INSERM, UMR 1231, Laboratoire d'Excellence LipSTIC and « Equipe labellisée par la Ligue Nationale contre le Cancer », Dijon, France.
Faculty of Medicine, Université de Bourgogne, Dijon, France.
Cancer Sci. 2024 Aug;115(8):2494-2505. doi: 10.1111/cas.16205. Epub 2024 May 4.
The study of anticancer immune responses and in particular the action of immune checkpoint inhibitors that overcome T cell inhibition has revolutionized metastatic patients' care. Unfortunately, many patients are resistant to these innovative immunotherapies. Over the last decade, several immune checkpoint inhibitors, currently available in the clinic, have been developed, such as anti-PD-1/PD-L1 or anti-CTLA-4. More recently, other immune checkpoints have been characterized, among them lymphocyte activation gene 3 (LAG-3). LAG-3 has been the subject of numerous therapeutic studies and may be involved in cancer-associated immune resistance phenomena. This review summarizes the latest knowledge on LAG-3 as an immunotherapeutic target, particularly in combination with standard or innovative therapies. Indeed, many studies are looking at combining LAG-3 inhibitors with chemotherapeutic, immunotherapeutic, radiotherapeutic treatments, or adoptive cell therapies to potentiate their antitumor effects and/or to overcome patients' resistance. We will particularly focus on the association therapies that are currently in phase III clinical trials and innovative combinations in preclinical phase. These new discoveries highlight the possibility of developing other types of therapeutic combinations currently unavailable in the clinic, which could broaden the therapeutic spectrum of personalized medicine.
研究抗癌免疫反应,特别是克服 T 细胞抑制的免疫检查点抑制剂的作用,彻底改变了转移性患者的治疗方法。不幸的是,许多患者对这些创新的免疫疗法有耐药性。在过去的十年中,已经开发出了几种目前可在临床上使用的免疫检查点抑制剂,如抗 PD-1/PD-L1 或抗 CTLA-4。最近,其他免疫检查点也得到了描述,其中包括淋巴细胞激活基因 3(LAG-3)。LAG-3 已成为许多治疗研究的主题,并且可能与癌症相关的免疫抵抗现象有关。这篇综述总结了 LAG-3 作为免疫治疗靶点的最新知识,特别是与标准或创新疗法联合使用的情况。事实上,许多研究都在研究将 LAG-3 抑制剂与化疗、免疫治疗、放射治疗或过继细胞治疗联合使用,以增强其抗肿瘤作用和/或克服患者的耐药性。我们将特别关注目前处于 III 期临床试验阶段的联合治疗方法和临床前阶段的创新组合。这些新发现强调了开发目前临床上尚未可用的其他类型治疗组合的可能性,这可能会扩大个性化医学的治疗范围。