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T cell immunoglobulin and mucin-domain receptor family and TAM receptor tyrosine kinase family (TIM and TAM receptor families)

Target
TIM and TAM receptor families
Molecular classification
TIM family: Receptor, Immunoglobulin superfamily, TAM family: Receptor, Receptor tyrosine kinase (RTK), Enzyme
01

Overview

The **TIM-family receptors** (T cell immunoglobulin and mucin-domain containing molecules: TIM-1, TIM-3, and TIM-4 in humans) are type I cell membrane proteins characterized by an immunoglobulin variable domain and a mucin domain[3][5]. They mediate regulatory functions in adaptive and innate immunity, including inhibiting or stimulating the activity, survival, and differentiation of T cells, B cells, dendritic cells, macrophages, and mast cells[3][5][4]. TIM members play roles in immune homeostasis, tolerance, allergy, and efferocytosis (clearance of apoptotic cells). The **TAM-family receptors** (Tyro3, Axl, Mer receptor tyrosine kinases) are receptor tyrosine kinases critical for regulation of innate immune response, tissue repair, apoptotic cell phagocytosis, and immune homeostasis[1]. Through their ligands Gas6 and Protein S, they act mainly as inhibitors of immune activation and are implicated in the progression of cancer, autoimmune disease, inflammatory disease, and infections[1]. Both TIM and TAM families are considered important therapeutic targets in immuno-oncology and immune regulation, but their overlapping and distinct roles mean each member (e.g., TIM-3, Axl) is usually described as a separate target in clinical and therapeutic contexts.

Other names
TIM family: T cell immunoglobulin and mucin domain-containing moleculesTAM family: Tyro3, Axl, and Mer receptor tyrosine kinasesAlternative gene/protein names for TIM-1: Hepatitis A virus cellular receptor 1 (HAVCR1), Kidney injury molecule 1 (KIM-1)Alternative gene/protein names for TIM-3: HAVCR2Alternative gene/protein names for TIM-4: TIMD4Alternative gene/protein names for TAM receptors: Sky (Tyro3), Ufo (Axl), Mertk (Mer)
02

Mechanism of action

TIM family: Blockade of TIM-3 can enhance T cell and innate immune responses by preventing its inhibitory effects. TIM-1-targeting agents can modulate regulatory T/B cell activity. TAM family: Inhibition of TAM kinases (especially Axl, Mer) blocks negative feedback on immune activation, enhances anti-tumor immunity, and reduces efferocytosis. Anti-TAM agents may disrupt tumor cell survival signaling.

03

Biological functions

Immune regulationImmune homeostasisClearance of apoptotic cells (efferocytosis)Signal transductionNegative regulation of inflammationRegulation of adaptive and innate immunityRegulation of T cell activation and tolerance
04

Disease associations

Cancer (regulation of tumor immunity, cancer progression)Autoimmune diseaseInflammationInfection (e.g., viral infection, immune evasion)Allergy (especially TIM family)Transplantation tolerance
05

Safety considerations

Immune-related adverse events (enhanced inflammation or autoimmunity from blocking negative immune regulators)Thromboembolic risk (TAM family inhibitors)Potential for unwanted tissue damage from excessive immune activationCytokine release syndrome (when used in combination immunotherapy regimens)
06

Interacting drugs

Several experimental antibodies targeting TIM-3 and TIM-4

2 more in the full profile.

07

Biomarkers

High TIM-3 or TIM-4 expression in tumors or on T cells as a marker of immune exhaustionAxl expression in solid tumorsSoluble forms (e.g., soluble Axl) as a potential disease activity or therapy response biomarkers

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