B7-H7, also known as human endogenous retrovirus-H long terminal repeat-associating protein 2 (HHLA2) or B7-H5, is a novel member of the B7 family member with co-inhibitory function for both human CD4 and CD8 T cells, which is comparable to other important family members. TMIGD2, also called CD28 homolog (CD28H), IGPR-1, is identified as a novel cell adhesion molecule expressed in various human cell types, including endothelial and epithelial cells, and it mediates cell-cell adhesion. TMIGD2 is an Ig superfamily member with an extracellular IgV-like domain, a transmembrane region, and a cytoplasmic tail. TMIGD2 regulates angiogenesis, and endothelial barrier function decreases the sensitivity of tumor cells to the genotoxic agent doxorubicin and supports tumor cell survival in response to anoikis. TMIGD2 is one of the receptors for HHLA2.
Up to now, there are few pieces of research about the HHLA2/TMIGD2 pathway. According to the current study, besides an unidentified receptor on activated T cells that leads to co-inhibition tumor-expression, HHLA2 can interact with TMIGD2 on endothelium that stimulates tumor angiogenesis. Additionally, tumor-associated macrophages (TAM) may express HHLA2 and interact with TMIGD2 on the endothelium. In summary, the HLA2/TMIGD2 pathway is a potential novel immune therapeutic target. However, research on the mechanism and functions for the HLA2/TMIGD2 pathway are not comprehensive. This pathway still needs further studies.
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