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Updated: Apr 20, 2026

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Published on: January 20, 2023
The versatile roles of CARDs in regulating apoptosis, inflammation, and NF-κB signaling
Wen-Pin Kao1, Chao-Yu Yang, Tsung-Wei Su
1Genomics Research Center, Academia Sinica, Taipei, Taiwan.
Insights
The CARD subfamily, crucial for signaling pathways like NF-kB and apoptosis, contains 33 human proteins. This review classifies these CARD-containing proteins by structure, function, and complexes, clarifying their roles in signal transduction.
Area of Science:
- Cellular Biology
- Molecular Biology
- Immunology
Background:
- The CARD (caspase activation and recruitment domains) subfamily is the second largest in the DD superfamily.
- CARD-containing proteins regulate key signaling pathways including NF-kB activation, apoptosis, and inflammation.
- These proteins are essential for assembling signaling complexes like the apoptosome and inflammasome via CARD-CARD interactions.
Purpose of the Study:
- To update the classification of CARD-containing proteins using diverse schemes.
- To elucidate the structural and functional diversity of CARD-containing proteins.
- To provide an overview of CARD protein roles in signaling and therapeutic targets.
Main Methods:
- Review of existing literature and structural studies on CARD proteins.
- Classification of CARD-containing proteins based on domain structures, functions, and associated signaling complexes.
- Categorization of CARD-containing complexes into homodimeric, heterodimeric, oligomeric, filamentous, and CARD-ubiquitin complexes.
Main Results:
- A comprehensive classification of 33 human CARD-containing proteins is presented.
- Recent structural studies on CARDs and their complexes are summarized.
- CARD-containing complexes are categorized, highlighting their diverse assembly mechanisms.
Conclusions:
- Understanding CARD protein classification aids in comprehending their structural and functional diversity.
- CARD proteins play versatile roles in regulating signal transduction.
- This review offers insights into therapeutic strategies targeting CARD-containing proteins.
Abstract:
CARD subfamily is the second largest subfamily in the DD superfamily that plays important roles in regulating various signaling pathways, including but not limited to NF-kB activation signaling, apoptosis signaling and inflammatory signaling. The CARD subfamily contains 33 human CARD-containing proteins, regulating the assembly of many signaling complexes, including apoptosome, inflammsome, nodosome, the CBM complex, PIDDosome, the TRAF2 complex, and the MAVS signalosome, by homotypic CARD-CARD interactions. The mechanism of how CARDs find the right binding partner to form a specific complex remains unclear. This review uses different classification schemes to update the classification of CARD-containing proteins. Combining the classification based on domain structures, functions, associated signaling complexes, and roles would help better understand the structural and function diversity of CARD-containing proteins. This review also summarizes recent structural studies on CARDs. Especially, the CARD-containing complexes can be divided into the homodimeric, heterodimeric, oligomeric, filamentous CARD complexes and the CARD-ubiquitin complex. This review will give an overview of the versatile roles of CARDs in regulating signaling transduction, as well as the therapeutic drugs targeting CARD-containing proteins.
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