CD36 antibodies target the CD36 glycoprotein, a class B scavenger receptor (SR-B3) involved in lipid metabolism, immune regulation, and pathogen recognition . These antibodies are critical tools for studying atherosclerosis, Alzheimer’s disease, malaria susceptibility, and platelet disorders .
MAIPA assay optimization:
Clinical impact: Enhanced detection of antibodies in transfusion-related lung injury (TRALI) and fetal-neonatal alloimmune thrombocytopenia (FNAIT) .
In vivo studies: Anti-CD36 antibodies blunt TLR2/IRF7 signaling in neonatal microglia, reducing LPS-induced TNF-α (↓57%), IL-1β (↓63%), and IL-6 (↓71%) .
Human microglia: CD36 blockade suppresses iNOS and Iba1 expression, suggesting anti-inflammatory potential .
Interference in blood screening: Anti-CD36 causes false positives in RBC antibody panels, necessitating recombinant CD36 testing .
Glycosylation dependency: Antibody binding requires native glycosylation states, complicating in vitro studies .
CD36 is a member of the class B scavenger receptor family expressed on multiple cell types including microvascular endothelium, adipocytes, skeletal muscle, epithelial cells of the retina, breast, and intestine, smooth muscle cells, erythroid precursors, platelets, megakaryocytes, dendritic cells, and monocytes/macrophages . Functionally, CD36 serves as a multiligand pattern recognition receptor that interacts with numerous structurally dissimilar ligands. It plays critical roles in lipid metabolism as a fatty acid translocase necessary for the binding and transport of long-chain fatty acids (LCFAs) . Additionally, CD36 contributes to the clearance of apoptotic cells and cell debris, mediates the anti-angiogenic effects of thrombospondin-1, and transduces signals leading to pro-inflammatory cellular responses upon ligand binding .
CD36 antibodies vary in their binding specificity based on the epitope they recognize. For example, some antibodies like the monoclonal antibody eBioNL07 (NL07) recognize specific regions of human CD36 and are particularly suitable for flow cytometric analysis . The specificity of anti-CD36 antibodies can be determined through competition assays, where researchers can assess whether different antibodies compete for the same binding site. Recent research has identified novel anti-CD36 single-chain variable fragments (scFvs), such as D11, that compete with commercial anti-CD36 antibodies with proven efficacy in disease models . When selecting a CD36 antibody, researchers should consider which domain of CD36 they wish to target, as different domains mediate interactions with different ligands (e.g., the CLESH domain interacts with thrombospondin-1) .
Researchers should account for the broad and varied expression pattern of CD36 across multiple cell types. CD36 is expressed on microvascular (but not large vessel) endothelium, adipocytes, skeletal muscle, dendritic cells, epithelia of the retina, breast, and intestine, smooth muscle cells, and hematopoietic cells including erythroid precursors, platelets, monocytes/macrophages, and megakaryocytes . Of particular note, expression on platelets is absent in Nakᵃ negative donors . This diverse expression pattern means that researchers must carefully select appropriate cell types and controls for their experiments, especially when studying CD36 in complex tissues or in vivo models. Additionally, CD36 expression levels may change under different pathological conditions, such as atherosclerosis or cancer, which should be considered when designing experiments to study disease mechanisms .
For flow cytometric analysis of CD36 expression, researchers should follow these methodological guidelines:
Titrate the antibody carefully to determine optimal concentration. For example, the eBioNL07 (NL07) antibody can be used at ≤0.5 μg per test, where a test is defined as the amount of antibody that will stain a cell sample in a final volume of 100 μL .
Determine appropriate cell numbers empirically, typically ranging from 10⁵ to 10⁸ cells/test .
Include proper controls, including isotype controls and known CD36-positive and CD36-negative samples.
When analyzing platelets or monocytes/macrophages, be aware that CD36 expression levels may vary based on activation state.
For multicolor flow cytometry, select fluorophores with minimal spectral overlap and perform compensation controls.
