What Is the CD45 Protein & How Does It Work?

The human body is an intricate network of cells, each performing specialized roles to maintain overall health. Proteins are fundamental to these cellular functions, acting as the molecular machinery that drives biological processes. Understanding the specific roles of various proteins provides insight into how our bodies operate and respond to different conditions, laying the groundwork for addressing health challenges by targeting these molecular players.

Understanding CD45 Protein

CD45 is a large protein found on the surface of nearly all immune cells. This transmembrane glycoprotein, also known as leukocyte common antigen or protein tyrosine phosphatase receptor type C (PTPRC), is exclusively present on hematopoietic cells, including various types of white blood cells (leukocytes). It is not found on red blood cells or plasma cells.

CD45 functions as a receptor tyrosine phosphatase (PTP), an enzyme that removes phosphate groups from specific tyrosine residues on other proteins. This enzymatic activity is a regulatory mechanism in cellular signaling pathways. The protein has an extracellular domain, a single transmembrane segment, and two tandem intracytoplasmic catalytic domains, with the first domain exhibiting primary enzymatic activity. The extracellular domain of human CD45 can vary in length due to alternative splicing of certain exons, leading to different isoforms like CD45RA and CD45RO.

How CD45 Protein Regulates Immune Responses

CD45 modulates the signaling pathways of immune cells, particularly T cells and B cells. Its phosphatase activity directly influences the activation and deactivation of other proteins. This process acts like an “on” or “off” switch for various cellular activities, controlling how immune cells respond to signals.

CD45’s function involves its regulation of Src family kinases (SFKs), such as Lck and Fyn, which initiate signals from antigen receptors on T and B cells. In T cells, CD45 dephosphorylates a specific inhibitory tyrosine residue (Tyr505) on Lck, thereby activating Lck. Conversely, CD45 can also dephosphorylate an activating tyrosine residue (Tyr394) on Lck, contributing to a complex regulatory balance. This dual action allows CD45 to fine-tune immune cell activation.

The presence and proper function of CD45 are important for regulating T-cell activation, development, differentiation, and survival. For instance, CD45 is essential for the initial stages of signal transmission from the T-cell receptor (TCR). Without functional CD45, T-cell activation and development are impaired, leading to severe immunodeficiency. CD45 maintains immune system balance and facilitates effective immune responses.

CD45 Protein in Disease and Diagnosis

CD45 holds importance in the diagnosis and understanding of various diseases, particularly hematological malignancies. Its presence, absence, and specific patterns of expression are routinely used as diagnostic markers in conditions like leukemias and lymphomas. Flow cytometry, a laboratory technique, uses antibodies that bind to CD45 to identify and classify different types of white blood cell cancers.

In acute leukemias, for example, the intensity of CD45 expression, combined with other cellular characteristics, helps distinguish malignant cells from normal ones. Leukemic blast cells exhibit an intermediate CD45 expression and low side scatter, allowing them to be identified in flow cytometry plots. Specific CD45 isoforms, such as CD45RA (found on naive T cells) and CD45RO (found on memory T cells), can also be used to classify T-cell populations for disease assessment.

Beyond diagnosis, CD45 dysregulation is implicated in other conditions, including autoimmune diseases and susceptibility to certain infections. Imbalances in CD45 isoforms or altered expression levels can contribute to immune system dysfunction, leading to diseases like multiple sclerosis or autoimmune hepatitis. Given its role in immune cell function, CD45 is also being explored as a potential target for therapeutic interventions, particularly in cancer immunotherapy and for conditioning regimens before hematopoietic stem cell transplantation.

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