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LAG-3 in (auto)immunity and cancer - Emphasising its role in antigen presenting cells
Aleksandra Wiśniewska1, Elżbieta Sarnowska2, Katarzyna Kozak3
1Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland; Department of Experimental Oncology, Laboratory of Experimental Immunotherapy, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Abstract:
The growing popularity of immunotherapy shows a promising future for cancer treatment. However, a significant need to develop new therapeutics that could be successfully used in therapy still remains, especially in "immune-cold" tumors that are not responsive to classic anti-PD-1 treatment. Therefore, the discovery of lymphocyte activation gene-3 (LAG-3) as a new immune checkpoint (IC) molecule that physiologically participates in auto-tolerance mechanisms preventing auto-aggression was a significant milestone in immuno-oncology. Two main approaches aim to introduce LAG-3-directed therapies into clinical practice: anti-LAG-3 antibodies that are meant to inhibit LAG-3 function and recombinant soluble LAG-3 form that aim to activate immune response, especially by interacting with the antigen-presenting cells (APCs). So far, studies show that both approaches may be safe and effective anti-cancer treatment options. This review summarises the role of LAG-3 in immune response and emphasises the role of this IC molecule and its soluble form on APCs function, while also noting the primary physiological function of LAG-3 in autoimmunity and providing a dual perspective of the pros and cons of this novel anti-cancer therapy.
Insights
Lymphocyte activation gene-3 (LAG-3) offers new cancer treatment options, especially for tumors resistant to PD-1 therapy. LAG-3 therapies, including antibodies and soluble forms, show promise in activating immune responses against cancer.
Area of Science:
- Immunology
- Oncology
Background:
- Immunotherapy, particularly anti-PD-1 treatment, shows promise for cancer therapy.
- A need exists for novel therapeutics targeting
- immune-cold
- tumors unresponsive to current treatments.
Purpose of the Study:
- To review the role of Lymphocyte Activation Gene-3 (LAG-3) in immune responses.
- To explore LAG-3-directed therapies, including their impact on antigen-presenting cells (APCs) and potential in autoimmunity.
- To provide a balanced perspective on the advantages and disadvantages of LAG-3-based cancer treatments.
Main Methods:
- Literature review focusing on Lymphocyte Activation Gene-3 (LAG-3) as an immune checkpoint (IC) molecule.
- Analysis of two primary therapeutic approaches: anti-LAG-3 antibodies and recombinant soluble LAG-3.
- Examination of LAG-3's physiological role in auto-tolerance and its function on APCs.
Main Results:
- LAG-3 is a significant immune checkpoint molecule involved in auto-tolerance.
- Both anti-LAG-3 antibodies and soluble LAG-3 have demonstrated potential as safe and effective anti-cancer strategies.
- LAG-3's interaction with APCs is crucial for its immune-modulating effects.
Conclusions:
- LAG-3 represents a promising target for novel cancer immunotherapies, particularly for treatment-resistant tumors.
- Understanding LAG-3's dual role in autoimmunity and cancer is essential for optimizing therapeutic strategies.
- Further research into LAG-3-directed therapies could expand treatment options for various cancers.
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