Optimal results require antibodies with high purity (>90% as determined by SDS-PAGE) and low aggregation (<10% as determined by HPLC) . Post-manufacturing filtration (0.2 μm) ensures consistency in results .
For effective Western blot detection of CD36, researchers should consider the following protocol:
Sample preparation: When working with tissue samples such as placenta or platelets, ensure proper lysis under reducing conditions using appropriate buffer systems (e.g., Immunoblot Buffer Group 1) .
Antibody concentration: Use approximately 1 μg/mL of anti-human CD36/SR-B3 antibody, followed by appropriate HRP-conjugated secondary antibody .
Expected bands: Be aware that glycosylation affects the apparent molecular weight of CD36. Researchers should expect to detect bands at approximately:
Loading control: Include appropriate loading controls based on your sample type.
The variation in molecular weight (85-140 kDa) is due to post-translational modifications, particularly glycosylation, which can differ between tissue types .
CD36 antibodies can be powerful tools for studying lipid metabolism in cellular models through the following methodological approaches:
Blocking experiments: Anti-CD36 antibodies can block the uptake of CD36 ligands. For example, the D11 scFv reduces lipid accumulation in macrophage-like THP-1 cells and HepG2 cells by blocking CD36-mediated lipid uptake .
Phenotypic assays: After antibody treatment, researchers can assess:
Competitive binding assays: Determine if antibodies block specific ligand interactions (e.g., oxLDL, fatty acids) by pre-incubating cells with antibodies before adding labeled ligands.
Comparison with genetic approaches: Compare antibody-mediated blockade with genetic knockdown/knockout of CD36 to distinguish between acute vs. chronic loss of CD36 function.
In THP-1 macrophage models, anti-CD36 antibodies have been shown to impair the acquisition of foam cell phenotype induced by oxLDL, decreasing both lipid droplet content and the expression of lipid metabolism genes . Similarly, in HepG2 cells, anti-CD36 antibodies reduce lipid accumulation and the enhanced clonogenicity stimulated by palmitate .
Anti-CD36 has been confirmed to interfere with red blood cell (RBC) antibody screening, a phenomenon previously only suspected but recently confirmed through research presented at the AABB Plenary Oral Abstract Session . This interference presents a significant challenge in immunohematology testing, particularly in obstetrical settings. To address this interference:
Detection method: When anti-CD36 interference is suspected, researchers should use recombinant CD36 protein (rCD36p) testing to confirm antibody specificity .
Implementation strategy: The rCD36p test is described as inexpensive, easy-to-use, and effective not only for confirming anti-CD36 specificity but also for detecting potential underlying RBC alloantibodies of common specificity that might be masked by anti-CD36 .
Patient populations: This testing is particularly important for pregnant individuals, as anti-CD36 has been associated with severe fetal/neonatal thrombocytopenia .
Research based on blood samples from 105 patients (99 women, 76 in obstetrical settings; and six men) with suspected anti-CD36 showed that patients' plasma reactivity could be fully neutralized with rCD36p, confirming the specificity of the antibody and its interference with standard screening methods .
The development of therapeutic anti-CD36 antibodies requires careful attention to several key factors:
Epitope selection: Target specific domains of CD36 based on the pathology being addressed. For example, targeting the domain responsible for oxLDL binding in atherosclerosis or the domain involved in fatty acid transport in metabolic disorders.
Antibody format: Consider different formats beyond traditional antibodies. The development of single-chain variable fragments (scFvs) like D11 offers advantages in terms of tissue penetration and potential for further engineering .
Competition with natural ligands: Assess whether the antibody effectively competes with disease-relevant CD36 ligands. For instance, D11 scFv competes with a commercial anti-CD36 antibody with proven efficacy in disease models .
Functional validation: Evaluate the antibody's ability to block pathological processes in relevant cellular models. For example:
Potential off-target effects: Given CD36's broad expression pattern, assess potential impacts on normal physiological functions in multiple tissues.
