CD48 (SLAMF2) is a 45–47 kDa cell surface protein belonging to the signaling lymphocytic activation molecule (SLAM) family. Its key features include:
Expression: Primarily on T cells, B cells, natural killer (NK) cells, monocytes, and dendritic cells .
Ligands: Binds CD2 (in mice) and CD244 (2B4) to regulate T cell activation, NK cell cytotoxicity, and immune synapse formation .
Pathological Role: Overexpressed in hematologic malignancies (e.g., multiple myeloma, lymphomas) and pathogenic T cells in autoimmune diseases .
CD48 mAbs exert therapeutic effects through multiple pathways:
Multiple Myeloma:
Lymphomas/Leukemias:
Experimental Autoimmune Encephalomyelitis (EAE):
Allergic Inflammation:
SGN-CD48A: A CD48-targeted antibody-drug conjugate (ADC) with eight monomethyl auristatin E (MMAE) molecules.
CD48 (also known as SLAMF2, BCM1, Blast-1 in humans, and OX-45 in rats) is a 45 kDa GPI-linked glycoprotein belonging to the SLAM (Signaling Lymphocyte Activation Molecule) family and Ig superfamily. It is expressed on the majority of hematopoietic cells and plays critical roles in cellular adhesion, T cell activation, and immune cell modulation . CD48 functions as part of the larger SLAM family network, participating in immune cell signaling pathways that regulate activation, proliferation, and differentiation . The differential expression of CD48 among functionally distinct hematopoietic progenitor populations makes it a valuable marker for identifying and studying these cells . In research settings, CD48 is particularly useful for characterizing hematopoietic stem cell populations and understanding immune cell development and function.
CD48 expression, when combined with other SLAM family markers, enables precise identification of hematopoietic stem and progenitor populations through the "SLAM code":
Hematopoietic stem cells (HSCs) are characterized as CD150(+)CD244(-)CD48(-) cells
Non-self-renewing multipotent hematopoietic progenitors (MPPs) are CD244(+)CD150(-)CD48(-)
This expression pattern provides researchers with a powerful tool for predicting the primitiveness of hematopoietic progenitors based solely on cell surface marker expression. When studying leukocyte subsets, researchers should note that CD48 expression varies across different cell types, with expression on most leukocytes, limited expression on granulocytes, and absence on platelets and erythrocytes . Expression increases on B cells following activation, making it a useful marker for tracking B cell responses .
CD48 monoclonal antibodies are extensively used in flow cytometric analysis for:
Identifying and isolating distinct hematopoietic progenitor populations based on the SLAM code
Tracking immune cell activation states, particularly for B and T lymphocytes
Studying CD48-dependent cellular interactions in immune responses
Characterizing pathogenic immune cell populations in disease models
For optimal flow cytometry applications, researchers should note the following technical parameters:
Mouse studies typically use ≤0.125 μg antibody per test (HM48-1 clone)
Human studies typically use ≤1 μg antibody per test (eBio156-4H9 clone)
Standard test volume is 100 μL with cell numbers ranging from 10^5 to 10^8 cells
APC-conjugated antibodies have excitation at 633-647 nm and emission at 660 nm, compatible with red lasers
CD48 monoclonal antibodies show important species-specific properties that researchers must consider:
Mouse CD48 Antibodies:
The HM48-1 clone specifically recognizes mouse CD48 antigen
This antibody can block CD48/CD2 and CD48/CD244 interactions
It can inhibit proliferative responses of mitogen-activated spleen cells
The antibody can provide costimulation signals for T cells activated through their TCR
HM48-1 has been shown to prolong cardiac allograft survival in vivo
Human CD48 Antibodies:
The eBio156-4H9 clone specifically binds human CD48
This antibody recognizes CD48 on human peripheral blood cells
CD48 expression patterns differ between human and mouse cells
Human CD48 interacts primarily with CD2 as its low-affinity ligand
When designing cross-species studies, researchers should account for these differences in antibody reactivity and CD48 biology.
CD48 functions within an interconnected network of SLAM family receptors:
In mice, CD48's primary counter-receptors are CD2 and CD244 (2B4)
CD48, CD150, and CD244 form the core components of the "SLAM code" for hematopoietic stem cell identification
These molecules collectively regulate immune cell interactions, adhesion, and activation signals
The coordinated expression patterns of SLAM family members define functionally distinct cell populations, particularly within the hematopoietic compartment. Understanding these relationships is crucial when designing experiments to block specific CD48 interactions or when interpreting the effects of anti-CD48 antibodies in functional assays.
Anti-CD48 monoclonal antibodies demonstrate therapeutic potential in autoimmune models through several key mechanisms:
A subpopulation of CD4+ T cells highly upregulates CD48 (CD48++) during experimental autoimmune encephalomyelitis (EAE), a mouse model of multiple sclerosis
These CD48++CD4+ T cells are predominantly CD44+ and Ki67+, indicating an activated, proliferating phenotype
They produce pathogenic cytokines including IL-17A, GM-CSF, and IFN-γ and comprise most of the CD4+ T cells in the CNS
Administration of anti-CD48 mAb during EAE provides therapeutic benefits by:
Attenuating clinical disease progression
Limiting accumulation of lymphocytes in the CNS
Reducing the number of pathogenic cytokine-secreting CD4+ T cells in the spleen
These therapeutic effects require CD48 expression on CD4+ T cells but not on antigen-presenting cells. The effects are partially dependent on FcγRs, as anti-CD48 shows reduced efficacy in Fcεr1γ-/- mice or in wild-type mice receiving anti-CD16/CD32 mAb . These findings identify CD48 as a potential target for immunotherapy in autoimmune conditions, particularly multiple sclerosis where CD48 polymorphisms have been linked to disease susceptibility.
