CD5L exhibits multifaceted roles in immune regulation and metabolic processes:
M2 Polarization: CD5L drives macrophages toward an anti-inflammatory (M2) phenotype via autophagy and ID3 transcription factor upregulation .
Apoptosis Inhibition: Blocks Fas ligand-induced apoptosis by 70–90% (ED₅₀: 1–4 µg/mL) in macrophages, T cells, and NK cells .
Foam Cell Formation: Promotes oxidized LDL uptake in macrophages, accelerating atherosclerotic plaque development .
Lipolysis Regulation: Inhibits fatty acid synthase (FASN) in adipocytes, reducing lipid droplet size .
Pattern Recognition: Binds bacterial lipoteichoic acid (Gram-positive) and lipopolysaccharide (Gram-negative) for opsonization .
Atherosclerosis: CD5L sustains foam cell survival, exacerbating plaque formation .
Chronic Kidney Disease (CKD): Elevated serum CD5L predicts cardiovascular events (HR: 1.81) and all-cause mortality (HR: 1.64) in CKD patients .
Prognostic Marker: High CD5L correlates with 28-day mortality in sepsis .
Therapeutic Target: CD5L-neutralizing antibodies reduce inflammation in murine sepsis models .
Tumor-Associated Macrophages (TAMs): CD5L overexpression in TAMs correlates with poor prognosis in lung adenocarcinoma .
Immunotherapy: Anti-CD5L monoclonal antibodies reduce tumor growth in preclinical models .
Macrophage Polarization
Atherogenesis
Cancer Immunotherapy
CD5L’s dual role as a pro-survival factor and inflammation modulator positions it as a promising therapeutic target. Ongoing research focuses on:
CD5L, also known as CD5 antigen-like or apoptosis inhibitor of macrophages (AIM), is a secreted glycoprotein of approximately 50 kDa belonging to the scavenger receptor cysteine-rich (SRCR) group B family of proteins . The human CD5L protein is encoded by a cDNA that produces a 347 amino acid precursor containing a 19 amino acid signal sequence followed by three SRCR domains . These domains are characteristic of group B SRCR proteins, with each domain encoded by a single exon . Among SRCR family proteins, CD5L shares approximately 18% amino acid sequence identity with CD5 and 31% with CD6, indicating evolutionary relationships while maintaining distinct functions .
CD5L is expressed on the surface of various immune cells, including T cells, B cells, and natural killer cells . It is particularly upregulated in macrophages at inflammatory sites, where it plays a role in sustaining inflammatory reactions . Immunohistochemical analysis of human spleen using affinity-purified polyclonal antibodies has demonstrated that CD5L is specifically localized to lymphocytes . The protein's expression is regulated by nuclear hormone receptors, with agonists of LXR and RXR inducing CD5L upregulation in macrophages .
CD5L induces autophagy in human macrophages through several interconnected pathways:
PtdIns3K Activation: CD5L activates phosphatidylinositol 3-kinase (PtdIns3K), specifically the catalytic subunit PIK3C3, which is a key modulator involved in autophagy initiation . Inhibition of PtdIns3K reverses the inhibitory effect of CD5L on TNF secretion, confirming this pathway's significance .
CD36-Dependent Signaling: The induction of autophagy mechanisms by CD5L is achieved through cell-surface scavenger receptor CD36, a multiligand receptor expressed in various cell types . siRNA experiments in THP1 macrophages have confirmed this CD5L-CD36 axis is essential for autophagy induction .
Autophagy Marker Enhancement: CD5L treatment leads to enhancement of autophagy markers including increased cellular LC3-II content, increased LC3 puncta, and LC3-LysoTracker Red colocalization . Electron microscopy has confirmed an increased presence of cytosolic autophagosomes in THP1 macrophages overexpressing CD5L .
This autophagy induction has significant functional consequences, as it modulates the macrophage inflammatory response, inhibiting TNF and IL1B secretion while enhancing IL10 secretion . This anti-inflammatory pattern is reversed upon silencing of autophagy protein ATG7 by siRNA transfection, further confirming the mechanism .