Recent research has identified human anti-CD36 scFvs with therapeutic potential that effectively block CD36 and reduce pathogenic features induced by CD36 ligands, suggesting promise for the development of therapeutic proteins targeting CD36 in diseases such as atherosclerosis and cancer .
Differentiating between effects of various CD36 ligands requires sophisticated experimental designs:
Domain-specific antibodies: Use antibodies that target specific domains of CD36 known to interact with particular ligands. For example, antibodies targeting the CLESH domain would specifically block thrombospondin-1 interactions without affecting fatty acid transport .
Competitive binding assays: Perform assays where labeled and unlabeled ligands compete for CD36 binding in the presence/absence of specific antibodies to determine binding site overlap.
Phenotypic readouts: Develop assays that measure ligand-specific cellular responses:
For fatty acids: measure lipid droplet formation and expression of lipid metabolism genes
For oxLDL: assess foam cell formation and inflammatory cytokine production
For thrombospondin-1: evaluate angiogenesis inhibition
Combined approaches: Use antibodies in combination with specific ligand competitors or in cells with CD36 mutations affecting specific ligand-binding domains.
By carefully designing these experiments, researchers can determine whether an antibody blocks specific ligand interactions or has broader inhibitory effects across multiple CD36 functions .
Improving specificity when working with CD36 antibodies in complex tissues requires:
Antibody validation: Confirm antibody specificity using positive controls (tissues known to express CD36) and negative controls (CD36-knockout tissues or cells) .
Blocking peptides: Use recombinant CD36 proteins to pre-absorb antibodies and confirm binding specificity; non-specific binding will remain after pre-absorption .
Multiple antibody approach: Use more than one antibody targeting different CD36 epitopes to confirm findings.
Background reduction techniques:
For immunohistochemistry: Optimize blocking solutions (use sera from species different from both primary and secondary antibodies)
For Western blot: Increase washing steps and optimize blocking conditions
Signal amplification methods: For tissues with low CD36 expression, consider tyramide signal amplification or other signal enhancement approaches.
Antigen retrieval optimization: For fixed tissues, test multiple antigen retrieval methods to maximize epitope accessibility while maintaining tissue morphology.
When working with complex samples like human placenta tissue, using validated antibodies at optimized concentrations (e.g., 1 μg/mL for Western blot) helps ensure specific detection of CD36 bands at the expected molecular weights .
CD36 is heavily glycosylated, and this glycosylation pattern varies across different cell types, affecting antibody binding and apparent molecular weight. Researchers should:
Expect molecular weight variation: CD36 may appear at different molecular weights depending on the tissue source:
Deglycosylation controls: Include enzymatic deglycosylation (PNGase F treatment) of some samples to confirm that bands of different molecular weights represent the same core protein.
Selection of appropriate antibodies: Choose antibodies that recognize epitopes less affected by glycosylation, typically those binding to amino acid sequences rather than glycan structures.
Cell-type specific protocols: Optimize extraction and detection protocols for each cell type or tissue being studied.
Documentation: Clearly document the apparent molecular weight observed in each tissue type to facilitate comparison with published literature.
This variability in glycosylation not only affects detection but may also have functional implications, as glycosylation can influence CD36 ligand binding properties and cellular localization .
Common pitfalls in flow cytometry with anti-CD36 antibodies include:
Suboptimal antibody concentration: Titrate antibodies carefully for each application. For example, eBioNL07 (NL07) antibody should be used at ≤0.5 μg per test, with empirical determination of optimal concentration .
Inadequate controls: Always include:
Isotype controls to assess non-specific binding
FMO (fluorescence minus one) controls for multicolor panels
Known positive and negative cell populations
Cell activation during preparation: CD36 expression can change with cell activation; use gentle cell preparation methods and keep cells cold to minimize activation.
Interference from soluble CD36: In some samples, particularly plasma from patients with metabolic disorders, soluble CD36 may bind antibodies and reduce staining intensity.
