Application and Expectations for Immune Checkpoint Blockade of LAG3 and TIGIT.

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Annual review of medicine Pub Date : 2024-12-10 DOI:10.1146/annurev-med-080222-100847
Ecaterina Elena Dumbrava, Khaoula Ben Haj Frej, Elad Sharon, Hussein Tawbi
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Abstract

Immune checkpoint blockade targeting the novel targets of the lymphocyte activation gene 3 (LAG3) and the T cell immunoreceptor with Ig and immunoreceptor tyrosine-based inhibition motif domains (TIGIT) has marked a significant advancement in oncology, offering new therapeutic opportunities to fight diverse malignancies. This review covers the biological basis and clinical application of LAG3 and TIGIT inhibitors, highlighting pivotal trials and therapeutic outcomes. We underscore the use of dual therapy immune checkpoint blockade in enhancing antitumor immunity, particularly in settings where monotherapy has shown limited efficacy. Additionally, we address the emerging challenges such as treatment resistance and adverse effects. We explore the strategic integration of LAG3 and TIGIT blockade within the broader immunotherapy landscape, emphasizing innovative combinations and the quest for predictive biomarkers to optimize patient selection and treatment efficacy.

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针对淋巴细胞活化基因 3(LAG3)和具有 Ig 和免疫受体酪氨酸抑制基序结构域的 T 细胞免疫受体(TIGIT)这两个新靶点的免疫检查点阻断技术标志着肿瘤学的重大进展,为抗击各种恶性肿瘤提供了新的治疗机会。本综述涵盖 LAG3 和 TIGIT 抑制剂的生物学基础和临床应用,重点介绍关键试验和治疗结果。我们强调了双重疗法免疫检查点阻断在增强抗肿瘤免疫力方面的应用,尤其是在单药治疗疗效有限的情况下。此外,我们还讨论了治疗耐药性和不良反应等新出现的挑战。我们探讨了 LAG3 和 TIGIT 阻断疗法在更广泛的免疫疗法领域中的战略整合,强调了创新组合以及对预测性生物标志物的探索,以优化患者选择和治疗效果。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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