The CD40/CD40L system: a new therapeutic target for disease

Immunol Lett. 2013 Jun;153(1-2):58-61. doi: 10.1016/j.imlet.2013.07.005. Epub 2013 Jul 25.

Abstract

The role of CD40/CD40 ligand (CD40L) interactions in atherothrombosis, in the response of the immune system to pathogens and in thrombosis is now widely accepted. A role for CD40-CD40L interactions has been identified in atherosclerosis (AS), and such interactions are known to destabilize atherosclerotic plaques by inducing the expression of cytokines, chemokines, growth factors, matrix metalloproteinases and pro-coagulant factors. CD40/CD40L interactions have also been implicated in immune system disorders. Recent studies have suggested that CD40/CD40L interactions regulate oxidative stress and affect various signaling pathways in both the immunological and the cardiovascular systems. Here, we discuss the current drugs that target the CD40/CD40L system, as understanding the roles and regulations of CD40/CD40L-mediated signal pathways by these drugs could facilitate the development of therapeutics that target diverse diseases.

Keywords: CD40/CD40L; Clopidogrel; Monoclonal antibodies (mAbs); SGN-40; Statins.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Atherosclerosis / drug therapy*
  • Atherosclerosis / immunology
  • Atherosclerosis / metabolism
  • CD40 Antigens / antagonists & inhibitors
  • CD40 Antigens / metabolism*
  • CD40 Ligand / antagonists & inhibitors
  • CD40 Ligand / metabolism*
  • Cytokines / biosynthesis
  • Cytokines / metabolism
  • Humans
  • Oxidative Stress / drug effects
  • Oxidative Stress / immunology
  • Reactive Oxygen Species / metabolism
  • Signal Transduction / drug effects
  • Signal Transduction / immunology
  • Thrombosis / drug therapy*
  • Thrombosis / immunology
  • Thrombosis / metabolism

Substances

  • CD40 Antigens
  • Cytokines
  • Reactive Oxygen Species
  • CD40 Ligand