Target intelligence / Profile preview

T-cell-specific surface glycoprotein CD28 (CD28)

Target
CD28
Molecular classification
Receptor, Immunoglobulin superfamily (IgSF) member
01

Overview

CD28 is a cell surface glycoprotein receptor expressed predominantly on T cells which provides an essential co-stimulatory signal required for full T cell activation[1]. Upon engagement by its ligands CD80 (B7-1) and CD86 (B7-2) expressed on antigen-presenting cells, CD28 amplifies TCR signaling, driving gene expression changes that lead to proliferation, differentiation, survival, cytokine secretion, and enhanced effector functions. CD28 is a disulfide-linked homodimer with a structure belonging to the immunoglobulin superfamily, containing extracellular IgV-like domains for ligand binding, and a cytoplasmic tail with tyrosine- and proline-rich signaling motifs[1][2][4][5][7]. The cytoplasmic domain is critical for recruiting SH2- and SH3-domain containing kinases and adaptors such as PI3K, Lck, and Grb2[3][5][7]. In therapeutic contexts, the CD28 signaling domain is utilized in the design of chimeric antigen receptors (CARs) to confer strong costimulatory signals for engineered T-cells, although safety concerns regarding systemic immune activation have limited the direct targeting of CD28 in clinical practice[6][4].

Other names
Cluster of Differentiation 28CD28 molecule
02

Mechanism of action

For agents targeting or incorporating the CD28 signaling domain, the mechanism is typically costimulatory signaling via intracellular activation of phosphatidylinositol 3-kinase (PI3K) and other downstream effectors, amplifying T-cell receptor (TCR) signaling for robust T-cell responses[5][7][3].

03

Biological functions

Signal transductionCo-stimulatory signalingT cell activationRegulation of immune responseCell proliferationCytokine (IL-2) secretionRegulatory T cell function
04

Disease associations

CancerInflammationInfectionAutoimmune diseases
05

Safety considerations

Cytokine release syndrome (CRS): Direct agonism of CD28 can cause severe systemic inflammatory reactions, such as the “TGN1412 trial” which led to life-threatening CRS in healthy volunteers[6].Autoimmunity: Modulation of CD28 can dysregulate tolerance, potentially triggering autoimmune disease[2].On-target, off-tumor toxicity: CAR T-cell therapies using CD28 costimulatory domains have altered toxicity profiles and may increase risks relative to other costimulatory domains.
06

Interacting drugs

No current approved drugs directly target CD28 for therapy due to safety concerns, but investigational agents have included agonistic anti-CD28 antibodies and manipulations in chimeric antigen receptor (CAR) T-cell therapy design[4][6].
07

Biomarkers

CD28 expression level can serve as a biomarker of T-cell activation and functional exhaustion (loss of CD28 is associated with senescence/exhaustion in chronic disease and aging)[3].Used in characterizing regulatory and memory T cell subpopulations[2].

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