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.

Autoimmunity Reviews
|January 26, 2026
PubMed

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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