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Updated: Oct 15, 2025

Evidence for EpCAM and Cytokeratin Expressing Epithelial Cells in Normal Human and Murine Blood and Bone Marrow
Published on: April 21, 2023
Epithelial cells remove precancerous cells by cell competition via MHC class I-LILRB3 interaction
Shiyu Ayukawa1, Nagisa Kamoshita2, Jun Nakayama1
1Department of Life Science and Medical Bioscience, School of Advanced Science and Engineering, Waseda University, Tokyo, Japan.
Epithelial cells use cell competition to eliminate precancerous cells. A protein called LILRB3 on normal cells recognizes MHC class I on transformed cells, triggering a pathway that mechanically ejects them.
Area of Science:
- Cell biology
- Immunology
- Cancer research
Background:
- Epithelial cells possess a cell competition mechanism for immune surveillance.
- The precise molecular mechanisms by which epithelial cells recognize and extrude precancerous cells remain largely unknown.
Purpose of the Study:
- To elucidate the molecular pathway and receptor-ligand interactions involved in epithelial cell competition against transformed cells.
Main Methods:
- Investigated the role of leukocyte immunoglobulin-like receptor B3 (LILRB3) in cell competition.
- Utilized assays to detect interactions between LILRB3 and major histocompatibility complex class I (MHC class I).
- Analyzed signaling pathways including SHP2-ROCK2 and mechanical force generation in extruded cells.
Main Results:
- Identified LILRB3 on non-transformed epithelial cells as a receptor for highly expressed MHC class I on transformed cells.
- Demonstrated that MHC class I-LILRB3 interaction activates the SHP2-ROCK2 pathway, generating mechanical force for extrusion.
- Showcased that transformed cell removal is independent of natural killer (NK) cells or CD8+ cytotoxic T cells.
Conclusions:
- Discovered a novel mechanism where an immunological ligand-receptor system in non-immune epithelial cells generates mechanical force to extrude precancerous cells.
- This pathway represents a new mode of immune surveillance within epithelial layers, distinct from adaptive or innate immune cell activity.
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