The Epithelial Cell Adhesion Molecule (EpCAM), also known as CD326, is a transmembrane glycoprotein that plays a crucial role in cell-cell adhesion, signaling, migration, proliferation, and differentiation . It is encoded by the EPCAM gene in humans and is widely expressed in various epithelial tissues .
EpCAM was first identified in 1979 as a tumor-associated antigen on colorectal carcinomas . It consists of an extracellular domain (EpEX) with 265 amino acid residues and an intracellular domain (EpICD) with 26 amino acid residues . The molecule mediates calcium-independent homotypic cell-cell adhesion in epithelial tissues .
EpCAM is involved in several critical cellular processes:
EpCAM is overexpressed in many carcinomas, including colorectal, breast, and prostate cancers . Its high expression levels in tumors make it a valuable prognostic marker and a potential therapeutic target . EpCAM-specific recombinant immunotoxins have shown potent antitumor activity in preclinical studies .
EpCAM has been explored as a target for cancer immunotherapy. Recombinant immunotoxins, which combine EpCAM-specific antibodies with cytotoxic agents, have demonstrated selective antitumor activity . These immunotoxins can inhibit protein synthesis and reduce the viability of EpCAM-positive carcinoma cells .