Abstract
Lymphocyte activation gene 3 (LAG-3, CD223) is a protein expressed on the surface of activated T cells, regulatory T cells (Treg), natural killer (NK) cells, B cells, and plasmacytoid dendritic cells. LAG-3 signaling inhibits T cell activation and enhances regulatory T cell function (Camisaschi et al. 2010; Grosso et al. 2007; Joosten et al. 2007; Park et al. 2012). Like other molecules such as cytotoxic T lymphocyte antigen-4 (CTLA-4), programmed death-1 (PD-1), and T cell immunoglobulin mucin-3 (TIM-3), LAG-3 has attracted interest in oncology for its role as a negative regulator of T cell activation – an immunological “checkpoint” – that may play a role in helping tumors evade effective immune surveillance.
This chapter will present a brief discussion of the molecular structure and biologic function of LAG-3 as a therapeutic target. The current role of LAG-3 in cancer with attention to pertinent preclinical and clinical data will be described. Finally, the potential impact and future directions of research into the optimal use of LAG-3 as a therapeutic target will be presented.
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References
Andreae S, Piras F, Burdin N, Triebel F. Maturation and activation of dendritic cells induced by lymphocyte activation gene-3 (CD223). J Immunol. 2002;168:3874–80.
Bae J, Lee SJ, Park CG, Lee YS, Chun T. Trafficking of LAG-3 to the surface on activated T cells via its cytoplasmic domain and protein kinase C signaling. J Immunol. 2014;193:3101–12.
Brignone C, Grygar C, Marcu M, Perrin G, Triebel F. IMP321 (sLAG-3) safety and T cell response potentiation using an influenza vaccine as a model antigen: a single-blind phase I study. Vaccine. 2007a;25:4641–50.
Brignone C, Grygar C, Marcu M, Perrin G, Triebel F. IMP321 (sLAG-3), an immunopotentiator for T cell responses against a HBsAg antigen in healthy adults: a single blind randomised controlled phase I study. J Immune Based Ther Vaccines. 2007b;5:5.
Brignone C, Escudier B, Grygar C, Marcu M, Triebel F. A phase I pharmacokinetic and biological correlative study of IMP321, a novel MHC class II agonist, in patients with advanced renal cell carcinoma. Clin Cancer Res. 2009;15:6225–31.
Brignone C, Gutierrez M, Mefti F, Brain E, Jarcau R, et al. First-line chemoimmunotherapy in metastatic breast carcinoma: combination of paclitaxel and IMP321 (LAG-3Ig) enhances immune responses and antitumor activity. J Transl Med. 2010;8:71.
Camisaschi C, Casati C, Rini F, Perego M, De Filippo A, et al. LAG-3 expression defines a subset of CD4(+)CD25(high)Foxp3(+) regulatory T cells that are expanded at tumor sites. J Immunol. 2010;184:6545–51.
Camisaschi C, De Filippo A, Beretta V, Vergani B, Villa A, et al. Alternative activation of human plasmacytoid DCs in vitro and in melanoma lesions: involvement of LAG-3. J Invest Dermatol. 2014;134:1893–902.
Cappello P, Triebel F, Iezzi M, Caorsi C, Quaglino E, et al. LAG-3 enables DNA vaccination to persistently prevent mammary carcinogenesis in HER-2/neu transgenic BALB/c mice. Cancer Res. 2003;63:2518–25.
El Mir S, Triebel F. A soluble lymphocyte activation gene-3 molecule used as a vaccine adjuvant elicits greater humoral and cellular immune responses to both particulate and soluble antigens. J Immunol. 2000;164:5583–9.
Goding SR, Wilson KA, Xie Y, Harris KM, Baxi A, et al. Restoring immune function of tumor-specific CD4+ T cells during recurrence of melanoma. J Immunol. 2013;190:4899–909.
Gros A, Robbins PF, Yao X, Li YF, Turcotte S, et al. PD-1 identifies the patient-specific CD8(+) tumor-reactive repertoire infiltrating human tumors. J Clin Invest. 2014;124:2246–59.
Grosso JF, Kelleher CC, Harris TJ, Maris CH, Hipkiss EL, et al. LAG-3 regulates CD8+ T cell accumulation and effector function in murine self- and tumor-tolerance systems. J Clin Invest. 2007;117:3383–92.
Grosso JF, Goldberg MV, Getnet D, Bruno TC, Yen H-R, et al. Functionally distinct LAG-3 and PD-1 subsets on activated and chronically stimulated CD8 T cells. J Immunol. 2009;182:6659–69.
