Intercellular adhesion molecule 3 (ICAM3) also known as CD50 (Cluster of Differentiation 50), is a protein that in humans is encoded by the ICAM3 gene. The protein is constitutively expressed on the surface of leukocytes, which are also called white blood cells and are part of the immune system. ICAM3 mediates adhesion between cells by binding to specific integrin receptors. It plays an important role in the immune cell response through its facilitation of interactions between T cells and dendritic cells, which allows for T cell activation. ICAM3 also mediates the clearance of cells undergoing apoptosis by attracting and binding macrophages, a type of cell that breaks down infected or dying cells through a process known as phagocytosis, to apoptotic cells. Protein Structure ICAM3 is a 110-160 kDa protein that belongs to the intercellular adhesion molecule (ICAM) family. Like the other proteins in this family, ICAM3 is a type I transmembrane glycoprotein and consists in part of a hydrophobic transmembrane domain and a short domain that extends into the cytoplasm. ICAM3 also contains 5 extracellular immunoglobulin domains. Function ICAM3 is found on the surface of leukocytes, and the ICAM3 gene is constitutively expressed in these cells. Interactions between ICAM3 and specific integrin receptors facilitate adhesion between cells. Dendritic and T Cell Binding ICAM3 has an important function in the immune cell response, as it helps facilitate initial interactions between T cells and dendritic cells. Resting T cells show high levels of ICAM3 expression. ICAM3 on these T cells can bind to DC-SIGN, a transmembrane receptor present on dendritic cells, creating temporary contact between resting T cells and dendritic cells. This adhesion allows the T cell receptor (TCR) to interact with major histocompatibility complex (MHC) molecules on the surface of the dendritic cell, which, upon binding between the TCR, the MHC, and the peptide coupled to the MHC, facilitates T cell activation. Apoptosis ICAM3 plays a role in apoptotic cell clearance by promoting the movement of macrophages, which ingest and break down unhealthy cells via phagocytosis, to cells undergoing apoptosis. Apoptotic cells can release extracellular vesicles containing ICAM3, which acts as a chemoattractant to phagocytes such as macrophages, directing them toward apoptotic cells. Apoptotic cells also contain altered ICAM3 proteins on their surface. These altered proteins allow macrophages to specifically target and bind apoptotic cells. This process is believed to involve binding between ICAM3 and CD14 receptors, which are a type