Discovery of First-in-Class Small Molecule Inhibitors of Lymphocyte Activation Gene 3 (LAG-3)

Somaya A Abdel-Rahman1,2, Ashfaq Ur Rehman3, Moustafa T Gabr1

  • 1Department of Radiology, Molecular Imaging Innovations Institute (MI3), Weill Cornell Medicine, New York, New York 10065, United States.

Insights

Researchers identified small molecules that inhibit Lymphocyte Activation Gene 3 (LAG-3) interactions. This dual inhibition of LAG-3/MHCII and LAG-3/FGL1 interactions may advance cancer immunotherapy drug discovery.

Area of Science:

  • Immunology
  • Pharmacology
  • Oncology

Background:

  • Lymphocyte Activation Gene 3 (LAG-3) is a critical negative immune checkpoint regulating anti-cancer immune responses.
  • LAG-3 signaling suppresses T cell activity and promotes immunosuppression via interactions with MHC class II and FGL1.
  • Overcoming LAG-3-mediated inhibition is a key strategy for enhancing cancer immunotherapy.

Purpose of the Study:

  • To identify novel small molecules that simultaneously inhibit the interactions of LAG-3 with its ligands, MHC class II and FGL1.
  • To develop dual inhibitors targeting LAG-3 for potential application in cancer immunotherapy.

Main Methods:

  • Employed a combination of focused screening and Structure-Activity Relationship (SAR) by catalog approaches.
  • Utilized biochemical binding assays to quantify inhibition of LAG-3/MHCII and LAG-3/FGL1 interactions.
  • Validated compound efficacy in cell-based assays to confirm blockade of LAG-3 interactions.

Main Results:

  • Identified a top-hit small molecule compound with dual inhibitory activity against LAG-3/MHCII and LAG-3/FGL1 interactions.
  • The lead compound demonstrated IC50 values of 4.21 ± 0.84 μM for LAG-3/MHCII and 6.52 ± 0.47 μM for LAG-3/FGL1 in biochemical assays.
  • Confirmed the compound's ability to inhibit LAG-3 interactions in relevant cell-based models.

Conclusions:

  • The identified small molecule represents a promising lead for developing novel LAG-3-targeting cancer immunotherapies.
  • This dual-acting inhibitor has the potential to restore T cell-mediated anti-tumor immunity.
  • Further preclinical development of these LAG-3 small molecule inhibitors is warranted for cancer treatment.