Hannier S, Triebel F. The MHC class II ligand lymphocyte activation gene-3 is co-distributed with CD8 and CD3-TCR molecules after their engagement by mAb or peptide-MHC class I complexes. Int Immunol. 1999;11:1745–52.
Hemon P, Jean-Louis F, Ramgolam K, Brignone C, Viguier M, et al. MHC class II engagement by its ligand LAG-3 (CD223) contributes to melanoma resistance to apoptosis. J Immunol. 2011;186:5173–83.
Huang C-T, Workman CJ, Flies D, Pan X, Marson AL, et al. Role of LAG-3 in regulatory T cells. Immunity. 2004;21:503–13.
Huard B, Tournier M, Hercend T, Triebel F, Faure F. Lymphocyte-activation gene 3/major histocompatibility complex class II interaction modulates the antigenic response of CD4+ T lymphocytes. Eur J Immunol. 1994;24:3216–21.
Huard B, Prigent P, Tournier M, Bruniquel D, Triebel F. CD4/major histocompatibility complex class II interaction analyzed with CD4- and lymphocyte activation gene-3 (LAG-3)-Ig fusion proteins. Eur J Immunol. 1995;25:2718–21.
Huard B, Mastrangeli R, Prigent P, Bruniquel D, Donini S, et al. Characterization of the major histocompatibility complex class II binding site on LAG-3 protein. Proc Natl Acad Sci U S A. 1997;94:5744–9.
Joosten SA, van Meijgaarden KE, Savage NDL, de Boer T, Triebel F, et al. Identification of a human CD8+ regulatory T cell subset that mediates suppression through the chemokine CC chemokine ligand 4. Proc Natl Acad Sci U S A. 2007;104:8029–34.
Keir ME, Butte MJ, Freeman GJ, Sharpe AH. PD-1 and its ligands in tolerance and immunity. Annu Rev Immunol. 2008;26:677–704.
Li N, Wang Y, Forbes K, Vignali KM, Heale BS, et al. Metalloproteases regulate T-cell proliferation and effector function via LAG-3. EMBO J. 2007;26:494–504.
Macon-Lemaitre L, Triebel F. The negative regulatory function of the lymphocyte-activation gene-3 co-receptor (CD223) on human T cells. Immunology. 2005;115:170–8.
Okazaki T, Okazaki IM, Wang J, Sugiura D, Nakaki F, et al. PD-1 and LAG-3 inhibitory co-receptors act synergistically to prevent autoimmunity in mice. J Exp Med. 2011;208:395–407.
Park HJ, Kusnadi A, Lee EJ, Kim WW, Cho BC, et al. Tumor-infiltrating regulatory T cells delineated by upregulation of PD-1 and inhibitory receptors. Cell Immunol. 2012;278:76–83.
Prigent P, El Mir S, Dreano M, Triebel F. Lymphocyte activation gene-3 induces tumor regression and antitumor immune responses. Eur J Immunol. 1999;29:3867–76.
Sabatos CA, Chakravarti S, Cha E, Schubart A, Sanchez-Fueyo A, et al. Interaction of Tim-3 and Tim-3 ligand regulates T helper type 1 responses and induction of peripheral tolerance. Nat Immunol. 2003;4:1102–10.
Subramanyam M, Wands G, Nabioullin R, Tepper MA. Soluble human lymphocyte activation gene-3 modulates allospecific T cell responses. Int Immunol. 1998;10:679–89.
Triebel F, Jitsukawa S, Baixeras E, Roman-Roman S, Genevee C, et al. LAG-3, a novel lymphocyte activation gene closely related to CD4. J Exp Med. 1990;171:1393–405.
Walunas TL, Lenschow DJ, Bakker CY, Linsley PS, Freeman GJ, et al. CTLA-4 can function as a negative regulator of T cell activation. Immunity. 1994;1:405–13.
Woo S-R, Li N, Bruno TC, Forbes K, Brown S, et al. Differential subcellular localization of the regulatory T-cell protein LAG-3 and the coreceptor CD4. Eur J Immunol. 2010;40:1768–77.
Woo S-R, Turnis ME, Goldberg MV, Bankoti J, Selby M, et al. Immune inhibitory molecules LAG-3 and PD-1 synergistically regulate T-cell function to promote tumoral immune escape. Cancer Res. 2012;72:917–27.
Workman CJ, Vignali DA. The CD4-related molecule, LAG-3 (CD223), regulates the expansion of activated T cells. Eur J Immunol. 2003;33:970–9.
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Sunshine, J.C., Lipson, E.J. (2017). Lymphocyte Activation Gene 3 (LAG-3). In: Marshall, J. (eds) Cancer Therapeutic Targets. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0717-2_136
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DOI: https://doi.org/10.1007/978-1-4419-0717-2_136
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