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Within the C-type lectin (CTL) group is CLEC12A (C-type lectin domain family 12 member A). Members of this family often have similar ways of folding proteins. They play important roles in various biological functions, such as helping cells stick together, communicating between cells, processing glycoproteins, and responding to inflammation and immune reactions. With its translated protein directing neutrophil and monocyte activity, the CLEC12A gene is found in the 12p13 region of human chromosome 12 close to the natural killer gene complex. The protein made by CLEC12A has a special part that can recognize certain sugars and help manage how cells communicate.
CLEC12A is a type II transmembrane glycoprotein that has an outside part called a C-type lectin-like domain and a section that spans the membrane. Six important cysteine residues in its protein structure help keep the protein folded correctly in the C-type lectin family. The YXXM motif and the ITIM in CLEC12A help it associate with proteins called SHP-1 and SHP-2. This contact happens through a process called phosphorylation, which lowers cell stimulation reactions.
Research shows that CLEC12A helps control the immune system, which affects how our body responds to infections and inflammation. Clec12A might work with uric acid crystals to lower inflammation caused by cell death. CLEC12A is thought to help move dendritic cells into the brain by crossing the blood-brain barrier, and it could help treat various illnesses.
Figure 1. Signal transduction pathways are potentially regulated by CLEC12A. (McLeish KR, et al., 2023)
CLEC12A is found in normal blood stem cells and their early forms. It becomes more active as these cells grow into myeloid cells, especially in mature forms like granulocytes and monocytes. CLEC12A is mainly found in mature myeloid cells such as granulocytes, macrophages, monocytes, and dendritic cells, according to a flow cytometry study. It is not present in normal B cells, T cells, red blood cells, or megakaryocytes. CLEC12A is found mainly in specific cell types, which means it has less impact on regular cells. This makes it an ideal tumor marker.
Acute myeloid leukemia (AML) is a very aggressive blood cancer that has a poor outlook and is hard to treat. Research on CLEC12A in acute myeloid leukemia (AML) shows it may be useful for tracking leftover cancer cells, diagnosing the disease, and predicting outcomes. Most leukemia cells in AML patients show a protein called CLEC12A, making it a good sign of the disease and helpful for checking treatment progress.
CLEC12A is found to be highly present in AML stem cells, and research has shown that its level is closely related to the clinical features of AML patients. Leukemic stem cells (LSCs) in acute myeloid leukemia (AML) often produce a protein called CLEC12A, which makes them a target for treatment. CLEC12A is a reliable measure for tracking minimal residual disease (MRD) because its levels stay steady before, during, and after treatment. Finding CLEC12A-positive cells in blood or bone marrow helps doctors check how well treatment is working and if there are any leftover leukemia cells. This information helps them create tailored treatment plans.
Recent studies indicate that the outcome of AML is closely linked to the amounts of CLEC12A mRNA. People with low levels of CLEC12A have sometimes been found to have more serious genetic features, lower rates of full recovery after treatment, and shorter lifespans in some studies. So, AML CLEC12A could be useful both for predicting outcomes and diagnosing the disease. By studying how CLEC12A is expressed in patient bone marrow samples, we can predict how well a treatment will work and the chance of it coming back.
Strategies for CLEC12A-based immunotherapies mainly include monoclonal antibodies, antibody-drug conjugates (ADCs), bispecific antibodies, and CAR-T cell treatment. These immunotherapy methods focus on leukemia cells that show CLEC12A, helping to eliminate harmful cells with strong treatment potential.
Research has shown that monoclonal antibodies aimed at CLEC12A can specifically kill AML cells through two processes: antibody-dependent cell-mediated cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC). ADCs combine chemotherapy drugs with antibodies to provide more precise and effective cancer treatment. As immunotherapy advances, treatments based on CLEC12A may bring new hope to people with AML.
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