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Published on: March 28, 2025
Targeting the CD31 immunometabolic axis: Precision strategies for modulating T cell activation, migration, and
Xumeng Han1, Feng Yang2, Chaoyuan Huang3
1Hong Kong Traditional Chinese Medicine Phenome Research Centre, Hong Kong Baptist University, Hong Kong, China.
Insights
CD31 (PECAM-1) regulates immune cell energy use and T-cell responses, impacting metabolic diseases. Modulating CD31 offers potential therapeutic strategies for metabolic inflammation.
Area of Science:
- Immunology
- Metabolic disease research
- Vascular biology
Background:
- CD31 (PECAM-1) is expressed on immune cells, platelets, and endothelial cells.
- It plays a role in immune activation thresholds and cellular energy coordination.
- CD31 is implicated in pathways relevant to metabolic disorders.
Purpose of the Study:
- To review the role of CD31 in immunometabolic pathways.
- To explore CD31's function in regulating T-cell activation, migration, and metabolism.
- To discuss CD31's involvement in inflammation associated with obesity, diabetes, and atherosclerosis.
Main Methods:
- Literature review synthesizing evidence on CD31's function.
- Analysis of CD31's role in T-cell immunometabolism.
- Examination of CD31-dependent signaling at the vascular-immune interface.
Main Results:
- CD31 restrains T-cell activation and guides migration.
- It balances glycolysis and mitochondrial function for T-cell metabolic reprogramming.
- CD31 signaling influences tissue inflammation in metabolic diseases.
Conclusions:
- CD31 is a key regulator of immunometabolic pathways.
- Both membrane CD31 and soluble sCD31 show potential as biomarkers and therapeutic targets.
- Addressing pathway complexity and variability is crucial for clinical translation of CD31-targeted therapies.
Abstract:
CD31 (PECAM-1) is broadly expressed on endothelial cells, platelets, and immune cells, where it helps set thresholds for immune activation and coordinates energy use. This Review synthesizes evidence that CD31 is a key regulator of immunometabolic pathways relevant to metabolic disease. We outline how CD31 restrains T-cell activation, guides T-cell migration, and adjusts metabolic reprogramming by balancing glycolysis with mitochondrial function to fine-tune effector responses. We also describe how CD31-dependent signaling at the vascular-immune interface shapes tissue inflammation in obesity, diabetes, and atherosclerosis. Both membrane CD31 and its soluble form (sCD31) show promise as biomarkers and as therapeutic entry points, and we summarize emerging strategies to modulate this pathway. We highlight outstanding challenges including pathway complexity, context dependence, and inter-individual variability that must be addressed to achieve clinical translation. By linking molecular mechanisms to disease phenotypes, this Review positions CD31 as a unifying node connecting vascular and immune control with metabolism, pointing to testable avenues for precision treatment of metabolic inflammation.
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