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T-cell immunoglobulin and mucin-domain containing-3 (TIM-3) and TAM (Tyro3, Axl, MerTK) family receptors (TIM-3/TAM)

Target
TIM-3/TAM
Molecular classification
Receptor, Receptor tyrosine kinase, Checkpoint receptor, Immunoglobulin superfamily
01

Overview

T-cell immunoglobulin and mucin-domain containing-3 (TIM-3) and the TAM family (Tyro3, Axl, and MerTK) are distinct but functionally related receptors that regulate immune homeostasis and the tumor microenvironment. TIM-3 is an inhibitory checkpoint receptor expressed on T cells, NK cells, and myeloid cells, where it promotes immune tolerance and T-cell exhaustion upon binding to ligands such as Galectin-9 or phosphatidylserine (UniProt: P0C7P0). The TAM receptors are receptor tyrosine kinases that play a critical role in the phagocytosis of apoptotic cells (efferocytosis) and the dampening of inflammatory responses in innate immune cells (PubMed: 24442144). In many cancers, both TIM-3 and TAM receptors are upregulated, contributing to immune evasion, tumor progression, and resistance to conventional therapies. Therapeutic strategies include monoclonal antibodies designed to block TIM-3 signaling to restore anti-tumor T-cell activity and small molecule inhibitors targeting TAM kinase activity to disrupt oncogenic signaling and suppressive myeloid phenotypes. This entry is marked as incorrect because it combines two distinct protein families—TIM and TAM—into a single target profile, which may require separate clinical and molecular considerations.

Other names
Hepatitis A virus cellular receptor 2HAVCR2CD366TAM receptorsTyro3AxlMerTKTIM familyT-cell membrane protein 3
02

Mechanism of action

Drugs targeting this group act via two primary mechanisms: monoclonal antibodies (e.g., Sabatolimab) block the TIM-3 checkpoint receptor to reverse T-cell exhaustion and enhance anti-tumor immunity (PubMed: 30241496), while small molecule inhibitors (e.g., Bemcentinib) target the kinase activity of TAM receptors to inhibit pro-survival signaling in cancer cells and reduce immunosuppressive myeloid activity (Nature Reviews Cancer, 2014).

03

Biological functions

Immune responseApoptosisSignal transductionCell proliferationPhagocytosisImmune tolerance
04

Disease associations

CancerInflammationAutoimmune diseaseInfectionAcute myeloid leukemia
05

Safety considerations

Immune-related adverse events (irAEs)Impaired efferocytosis leading to autoimmunityCytokine release syndromeOff-target kinase inhibitionLiver toxicity
06

Interacting drugs

Sabatolimab

7 more in the full profile.

07

Biomarkers

TIM-3 expression on CD8+ T cellsAxl protein expressionGas6 ligand levelsSoluble Axl (sAxl)Galectin-9 expression

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