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LAG3免疫抑制剂:一种治疗黑色素瘤的新策略。

LAG3 immune inhibitors: a novel strategy for melanoma treatment.

作者信息

Wu Renzheng, Zeng Mingtang, Zhang Yuchen, He Jianping

机构信息

Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, China.

Division of Abdominal Tumor Multimodality Treatment, Department of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Oncol. 2024 Dec 18;14:1514578. doi: 10.3389/fonc.2024.1514578. eCollection 2024.

DOI:10.3389/fonc.2024.1514578
PMID:39743998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11688305/
Abstract

Melanoma, a highly aggressive skin cancer, poses significant challenges in treatment, particularly for advanced or metastatic cases. While immunotherapy, especially immune checkpoint inhibitors (ICIs) targeting CTLA-4 and PD-1, has transformed melanoma management, many patients experience limited responses or develop resistance, highlighting the need for new therapeutic strategies. Lymphocyte activation gene 3 (LAG-3) has emerged as a promising target in cancer immunotherapy. LAG-3 inhibitors have shown potential in restoring T cell functions and enhancing anti-tumor immunity, particularly when used in combination with existing ICIs. This review discusses the latest advancements in LAG-3 inhibition for advanced melanoma, emphasizing its role in overcoming resistance and improving patient outcomes.

摘要

黑色素瘤是一种侵袭性很强的皮肤癌,在治疗方面带来了重大挑战,尤其是对于晚期或转移性病例。虽然免疫疗法,特别是针对细胞毒性T淋巴细胞相关蛋白4(CTLA-4)和程序性死亡受体1(PD-1)的免疫检查点抑制剂(ICI),已经改变了黑色素瘤的治疗方式,但许多患者反应有限或产生耐药性,这凸显了新治疗策略的必要性。淋巴细胞激活基因3(LAG-3)已成为癌症免疫治疗中一个有前景的靶点。LAG-3抑制剂在恢复T细胞功能和增强抗肿瘤免疫力方面显示出潜力,特别是与现有的ICI联合使用时。这篇综述讨论了晚期黑色素瘤LAG-3抑制的最新进展,强调了其在克服耐药性和改善患者预后方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdfd/11688305/67223d6843f3/fonc-14-1514578-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdfd/11688305/67223d6843f3/fonc-14-1514578-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdfd/11688305/67223d6843f3/fonc-14-1514578-g001.jpg

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本文引用的文献

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Nat Commun. 2024 Aug 29;15(1):7513. doi: 10.1038/s41467-024-51930-5.
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Innate Immune Cells in Melanoma: Implications for Immunotherapy.固有免疫细胞在黑色素瘤中的作用:免疫治疗的启示。
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Phase I Study of Fianlimab, a Human Lymphocyte Activation Gene-3 (LAG-3) Monoclonal Antibody, in Combination With Cemiplimab in Advanced Melanoma.
一项评估 Fianlimab(一种人淋巴细胞激活基因-3[LAG-3]单克隆抗体)联合 Cemiplimab 治疗晚期黑色素瘤的 I 期研究。
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Structural insights reveal interplay between LAG-3 homodimerization, ligand binding, and function.结构见解揭示了 LAG-3 同源二聚体、配体结合和功能之间的相互作用。
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Retrospective study of efficacy and adverse events of immune checkpoint inhibitors in 22 xeroderma pigmentosum patients with metastatic or unresectable cancers.22例患有转移性或不可切除癌症的着色性干皮病患者使用免疫检查点抑制剂的疗效和不良事件的回顾性研究。
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Expert Rev Anticancer Ther. 2023 Jul-Dec;23(9):897-902. doi: 10.1080/14737140.2023.2247565. Epub 2023 Aug 13.
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Nat Immunol. 2023 Sep;24(9):1415-1422. doi: 10.1038/s41590-023-01569-z. Epub 2023 Jul 24.
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