国际麻醉学与复苏杂志   2017, Issue (3): 0-0
    
共抑制分子LAG3在慢性炎症和肿瘤免疫中的作用机制研究进展
姚滢, 程婷婷, 黎娜, 张燕, 邓小明1()
1.第二军医大学附属长海医院麻醉科
Research Progress on the Mechanism of Co-inhibition of Lymphocyte Activation Gene-3 in Choronic Infection and Tumor Immunity
 全文:
摘要:

摘要:背景:脓毒症是指宿主对感染的特异性反应导致的威胁生命的器官功能障碍。在慢性感染及患有肿瘤时,随着抗原暴露时间延长,T细胞失效,其清除病原体和消除肿瘤细胞的能力也逐渐减少。因此,具有启动T细胞“耗竭”作用的共抑制分子淋巴细胞活化基因-3分子(1ymphocyte activation gene-3,LAG3,CD223)逐渐受到了关注。目的:分析LAG3在慢性炎症和肿瘤中的作用机制及其临床价值。内容:分别分析LAG3对效应T细胞的作用、对其它免疫细胞的作用;可溶性LAG3(soluble LAG3,sLAG3)的免疫辅助作用;以及LAG3阻断的临床应用。趋向:在肿瘤内环境中,LAG3能负性调节T细胞功能,并具有其它多种作用,具有很高的临床意义。在肿瘤研究中,利用LAG3分子的免疫学机制,抑制肿瘤细胞的生长,为肿瘤的免疫治疗提供又一可能的途径,具有广阔的发展前景。

关键词: 淋巴细胞活化基因-3分子;T细胞耗竭;共抑制分子;LAG3阻断;sLAG3
Abstract:

Abstract: Background: In case of chronic infection and cancer, T cells occur dysfunction as a result of prolonged antigen exposure, and have a reduced ability to clear pathogens or to eliminate cancer cells. Insights have recently been gained into the role of receptors that negatively regulate T cells which promote T cell dysfunction. Lymphocyte activation gene-3 protein ( LAG3,also known as CD223 ) , a inhibitory receptor, come into notice. Objective: To evaluate the therapeutic potential of targeting the LAG3 in the situations such as chronic infection and cancer. Content: The paper focuses on the inhibitory receptors LAG3, and summarize from clinical trails and discuss the potential mechanism of immune cells. Trend: In the tumor environment, the known features and functions of LAG3 make it an appealing target for immune modulation, including its well-established role in the negative regulation of T cell function. LAG3 may also have multiple roles in immune regulation. In the studies of the oncotherapy, how to make use of the immune mechanism of LAG3, suppress the proliferation of tumor cells, and take the effect of LAG3 blockage in patients remains to be seen.

Key words: Lymphocyte activation gene-3 protein; T cells exhaustion; co-inhibitory factor; LAG3 blockage; sLAG3