Autofluorescence: Macrophages and foam cells often exhibit high autofluorescence; use appropriate compensation and consider fluorophores with emission spectra distinct from cellular autofluorescence.
CD36 internalization: Antibody binding may trigger CD36 internalization; perform kinetic studies to determine optimal staining times.
To avoid these issues, ensure high antibody purity (>90% as determined by SDS-PAGE) and low aggregation (<10% as determined by HPLC), and use post-manufacturing filtered (0.2 μm) antibodies for consistent results .
Recent research has proposed that CD36 could become a novel erythroid blood group system, though more work is needed to support this classification . CD36 antibodies play a crucial role in this emerging research area:
Detection of CD36 on erythroid cells: Antibodies help characterize CD36 expression patterns on erythroid precursors and mature red blood cells in different individuals.
Interfering antibodies in clinical settings: Anti-CD36 antibodies have been shown to interfere with red blood cell antibody screening, particularly significant in obstetrical settings .
Population studies: Antibodies enable large-scale studies of CD36 polymorphisms across different populations, essential for establishing a new blood group system.
Neutralization assays: Research has demonstrated that patient plasma reactivity containing anti-CD36 can be fully neutralized with recombinant CD36 protein (rCD36p), confirming antibody specificity .
Clinical implications: The association of anti-CD36 with severe fetal/neonatal thrombocytopenia underscores the importance of this research for maternal-fetal medicine .
Future research using CD36 antibodies will likely focus on characterizing additional CD36 polymorphisms, establishing standardized testing protocols, and further investigating the clinical significance of anti-CD36 in transfusion medicine and maternal-fetal compatibility .
Recent research has made significant progress in developing human anti-CD36 scFvs with therapeutic potential:
Novel anti-CD36 scFv identification: Researchers have identified an anti-CD36 scFv called D11 that competes with commercial anti-CD36 antibodies with proven efficacy in disease models .
Binding characteristics: D11 binds to CD36 expressed on cell membranes and effectively reduces the uptake of CD36 ligands in cellular models .
Functional effects in disease models:
Therapeutic potential: By reducing the acquisition of pathogenic features induced by CD36 ligands, D11 could support the development of therapeutic proteins targeting CD36 in diseases such as atherosclerotic cardiovascular disease and cancer .
Advantages of scFv format: The single-chain variable fragment format offers benefits including smaller size for better tissue penetration, potential for further engineering into various antibody formats, and possibly reduced immunogenicity compared to full antibodies .
These advances suggest promising directions for developing CD36-targeted therapeutics for conditions where CD36 overexpression contributes to disease pathology, including atherosclerosis, certain cancers, and metabolic disorders .
CD36 antibodies provide valuable tools for investigating CD36's role in tumor metabolism and immune responses:
Tumor metabolism studies:
Use blocking antibodies to inhibit fatty acid uptake in tumor cells and assess effects on growth, survival, and metastatic potential
Combine with metabolic tracers to quantify how CD36 blockade alters tumor metabolic profiles
Investigate clonogenicity assays, as recent research shows anti-CD36 antibodies can reduce the enhanced clonogenicity stimulated by palmitate in HepG2 cells
Tumor microenvironment analysis:
Apply multicolor flow cytometry with CD36 antibodies to characterize CD36 expression on different cell populations within tumors
Use immunohistochemistry with anti-CD36 antibodies to map CD36 distribution in relation to hypoxic regions, metabolic gradients, and immune infiltrates
Immune response investigations:
Employ CD36 antibodies to study how CD36-mediated uptake of oxidized lipids affects macrophage polarization and function
Investigate dendritic cell antigen presentation after CD36 blockade
Assess how CD36-dependent lipid uptake influences T cell activation and function in the tumor microenvironment
Therapeutic combination approaches:
Test combinations of CD36 antibodies with immune checkpoint inhibitors
Evaluate CD36 blockade in combination with metabolic inhibitors targeting complementary pathways