CD5L plays a critical protective role in experimental sepsis as demonstrated through cecal ligation and puncture (CLP) mouse models:
Parameter | CD5L-Deficient Mice | Wild-Type Mice | Significance |
---|---|---|---|
Survival Rate | <40% | 100% | p<0.001 |
Weight Loss | Severe | Moderate | p<0.05 |
Blood Bacteremia (72h post-CLP) | High | >10,000-fold lower CFU counts | p<0.001 |
Neutrophil Recruitment | Significantly reduced | Normal | p<0.05 |
Organ Bacterial Loads | Significantly higher in lungs, liver, kidneys | Controlled | p<0.05 |
CD5L-deficient mice showed dramatically increased susceptibility to medium-grade CLP surgical procedures, with more than 60% of CD5L-deficient mice succumbing to disease, compared to 100% survival in wild-type mice . These knockout mice exhibited greater weight loss, elevated blood bacteremia 72 hours after CLP, and significantly higher bacterial counts in lungs, liver, and kidneys .
Additionally, leukocyte recruitment to the infection site was delayed in CD5L-deficient mutants, with significantly reduced numbers of recruited neutrophils compared to wild-type mice . These findings establish CD5L as a critical factor in host defense against polymicrobial sepsis, potentially through regulation of neutrophil recruitment and bacterial clearance mechanisms.
In healthy individuals, most circulating CD5L exists in a covalently bound complex with pentameric immunoglobulin M (IgM) . This complex formation is significant because:
Mutual Regulation: Within this complex, both components (CD5L and IgM) reciprocally regulate each other's activity .
Functional Distinction: The biological activity of CD5L differs between its free form and IgM-bound form. Most quantitation assays cannot distinguish between these forms, which complicates the interpretation of serum CD5L measurements .
Immunological Activity: The free form of CD5L is considered immunologically active, while the IgM-complexed form is relatively inactive .
This relationship has important implications for CD5L research and potential therapeutic applications, as strategies to either enhance free CD5L levels or modulate the CD5L-IgM interaction could provide novel approaches to immune regulation .
For accurate detection and quantification of CD5L in human samples, researchers should consider the following methodological approaches:
ELISA-Based Quantification: Human CD5L ELISA kits are available that can quantitate human CD5L in serum, plasma, and cell culture supernatants . These assays exclusively recognize both natural and recombinant human CD5L forms . When selecting an ELISA kit, researchers should be aware of the variability between different commercial assays and standardize their approach within a study.
Immunohistochemical Detection: For tissue localization studies, immunohistochemistry using specific antibodies such as goat anti-human CD5L antigen affinity-purified polyclonal antibodies has been successfully employed . The recommended protocol includes:
Free vs. IgM-Bound CD5L Distinction: To differentiate between free and IgM-bound CD5L, which is crucial for functional studies, specialized methodologies are required as most standard assays cannot make this distinction . Approaches may include:
Size-exclusion chromatography to separate high molecular weight complexes
Immunoprecipitation with anti-IgM antibodies followed by CD5L detection
Competitive binding assays that distinguish occupied versus free CD5L
Storage and Handling of Reagents: For optimal results, antibodies and detection reagents should be stored appropriately:
Based on the current literature, the following experimental models have proven effective for investigating CD5L functions:
Cell Culture Models:
Animal Models:
CD5L-deficient (CD5L−) mice: Essential for loss-of-function studies, particularly in infection and inflammation contexts
Cecal ligation and puncture (CLP) murine model: The gold standard for studying experimental sepsis and CD5L's role in host defense
Administration of recombinant CD5L (rCD5L): Used to investigate potential therapeutic applications, with defined protocols for both intraperitoneal (IP) and intravenous (IV) administration routes
Infection Models:
Experimental Readouts:
CD5L shows significant potential as a therapeutic target in inflammatory conditions, particularly sepsis, based on the following evidence:
Protective Effects in Sepsis Models: Administration of recombinant CD5L (rCD5L) provides protection in experimental sepsis models . When administered either intraperitoneally or intravenously, rCD5L significantly improved survival outcomes in cecal ligation and puncture (CLP) models .
Modulation of Inflammatory Cytokines: CD5L treatment has been shown to:
Inhibit TNF secretion in response to bacterial surface molecules like lipopolysaccharide (LPS) and lipoteichoic acid (LTA)
Enhance IL10 secretion, an anti-inflammatory cytokine
This cytokine modulation profile supports CD5L's potential in treating conditions characterized by dysregulated inflammation.
