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Review
. 2018 Nov 28:9:2809.
doi: 10.3389/fimmu.2018.02809. eCollection 2018.

The Emerging Role of CD244 Signaling in Immune Cells of the Tumor Microenvironment

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Review

The Emerging Role of CD244 Signaling in Immune Cells of the Tumor Microenvironment

Laura Agresta et al. Front Immunol. .

Abstract

In cancer, immune exhaustion contributes to the immunosuppressive tumor microenvironment. Exhausted immune cells demonstrate poor effector function and sustained expression of certain immunomodulatory receptors, which can be therapeutically targeted. CD244 is a Signaling Lymphocyte Activation Molecule (SLAM) family immunoregulatory receptor found on many immune cell types-including NK cells, a subset of T cells, DCs, and MDSCs-that represents a potential therapeutic target. Here, we discuss the role of CD244 in tumor-mediated immune cell regulation.

Keywords: CD244; CD8 cytotoxic T lymphocytes +; MDSC; NK cells and cancer; immune exhaustion (IE); signaling lymphocyte activation molecule; tumor immune escape; tumor microenviroment.

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Figures

Figure 1
Figure 1
CD244 signaling model based on NK cell studies. CD244 binds CD48 with high affinity. Intracellular signaling is propagated via interactions with any of several SH2 domain- containing signaling molecules. Interactions with SAP (SH2D1A) propagate activating signals in NK cells. Interactions with SH2 phosphatases SHP1,SHP2, SHIP-1 propagate inhibitory signals in NK cells. Interactions with EAT2 (SH2D1B) have been shown to propagate both activating and inhibitors signals in separate studies.
Figure 2
Figure 2
Model showing how the relative concentrations of CD244 and SAP may contribute to the determination of activating versus inhibitory CD244 signaling. (A) Under normal physiologic conditions, NK cells and CD8+ T cells express CD244 at low concentrations. Provided a normal intracellular concentration of SAP is present,activating signals are propagated upon CD244-CD48 interaction. (B) When SAP concentrations are low,absent,or dysfunctional (unable to bind), such as in X-linked proliferative disease,CD244 propagates an inhibitory signal upon CD244-CD48 interaction. (C) In the setting of cancer or chronic viral infection,NK cells and CD8+ T cells express high concentrations of CD244,and normal concentrations of SAP become insufficient to saturate CD244 binding sites upon CD244-CD48 interaction; an inhibitory signal is propagated.
Figure 3
Figure 3
Increased CD244 expression on immune cells in the tumor microenvironment corresponds to increased immunosuppression via effector cell exhaustion (A,B) and increased production of immunosuppressors by myeloid derived suppressor cells (MDSCs) (C).

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