Development of CD48-targeting antibody-drug conjugates (ADCs) involves several critical considerations:
Target Validation:
CD48 is expressed on the surface of malignant plasma cells in 90% of multiple myeloma (MM) patient samples, making it a viable target
As a tumor antigen broadly expressed in MM, CD48 offers potential for targeted therapy approaches
ADC Design Elements:
Select monoclonal antibodies based on binding characteristics and cytotoxic activity against target cells
Utilize appropriate conjugation chemistry, such as β-glucuronidase-cleavable linkers
Consider drug payloads like monomethylauristatin E (MMAE), a potent microtubule-disrupting cytotoxic drug
Mechanism of Action:
Effective CD48-targeting ADCs work through:
Binding CD48 at the cell surface
Internalization and trafficking to lysosomal vesicles
Release of cytotoxic payload
Induction of cell cycle arrest at G2/M phase
Promotion of phospho-histone H3 (Ser-10) phosphorylation
The example of SGN-CD48A demonstrates the potential of this approach, showing potent cytotoxic activity (EC50 values 1.0-11 ng/mL) against multiple myeloma cell lines .
When studying hematopoietic stem cells (HSCs) using CD48 antibodies, researchers should consider:
Panel Design:
Combine CD48 (negative marker for HSCs) with positive HSC markers like CD150
Include additional progenitor markers (CD244) for comprehensive SLAM family analysis
Incorporate lineage markers, Sca-1, and c-Kit for traditional LSK (Lin-Sca-1+c-Kit+) gating
Use appropriate fluorochromes based on expression levels and panel design
Protocol Optimization:
Titrate antibody concentrations carefully (typically ≤0.125 μg per test for mouse studies)
Test combinations of antibodies for potential interference
Include proper controls for setting accurate gating boundaries
Validate sorting protocols with functional assays to confirm stem cell identity
Analysis Strategies:
Gate on CD48-negative populations first when identifying primitive HSCs
Use CD48 positivity to exclude more differentiated progenitors
Correlate CD48 expression patterns with functional outcomes in transplantation or differentiation assays
Consider combining SLAM markers with cell cycle or proliferation markers for comprehensive analysis
Proper optimization enables precise identification of HSCs as CD150(+)CD244(-)CD48(-) cells, multipotent progenitors as CD244(+)CD150(-)CD48(-), and restricted progenitors as CD48(+)CD244(+)CD150(-) .
CD48 expression undergoes significant alterations in various pathological states:
Autoimmune Conditions:
In experimental autoimmune encephalomyelitis (EAE), a subpopulation of CD4+ T cells highly upregulates CD48
These CD48++ cells are enriched for pathogenic effector functions
CD48 polymorphisms have been linked to susceptibility to multiple sclerosis (MS)
The related protein CD58 (LFA-3) shows altered expression associated with MS remission
Hematological Malignancies:
CD48 is expressed on malignant plasma cells in 90% of multiple myeloma patient samples
CD48 serves as a tumor antigen that can be targeted by therapeutic approaches
Expression patterns may vary across different types of hematological malignancies
Implications for Therapy:
Anti-CD48 monoclonal antibodies can attenuate autoimmune responses
CD48-targeting antibody-drug conjugates show promise for treating multiple myeloma
CD48 expression patterns may serve as biomarkers for disease progression or therapeutic response
Understanding these dynamic changes in CD48 expression provides rational approaches for developing new therapeutic strategies across multiple disease contexts.
CD48 engages in several key molecular interactions that influence immune cell function:
CD48-CD2 Interactions:
CD2 serves as a ligand for CD48 in both mice and humans
This interaction contributes to adhesion between immune cells
Anti-CD48 antibodies can block CD48/CD2 interactions
Disruption of this interaction may inhibit T cell activation processes
CD48-CD244 Interactions:
In mice, CD244 (2B4) is a counter-receptor for CD48
This interaction regulates NK cell and T cell functions
Blocking this interaction with anti-CD48 antibodies can modulate immune responses
Functional Consequences:
The HM48-1 antibody can inhibit proliferative responses of mitogen-activated spleen cells
It can provide costimulation signals for T cells activated through their TCR
Anti-CD48 can prolong cardiac allograft survival in vivo
In EAE models, anti-CD48 antibodies limit pathogenic T cell accumulation in the CNS
These interactions make CD48 an important immunoregulatory molecule and potential therapeutic target in conditions involving dysregulated immune responses.
For optimal use of CD48 antibodies in flow cytometry, researchers should follow these methodological guidelines:
Sample Preparation:
Use freshly isolated cells when possible
Maintain proper temperature conditions during staining (typically 2-8°C)
Filter cell suspensions (0.2 μm) to remove aggregates prior to analysis
Antibody Titration:
For mouse studies: Use ≤0.125 μg of HM48-1 antibody per test
For human studies: Use ≤1 μg of eBio156-4H9 antibody per test
Final staining volume should be 100 μL
Cell concentration should range from 10^5 to 10^8 cells/test
Careful titration is essential for optimal signal-to-noise ratio
Instrument Setup:
For APC-conjugated CD48 antibodies: Use red laser (633-647 nm excitation)
For APC-eFluor 780 conjugates: Optimize detectors for far-red emission
Include proper compensation controls to address spectral overlap
Analysis Considerations:
Include appropriate isotype controls
Use FMO (Fluorescence Minus One) controls for accurate gating
When identifying HSCs, gate sequentially on CD48-negative population
Proper optimization of these parameters ensures reliable identification of CD48-expressing populations and accurate characterization of their biological properties.