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Updated: May 13, 2026

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
Caspase recruitment domain-containing protein 9 signaling in innate immunity and inflammation
1Institut für Klinische Chemie und Pathobiochemie, Klinikum rechts der Isar, Technische Universität München, 81675 Munich, Germany.
Insights
Caspase recruitment domain-containing protein 9 (Card9) is crucial for innate immunity, linking pattern recognition receptors to inflammatory pathways. Its dysfunction is linked to inflammatory diseases, highlighting its therapeutic potential.
Area of Science:
- Immunology
- Molecular Biology
- Cell Signaling
Background:
- Caspase recruitment domain-containing protein 9 (Card9) is a key adapter protein in innate immunity.
- Card9 forms signaling complexes with Bcl10 and Malt1, linking C-type lectin receptors and intracellular sensors to inflammatory responses.
- Card9 signaling is vital for recognizing fungal, bacterial, and viral pathogens, ensuring host protection.
Purpose of the Study:
- To review the molecular regulation and physiological functions of Card9 in host defense and immune homeostasis.
- To discuss the role of Card9 in inflammatory diseases.
- To provide a framework for therapeutic targeting of Card9 signaling in immune-mediated diseases.
Main Methods:
- Literature review and synthesis of existing research on Card9 function.
- Analysis of Card9's role in innate immune signaling pathways.
- Examination of Card9 polymorphisms and their association with human diseases.
Main Results:
- Card9 is essential for assembling signaling complexes that mediate inflammatory responses.
- Card9 integrates signals from various pattern recognition receptors, including C-type lectin receptors, RLRs, and Nod2.
- Card9 polymorphisms are frequently linked to inflammatory conditions, underscoring its clinical relevance.
Conclusions:
- Card9 plays a critical role in host defense against microbial infections and maintaining immune homeostasis.
- Dysregulation of Card9 signaling contributes to inflammatory diseases.
- Card9 represents a promising therapeutic target for immune-mediated diseases.
Abstract:
Caspase recruitment domain-containing protein (Card)9 is a nonredundant adapter protein that functions in the innate immune system in the assembly of multifunctional signaling complexes. Together with B cell lymphoma (Bcl)10 and the paracaspase, mucosa-associated lymphoid tissue lymphoma translocation protein (Malt)1, Card9 links spleen-tyrosine kinase (Syk)-coupled C-type lectin receptors to inflammatory responses. Card9 signaling also responds to intracellular danger sensors, such as retinoic acid-inducible gene 1 (RIG-I)-like receptors (RLRs) and nucleotide-oligomerization domain (Nod)2. Card9 complexes are engaged upon fungal, bacterial, or viral recognition, and they are essential for host protection. Moreover, Card9 polymorphisms are commonly associated with human inflammatory diseases. Here, we discuss the molecular regulation and the physiological functions of Card9 in host defense and immune homeostasis, and provide a framework for the therapeutic targeting of Card9 signaling in immune-mediated diseases.
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