAG3, TIM3, TIGIT, etc.)[9]

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