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Tumor necrosis factor receptor superfamily member 9 (TNFRSF9) intracellular signaling domain (4-1BB ICD)

Target
4-1BB ICD
Molecular classification
Tumor necrosis factor receptor superfamily, Costimulatory molecule, Intracellular signaling domain
01

Overview

The 4-1BB intracellular signaling domain is a critical cytoplasmic component of the Tumor Necrosis Factor Receptor Superfamily Member 9 (TNFRSF9), also known as CD137 (UniProt: Q07011). In natural T-cell biology, this domain mediates costimulatory signals upon binding to its ligand (4-1BBL), primarily through the recruitment of Tumor Necrosis Factor Receptor-Associated Factors (TRAFs), which activate the NF-kappaB and MAPK signaling pathways (PubMed: 15123770). This activation enhances T-cell proliferation, survival, and effector function while preventing activation-induced cell death. In the context of modern immunotherapy, the 4-1BB intracellular domain is widely utilized as a costimulatory element in second-generation Chimeric Antigen Receptor (CAR) T-cell therapies, such as Tisagenlecleucel and Lisocabtagene maraleucel (FDA). Compared to other costimulatory domains like CD28, the 4-1BB domain is associated with increased mitochondrial biogenesis, slower T-cell exhaustion, and superior long-term persistence of CAR-T cells in vivo (PubMed: 26030179). Consequently, it plays a pivotal role in the clinical success of several approved CAR-T products for treating various hematologic malignancies.

Other names
CD137 intracellular domain4-1BB cytoplasmic domainTNFRSF9 cytoplasmic tailCD137 ICD4-1BB signaling tail
02

Mechanism of action

Recruitment of TRAF1, TRAF2, and TRAF3 adapter proteins to initiate downstream signaling cascades including NF-kappaB, JNK, and p38 MAPK, which collectively promote T-cell metabolic fitness, longevity, and sustained effector function (PubMed: 26030179).

03

Biological functions

Signal transductionImmune responseT-cell activationT-cell survivalMetabolic reprogrammingMitochondrial biogenesisPrevention of activation-induced cell death (AICD)
04

Disease associations

CancerB-cell lymphomaMultiple myelomaAcute lymphoblastic leukemia (ALL)Chronic lymphocytic leukemia (CLL)
05

Safety considerations

Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)On-target off-tumor toxicityPotential for tonic signaling leading to premature exhaustion
06

Interacting drugs

Tisagenlecleucel (Kymriah)

3 more in the full profile.

07

Biomarkers

CD137 (4-1BB) expression levelsCAR-T cell persistence (qPCR or flow cytometry)Serum Interleukin-6 (IL-6) levelsSerum Interferon-gamma (IFN-gamma) levelsSoluble CD137 (sCD137)

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