Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target

Abstract Immune checkpoint therapy has achieved significant efficacy by blocking inhibitory pathways to release the function of T lymphocytes. In the clinic, anti-programmed cell death protein 1/programmed cell death ligand 1 (PD-1/PD-L1) monoclonal antibodies (mAbs) have progressed to first-line mo...

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Main Authors: Wenjing Qian, Mingfang Zhao, Ruoyu Wang, Heming Li
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Journal of Hematology & Oncology
Subjects:
Online Access:https://doi.org/10.1186/s13045-021-01161-8
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author Wenjing Qian
Mingfang Zhao
Ruoyu Wang
Heming Li
author_facet Wenjing Qian
Mingfang Zhao
Ruoyu Wang
Heming Li
author_sort Wenjing Qian
collection DOAJ
description Abstract Immune checkpoint therapy has achieved significant efficacy by blocking inhibitory pathways to release the function of T lymphocytes. In the clinic, anti-programmed cell death protein 1/programmed cell death ligand 1 (PD-1/PD-L1) monoclonal antibodies (mAbs) have progressed to first-line monotherapies in certain tumor types. However, the efficacy of anti-PD-1/PD-L1 mAbs is still limited due to toxic side effects and de novo or adaptive resistance. Moreover, other immune checkpoint target and biomarkers for therapeutic response prediction are still lacking; as a biomarker, the PD-L1 (CD274, B7-H1) expression level is not as accurate as required. Hence, it is necessary to seek more representative predictive molecules and potential target molecules for immune checkpoint therapy. Fibrinogen-like protein 1 (FGL1) is a proliferation- and metabolism-related protein secreted by the liver. Multiple studies have confirmed that FGL1 is a newly emerging checkpoint ligand of lymphocyte activation gene 3 (LAG3), emphasizing the potential of targeting FGL1/LAG3 as the next generation of immune checkpoint therapy. In this review, we summarize the substantial regulation mechanisms of FGL1 in physiological and pathological conditions, especially tumor epithelial to mesenchymal transition, immune escape and immune checkpoint blockade resistance, to provide insights for targeting FGL1 in cancer treatment.
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spelling doaj.art-bde087ed0c634ef7af10c3e368eb935b2022-12-21T17:44:33ZengBMCJournal of Hematology & Oncology1756-87222021-09-0114111710.1186/s13045-021-01161-8Fibrinogen-like protein 1 (FGL1): the next immune checkpoint targetWenjing Qian0Mingfang Zhao1Ruoyu Wang2Heming Li3Department of Oncology, Affiliated Zhongshan Hospital of Dalian UniversityDepartment of Medical Oncology, the First Hospital of China Medical UniversityDepartment of Oncology, Affiliated Zhongshan Hospital of Dalian UniversityDepartment of Medical Oncology, the First Hospital of China Medical UniversityAbstract Immune checkpoint therapy has achieved significant efficacy by blocking inhibitory pathways to release the function of T lymphocytes. In the clinic, anti-programmed cell death protein 1/programmed cell death ligand 1 (PD-1/PD-L1) monoclonal antibodies (mAbs) have progressed to first-line monotherapies in certain tumor types. However, the efficacy of anti-PD-1/PD-L1 mAbs is still limited due to toxic side effects and de novo or adaptive resistance. Moreover, other immune checkpoint target and biomarkers for therapeutic response prediction are still lacking; as a biomarker, the PD-L1 (CD274, B7-H1) expression level is not as accurate as required. Hence, it is necessary to seek more representative predictive molecules and potential target molecules for immune checkpoint therapy. Fibrinogen-like protein 1 (FGL1) is a proliferation- and metabolism-related protein secreted by the liver. Multiple studies have confirmed that FGL1 is a newly emerging checkpoint ligand of lymphocyte activation gene 3 (LAG3), emphasizing the potential of targeting FGL1/LAG3 as the next generation of immune checkpoint therapy. In this review, we summarize the substantial regulation mechanisms of FGL1 in physiological and pathological conditions, especially tumor epithelial to mesenchymal transition, immune escape and immune checkpoint blockade resistance, to provide insights for targeting FGL1 in cancer treatment.https://doi.org/10.1186/s13045-021-01161-8FGL1LAG-3BiomarkerImmune resistanceImmune checkpoint blockade
spellingShingle Wenjing Qian
Mingfang Zhao
Ruoyu Wang
Heming Li
Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target
Journal of Hematology & Oncology
FGL1
LAG-3
Biomarker
Immune resistance
Immune checkpoint blockade
title Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target
title_full Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target
title_fullStr Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target
title_full_unstemmed Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target
title_short Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target
title_sort fibrinogen like protein 1 fgl1 the next immune checkpoint target
topic FGL1
LAG-3
Biomarker
Immune resistance
Immune checkpoint blockade
url https://doi.org/10.1186/s13045-021-01161-8
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AT ruoyuwang fibrinogenlikeprotein1fgl1thenextimmunecheckpointtarget
AT hemingli fibrinogenlikeprotein1fgl1thenextimmunecheckpointtarget