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LAG-3, also known as CD223, is a member of the immunoglobulin superfamily. It is composed of a transmembrane region, an extracellular region and an intracellular region and has a molecular weight of 70 kDa. The gene of LAG-3 contains 8 exons, and the corresponding cDNA encodes a membrane protein, with 498 amino acids.
Fig.1 LAG-3 structure. (Shan, 2020)
The expression of LAG-3 is detected on activated CD4+ and CD8+ T cells, regulatory T cells (Tregs), a subpopulation of NK cells, B cells and plasmacytoid dendritic cells. In addition, LAG-3 is highly expressed in chronic virus infection and various tumors. It is involved in regulating the proliferation and activation of T lymphocytes and effector T lymphocytes, and plays a specific role in maintaining environmental stability in vivo. Overexpression of LAG-3 is also associated with autoimmune diseases, tumors and chronic toxic infectious diseases.
Galectin-3, a 31 kDa galactose-binding lectin, was found to interact with LAG-3 and inhibit the secretion of interferon-γ by CD8+ T cells in vitro, which regulates T cell activation and immunoprecipitation.
LSECtin is a member of the DC-SIGN family of molecules binding to the four glycosylated sites on LAG-3. It participates in a mechanism that LAG-3 can regulate CD8+ T cells and NK cell function in these environments.
α-synuclein fibrils, a protein aggregation, is a member of the Syn fibrils family. α-synuclein was found to bind to LAG-3, which leads to the intercellular delivery of pathological α-syn fibrils, while blocking their combination with a LAG-3 Ab could significantly reduce the toxicity and the intercellular delivery of pathological α-syn fibrils.
FGL1 was found to tightly bind to the LAG-3 receptor. When FGL1 binds to the LAG-3 receptor on the surface of T cells, T cell proliferation was inhibited and immune activity was also affected. Moreover, blocking the interaction between FGL1 and LAG-3 could enhance the antitumor effect of T lymphocytes, which has important significance in the research of tumor immunotherapy.
Researches have shown the role of LAG-3 in regulating the expansion of both CD4 and CD8 T cells and its role as a negative regulator. However, LAG-3 molecules lacking the KIEELE domain could not negatively modulate T cell function in vitro or in vivo.
Research has demonstrated that LAG-3-blocking antibody mitigates Treg function in vivo, and transfection of antigen-specific CD4 T cells with full-length, but not truncated, LAG-3 could confer in vitro regulatory properties.
Studies using LAG-3 knockout animals have confirmed the role for LAG-3 in regulating CD8 T cell homeostatic proliferation, as well as in the in vivo response to a superantigen.
Studies have shown that expression of a non-cleavable form of LAG-3 mediated an irreversible defect in T cell function, showing that LAG-3 cleavage was a major mechanism by which its negative regulatory function was mitigated.
Fig.2 LAG-3 signaling and the interplay with other immune checkpoints. (Long, 2020)
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