The translation of extracellular signaling cues into intracellular signaling cascades is frequently mediated by the assembly of signaling complexes at the plasma membrane. Different mechanisms have evolved how these signaling complexes propagate the signals into the interior of the recipient cell. Signaling by G-protein-coupled receptors (GPCRs) is mediated by conformational changes induced by ligand binding resulting in the dissociation of heterotrimeric G-proteins and activation of signaling cascades through the generation of second messengers [
1]. Signaling through receptor tyrosine kinases (RTKs) generally involves receptor dimerization as a consequence of ligand binding, which results in a release of the intracellular autoinhibited kinase domain into the active configuration [
2]. The consequence of
trans-phosphorylation is strongly increased kinase activity, phosphorylation of multiple tyrosine residues, recruitment of adaptor proteins, and assembly of signaling complexes [
2].
Signaling events are frequently restricted to specific subcellular sites. This site-specific localization of signaling events can be mediated by physically linking the signaling molecules to cell adhesion receptors present at specific locations, such as sites of cell–matrix adhesion like focal adhesions (FA) [
3], or sites of cell–cell adhesion like adherens junctions (AJ) [
4], tight junctions (TJ) [
5], or synapses [
6]. One mechanism underlying the assembly of larger signaling complexes at these sites is the use of scaffolding proteins which directly interact with cell adhesion receptors. These scaffolding proteins contain multiple protein–protein interaction domains such as PDZ domains, SH3 domains, or FERM domains [
7], allowing them to recruit cytoplasmic signaling proteins at specific sites for functional interactions. One additional mechanism is based on lateral associations of cell adhesion receptors with other integral membrane proteins through linker proteins that are also embedded in the plasma membrane but can interact with several other integral membrane proteins simultaneously. By generating microdomains in the membrane, these lateral associations can promote the assembly of higher order protein complexes.
Tetraspanins (Tspans, also called transmembrane 4 superfamily (TM4SF) proteins), a family of integral membrane proteins consisting of 33 members in humans [
8,
9], have emerged as bona fide organizers of microdomains in the plasma membrane [
10‐
15]. Tspans contain four α-helical transmembrane (TM) regions (TM1–TM4), two extracellular (EC) domains (EC1 and EC2), and three cytoplasmic (CP) regions, (N-terminus, C-terminus and a short loop that connects TM2 and TM3) [
10]. These topological domains contribute differently to the structure of tetraspanins and to their ability to undergo intramolecular and intermolecular interactions [
15]. The most distinctive feature that qualifies Tspans to organize larger protein complexes in the membrane is their ability to use several of their topological regions of the protein, i.e., the EC domains, the TM domains and the CP regions for interactions with other proteins [
16,
17]. Of the extracellular domains, EC2 is predominantly involved in heterophilic interactions with other proteins and mainly responsible for the specificities underling these interactions [
18]. In addition, the EC2 domain can also mediate tetraspanin dimerization [
19]. The TM domains undergo intramolecular interactions that support the functional protein conformation, but they can also mediate homophilic and heterophilic Tspan–Tspan interactions [
15,
16,
20,
21]. The CP regions of some Tspan proteins have been found to interact with cytosolic signaling or scaffolding proteins. These include conventional PKCs, which bind to the N-terminal CP region of CD9 [
22], small GTPases like Rac1 which interact with the C-terminal CP region of CD81 [
23], and PDZ domain-containing scaffolding proteins like Syntenin-1 or Pick-1, which bind to PDZ domain-binding motifs at the C-termini of CD63 or Tspan7, respectively [
24,
25]. The multiple possibilities to interact with other proteins enables Tspans to assemble microdomains or clusters. Tetraspanin clusters cover an area of approximately 100–400 nm
2 [
12,
15,
26,
27]. More recent studies using superresolution microscopy indicate that Tspans form nanoclusters composed of a limited number (less than 10) of selected Tspans with only minor overlaps with other Tspan nanoclusters [
15]. The assembly of protein complexes to so-called Tspan-enriched microdomains (TEMs) in the plasma membrane is most liklely the principal biological function of Tspans. In this review article, we will present some examples to illustrate the molecular mechanisms through which Tspans exert their function as organizers of signaling complexes during homeostasis and disease with a particular emphasis on their function in connecting immunoglobulin superfamily (IgSF) proteins to other cell surface receptors.