Immune Inhibitory Molecules LAG-3 and PD-1 Synergistically Regulate T-cell Function to Promote Tumoral Immune Escape
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Abstract
Inhibitory receptors on immune cells are pivotal regulators of immune escape in cancer. Among these inhibitory receptors, CTLA-4 (targeted clinically by ipilimumab) serves as a dominant off-switch while other receptors such as PD-1 and LAG-3 seem to serve more subtle rheostat functions. However, the extent of synergy and cooperative interactions between inhibitory pathways in cancer remain largely unexplored. Here, we reveal extensive coexpression of PD-1 and LAG-3 on tumor-infiltrating CD4+ and CD8+ T cells in three distinct transplantable tumors. Dual anti–LAG-3/anti–PD-1 antibody treatment cured most mice of established tumors that were largely resistant to single antibody treatment. Despite minimal immunopathologic sequelae in PD-1 and LAG-3 single knockout mice, dual knockout mice abrogated self-tolerance with resultant autoimmune infiltrates in multiple organs, leading to eventual lethality. However, Lag3−/−Pdcd1−/− mice showed markedly increased survival from and clearance of multiple transplantable tumors. Together, these results define a strong synergy between the PD-1 and LAG-3 inhibitory pathways in tolerance to both self and tumor antigens. In addition, they argue strongly that dual blockade of these molecules represents a promising combinatorial strategy for cancer. Cancer Res; 72(4); 917–27. ©2011 AACR.
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Exhausted T cells may highly express multiple inhibitory receptors, including PD-1, 2B4, BTLA, CTLA-4, CD160, LAG-3, and Tim-3.
“Notably, exhausted T cells may highly express multiple “inhibitory” receptors, including PD-1, 2B4 (CD244), BTLA, CTLA-4, CD160, LAG-3 and Tim-3 [38,42,43,45].”
From T cell anergy, exhaustion, senescence, and stemness in the tumor microenvironment (2013) · cites this paper as [45]
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Rheumatic manifestations among cancer patients treated with immune checkpoint inhibitors
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- Authors
- Woo, S.-R., Turnis, M. E., Goldberg, M. V., Bankoti, J., Selby, M., Nirschl, C. J., Bettini, M. L., Gravano, D. M., Vogel, P., Liu, C. L., Tangsombatvisit, S., Grosso, J. F., Netto, G., Smeltzer, M. P., Chaux, A., Utz, P. J., Workman, C. J., Pardoll, D. M., Korman, A. J., Drake, C. G., & Vignali, D. A. A.
- Affiliations
- St. Jude Children's Research Hospital (US)
- Corresponding author
- Drake, Charles G.
- Vignali, Dario A.A.
- ORCID
- Venue
- Cancer Research
- Published
- 2012-02-14
- Volume
- 72
- Issue
- 4
- Pages
- 917-927
- ISSN
- 0008-5472 (ISSN-L)
- 1538-7445
- PMC
- PMC3288154
- OpenAlex
- W2139591061
- Cited by
- 1,647
- References
- 50
- Citations by year
- 2026: 68 · 2025: 103 · 2024: 162 · 2023: 156 · 2022: 134 · 2021: 187 · 2020: 134 · 2019: 128 · 2018: 119 · 2017: 116 · 2016: 117 · 2015: 112 · 2014: 48 · 2013: 47 · 2012: 14
- FWCI
- 17.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (HHSN-268201999934C)
- Canadian Institutes of Health Research (20R-92141)
- National Cancer Institute (P50 CA58236-15, CA21765, P50CA058236, R01CA127153, P30CA021765)
- National Institute of Allergy and Infectious Diseases (F32AI080086, R01AI039480, R01 AI39480, T32AI007247)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- LAG-3, PD-1, inhibitory receptors, tumor immune evasion, T cell function, CTLA-4, tumor-infiltrating T cells, autoimmune tolerance, self-tolerance, transplantable tumors
- MeSH terms
- Lymphocyte Activation Gene 3 Protein, Animals, Antibodies, Drug Synergism, Immune Tolerance, Mice, Inbred C57BL, Neoplasm Transplantation, Neoplasms, Experimental, CD4-Positive T-Lymphocytes, Antigens, CD, Tumor Escape, Cell Line, Tumor, Mice, Programmed Cell Death 1 Receptor
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