Induction of Autophagy: The ability of CD5L to induce autophagy in macrophages presents a novel therapeutic mechanism . Autophagy has been implicated in the resolution of inflammation and improved outcomes in several inflammatory conditions.
Differential Impact on Pathogen Response: CD5L promotes the survival of infected macrophages and improves antimicrobial functions in bacterial infection models, including Listeria monocytogenes infection . This suggests potential applications in infectious disease management.
Despite promising preclinical evidence, several challenges must be addressed in developing CD5L-based therapeutics:
Context-Dependent Effects: CD5L can have opposing effects depending on the disease context. While it helps fight infection and resolve inflammation in some contexts, it can be detrimental in others . For example, in a mouse model of atherosclerosis, CD5L-mediated survival of macrophage-derived foam cells resulted in increased inflammation and more advanced atherosclerotic lesions .
Complexation with IgM: Most circulatory CD5L is covalently bound to pentameric IgM, forming a stable complex in which both components reciprocally regulate each other's activity . Therapeutic strategies would need to account for this interaction and potentially focus on enhancing free, immunologically active CD5L.
Variability in Baseline Levels: The considerable variability in CD5L concentrations among individuals (ranging from 0.1 to 60 μg/ml) complicates dosing strategies and efficacy predictions . Personalized approaches may be necessary.
Delivery and Pharmacokinetics: As a protein therapeutic, CD5L faces challenges related to delivery, stability, and immunogenicity. Determining optimal administration routes, dosing schedules, and formulations would be crucial for clinical translation.
Target Specificity: CD5L interacts with multiple cellular receptors and pathways, including CD36 and various signaling cascades . Achieving targeted modulation of specific pathways while minimizing off-target effects presents a significant challenge in therapeutic development.
CD5L functions as a pattern recognition receptor (PRR), which is characteristic of the scavenger receptor cysteine-rich (SRCR) family to which it belongs . Its PRR activities include:
Understanding these pattern recognition functions provides insight into CD5L's role in orchestrating immune responses and offers potential targets for therapeutic intervention in inflammatory and infectious diseases.
Recent experimental approaches have significantly expanded our understanding of CD5L biology:
Transcriptomic Analysis: Advanced RNA sequencing has revealed that CD5L deficiency alters the expression of genes involved in interferon responses, TNF-α signaling, and IL-6/JAK/STAT3 pathways during polymicrobial infection . This systems biology approach has provided new insights into CD5L's regulatory network.
Time-Course Analysis of Therapeutic Interventions: Structured temporal analysis of CD5L treatment effects (at 6h and 24h post-CLP) has enhanced understanding of the progression of infection and immune responses following therapeutic intervention . This approach allows for more precise targeting of specific disease phases.
Multi-Organ Assessment: Comprehensive evaluation of bacterial burden, leukocyte infiltration, cytokine profiles, and histopathology across multiple organs (peritoneum, blood, lungs, liver, kidneys) has provided a more complete picture of CD5L's systemic effects .
Combination with Autophagy Research: Integration of CD5L research with autophagy mechanisms has revealed novel connections between immune regulation and cellular homeostasis . The identification of CD36 as a mediator of CD5L-induced autophagy represents the first evidence linking this receptor to autophagy pathways .
The CD5 molecule-like protein, also known as CD5L, is a significant glycoprotein that plays a crucial role in the immune system. It is part of the scavenger receptor cysteine-rich (SRCR) group B family of proteins. This article delves into the background, structure, function, and applications of the human recombinant CD5L protein.
CD5L is involved in various immune responses. It is known for its ability to inhibit apoptosis, particularly in macrophage cells. The protein achieves this by interacting with other molecules on the cell surface, thereby preventing programmed cell death . Additionally, CD5L has been shown to play a role in the regulation of lipid metabolism and the immune response to pathogens.
The recombinant form of CD5L is produced using advanced biotechnological methods. It is typically derived from mouse myeloma cell lines and is available in a carrier-free form to avoid interference with experimental results . The recombinant protein is used in various research applications, including: