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淋巴细胞活化基因 3(LAG-3)作为癌症免疫治疗中有前景的免疫检查点:从生物学到临床

英文原题:Lymphocyte-activation gene 3 (LAG-3) as a promising immune checkpoint in cancer immunotherapy: From biology to the clinic.

查看英文原题

Lymphocyte-activation gene 3 (LAG-3) as a promising immune checkpoint in cancer immunotherapy: From biology to the clinic.

PubMed 2024/01/11(内容时间) Pathol Res Pract Q1 · IF 3.7(JCR 2025)

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中文摘要

近年来,癌症免疫治疗领域取得了显著进展,尤其是在免疫检查点抑制方面。淋巴细胞活化基因3(LAG-3)作为该领域中一个潜在有价值的研究焦点而备受关注。

本研究探讨了LAG-3的生物学特性、其临床意义以及与其调控相关的潜在治疗机会。LAG-3与CD4相似,在调节免疫系统方面具有调控作用。该蛋白在肿瘤微环境中的上调削弱了免疫系统产生有效应答的能力,从而使癌细胞得以逃避免疫监视。LAG-3蛋白与配体相互作用,抑制细胞毒性免疫细胞,如CD8+ T细胞和NK细胞。LAG-3抑制剂的潜力展现出令人瞩目的前景。将这些药物与PD-1/PD-L1或CTLA-4抑制剂等成熟疗法相结合,可以拓宽可用治疗选择的范围并解决耐药性问题。个性化治疗的时代即将到来,利用LAG-3表达等预测性生物标志物来指导个体化治疗策略即为明证。

此外,LAG-3抑制剂通过 revitalizing T细胞和产生持久免疫应答,在解决免疫耗竭和耐药性方面展现出前景。LAG-3潜力的实现需要全球合作和平等可及。多国试验有望确定该干预措施在不同患者群体中的疗效。

展开英文摘要原文

In recent years, there have been notable advancements in the field of cancer immunotherapy, namely in the area of immune checkpoint inhibition. The Lymphocyte-activation gene 3 (LAG-3) has garnered attention as a potentially valuable focus of study in this particular field. The present study examines the biological aspects of LAG-3, its clinical consequences, and the potential therapeutic opportunities associated with its modulation. LAG-3, similar to CD4, has a regulatory role in modulating the immune system. The upregulation of this protein inside the neoplastic milieu hampers the immune system's ability to mount an effective response, hence enabling the evasion of cancer cells from immune surveillance.

The LAG-3 protein interacts with ligands, inhibiting cytotoxic immune cells such as CD8 + T cells and NK cells. The potential of LAG-3 inhibitors presents intriguing prospects. Integrating these medicines with established treatments like PD-1/PD-L1 or CTLA-4 inhibitors can broaden the range of available therapy choices and address resistance issues. The advent of personalized therapy is imminent, as evidenced by the utilization of predictive biomarkers such as LAG-3 expression to inform individualized therapeutic approaches.

Additionally, inhibitors of LAG-3 exhibit promise in addressing immunological depletion and resistance by revitalizing T cells and producing durable immune responses. The realization of LAG-3's promise necessitates global collaboration and equal access. Multinational trials are expected to ascertain the efficacy of the intervention in various patient groups.

论文信息

作者
Alqurashi YE
单位
Department of Biology, College of Science Al-zulfi, Majmaah University, Al-Majmaah 11952, Saudi Arabia. Electronic address: Y.Alqurashi@mu.edu.sa.United States
文献类型
综述
期刊
Pathology, research and practice2024 Feb
原文标识
PubMed 38295462 · DOI 10.1016/j.prp.2024.155124