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LAG-3 expression on tumor-infiltrating T cells in soft tissue sarcoma correlates with poor survival
oleh: Yi Que, Zhixin Fang, Yuanxiang Guan, Wei Xiao, Bushu Xu, Jingjing Zhao, Huoying Chen, Xinke Zhang, Musheng Zeng, Yao Liang, Xing Zhang
Format: | Article |
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Diterbitkan: | China Anti-Cancer Association 2019-06-01 |
Deskripsi
<b>Objective</b> To elucidate the role and prognostic significance of lymphocyte activation-gene-3 (LAG-3) in soft tissue sarcoma (STS).<b>Methods</b> The expression of LAG-3 in patient and matched normal blood samples was analyzed by flow cytometry. The localization and prognostic values of LAG-3<sup>+</sup> cells in 163 STS patients were analyzed by immunohistochemistry. In addition, the expression of tumor-infiltrating CD3<sup>+</sup> T, CD4<sup>+</sup> T, and CD8<sup>+</sup> T cells and their role in the prognosis of STS were evaluated by immunohistochemistry. The effect of LAG-3 blockade was evaluated in an immunocompetent MCA205 fibrosarcoma mouse model.<b>Results</b> Peripheral CD8<sup>+</sup> and CD4<sup>+</sup> T cells from STS patients expressed higher levels of LAG-3 than those from healthy donors. LAG-3 expression in STS was significantly associated with a poor clinical outcome (<i>P</i> = 0.038 ) and was correlated with high pathological grade (<i>P</i> < 0.001), advanced tumor stage (<i>P</i> = 0.016). Additionally, LAG-3 expression was highly correlated with CD8<sup>+</sup> T-cell infiltration (<i>r</i> = 0.7034, <i>P</i> < 0.001). LAG-3 was expressed in murine tumor-infiltrating lymphocytes, and its blockade decreased tumor growth and enhanced secretion of interferon-gamma by CD8<sup>+</sup> and CD4<sup>+</sup> T cells.<b>Conclusions</b> LAG-3 blockade may be a promising strategy to improve the effects of targeted therapy in STS.