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Published on: September 27, 2013
Role of CD47 in erythroid cells and in autoimmunity
1Department of Integrative Medical Biology, Section for Histology and Cell Biology, Umeå University, SE-901 87 Umeå, Sweden. per-arne.oldenborg@histocel.umu.se
Insights
CD47 on red blood cells acts as a "self" marker, preventing immune cells like macrophages from destroying them. This interaction is crucial for maintaining cell integrity and preventing autoimmune destruction.
Area of Science:
- Immunology
- Cell Biology
- Hematology
Background:
- CD47, initially known as Integrin-associated protein (IAP), regulates integrin responses.
- CD47 is widely expressed, with functions extending beyond integrin activation.
- This review focuses on CD47's specific roles within erythrocytes.
Purpose of the Study:
- To review the multifaceted roles of CD47 in erythrocytes.
- To elucidate CD47's function in maintaining erythrocyte membrane integrity.
- To explore CD47's role as a "self" marker and its interaction with SIRPalpha.
Main Methods:
- Literature review focusing on CD47 function in erythrocytes.
- Analysis of CD47's interaction with the band 3 and Rh complexes.
- Examination of the CD47-SIRPalpha inhibitory pathway.
Main Results:
- CD47 is vital for linking the band 3 and Rh complexes, maintaining erythrocyte membrane integrity.
- CD47 functions as a "self" signal on erythrocytes, binding to the SIRPalpha receptor.
- This interaction inhibits phagocytosis of CD47-expressing cells by macrophages and dendritic cells.
Conclusions:
- CD47 plays a critical role in erythrocyte membrane stability.
- The CD47-SIRPalpha axis is a key mechanism for self-recognition, preventing autoimmune destruction.
- Understanding this interaction is important for autoimmune diseases like autoimmune hemolytic anemia (AIHA).
Abstract:
The cell surface glycoprotein CD47 (Integrin-associated protein/IAP) was originally identified as a regulator of integrin-dependent responses to extracellular matrix proteins. However, CD47 is ubiquitously expressed, also by cells that do not express integrins. Thus, during the last few years, it has been shown that CD47 has several important functions besides assisting integrin activation. This review will focus on the role of CD47 in erythrocytes. In these cells, CD47 was found to be an important link in the interaction between the band 3 complex and the Rh complex in the maintenance of erythrocyte membrane integrity. CD47 can also function as a marker of self on erythrocytes, and likely also on other cells, by binding to the inhibitory receptor SIRPalpha. In this way, SIRPalpha-expressing cells, like macrophages and dendritic cells, are less likely to phagocytose an autoimmune sensitized cell with CD47 on its surface than a CD47-deficient cell where this inhibitory mechanism will not be engaged. The interaction between CD47 and SIRPalpha seems to be important to limit destruction of host cells in autoimmune diseases like autoimmune hemolytic anemia (AIHA), where macrophages destroy antibody or complement opsonized cells.
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