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The CLEC4C gene, located on chromosome 12 in humans, encodes a type II C-type lectin receptor extensively expressed on the surface of plasmacytoid dendritic cells (pDCs). pDCs are a subset of dendritic cells with unique immune functions and play a vital role in antiviral and immune regulation through the abundant secretion of type I interferons (IFN-I). The glycoprotein encoded by the CLEC4C gene, BDCA2, forms a specialized receptor on dendritic cells that partakes in glycan recognition, especially binding to various sugar moieties like galactose-terminal residues.
The BDCA2 receptor uses its extracellular carbohydrate recognition domain (CRD) to bind molecules like mannose, glucose, or N-acetylglucosamine, which further involves pathogen recognition and immune response regulation. The intracellular portion interacts with the FcεRIγ chain, triggering intracellular signaling pathways that activate tyrosine kinases and phospholipase C, thereby regulating cell function. BDCA2 activation is closely linked to interferon secretion and can, under certain conditions, suppress immune responses by reducing IFN-I expression, playing a dual role in immune regulation.
Figure 1. CD303/BDCA-2 signaling on plasmacytoid dendritic cell. (Wilson NR, et al., 2022)
BDCA2 has a complex role in the immune system, particularly in the function of dendritic cells. These cells are crucial antigen-presenting cells that effectively recognize pathogens and activate T cells, initiating specific immune responses. BDCA2 helps recognize and capture specific glycans, promoting pathogen endocytosis, and subsequently, through antigen processing and peptide loading, presents them to T cells, thereby activating specific immune responses.
Notably, BDCA2's function is not limited to promoting immune responses; it also plays a role in modulating immune tolerance and suppressing immune reactions. Activation of the BDCA2 receptor can modulate excessive immune responses by inhibiting NF-kB activation and reducing interferon production. For instance, in autoimmune diseases like systemic lupus erythematosus (SLE), pDCs can reduce excessive IFN-I production via BDCA2, thus inhibiting abnormal immune responses and alleviating disease symptoms.
The CLEC4C gene is closely related to the onset and development of various diseases, particularly autoimmune diseases, viral infections, and tumor immune evasion. First, BDCA2 plays a significant role in the pathogenesis of systemic lupus erythematosus (SLE). Dendritic cells in SLE patients often display dysfunction, secreting excessive IFN-I, a process closely related to BDCA2 expression. As such, BDCA2 is considered a potential target for blocking SLE pathogenesis, potentially serving as a new strategy in SLE treatment by regulating immune responses and reducing excessive IFN-I production.
Furthermore, BDCA2 has significant immune functions in viral infections. BDCA2 receptors can recognize pathogens like hepatitis C virus (HCV), HIV, and influenza virus, promoting interferon secretion by activating pDCs, thereby inhibiting viral replication and spread. Notably, in certain infectious diseases such as influenza and COVID-19, BDCA2 receptor activation can enhance immune system recognition and clearance of viruses, offering protective effects.
BDCA2 expression is also significant in tumor immune evasion. Some tumor cells evade immune surveillance by altering dendritic cell functions, particularly by inhibiting pDC maturation and function. The role of the BDCA2 receptor encoded by the CLEC4C gene in the tumor immune microenvironment is not yet fully understood. However, existing research indicates that increased pDCs in certain cancer types are closely related to tumor immune evasion mechanisms. Thus, targeting the BDCA2 receptor might become a new approach in tumor immunotherapy.
BDCA2 is seen as a potential immunotherapy target as it plays two different functions in the immune system. In many immunological-related disorders, adjusting BDCA2 activity might result in immune tolerance or boost. In autoimmune disorders, for instance, BDCA2's inhibitory activity could assist in reducing strong immune responses; in infectious diseases, on the other hand, improving BDCA2 function might support antiviral immune responses.
Recently, researchers have attempted to modulate BDCA2 function through monoclonal antibodies, vaccines, or small molecule inhibitors for therapeutic purposes. For example, monoclonal antibodies targeting BDCA2 have been shown to inhibit IFN-I production by pDCs and effectively regulate immune tolerance, offering new insights into autoimmune disease treatment. Simultaneously, BDCA2 activation is regarded as a potential way to enhance the body's immune response to viral infections by enhancing pDC function.
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