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T cell surface glycoprotein CD2 is a 50–55 kDa transmembrane protein expressed on nearly all peripheral blood T lymphocytes, most thymocytes, and natural killer (NK) cells. It belongs to the immunoglobulin superfamily with two extracellular Ig-like domains. Its primary functions are mediating adhesion between T/NK cells and other immune or target cells via binding to ligands such as LFA‑3/CD58 on antigen-presenting or target cells, facilitating formation of the immunological synapse essential for effective immune responses. Beyond adhesion, it acts as a co-stimulatory molecule enhancing signal transduction during antigen recognition by the TCR complex. Clinically, it serves as an important marker for diagnosing lymphoid malignancies involving mature T or NK lineages; experimental therapies have targeted this pathway for modulating immunity but face challenges due to its broad physiological roles.[1][3][4][5][6][7]
Drugs or antibodies targeting CD2 generally act by blocking its interaction with LFA‑3/CD58 to inhibit T cell adhesion and co-stimulation, thereby reducing immune activation. Some monoclonal antibodies can also trigger signaling through CD2 to modulate immune responses[1][3].
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