Research topic
Inhibitory Receptors: LAG3, PD1 & NRP1
Our lab has been instrumental in studying the inhibitory receptor LAG3 for the last ~25 years. Our lab and collaborators were the first to show that LAG3 regulates Treg activity and function, and co-operates with PD1 to regulate T cell exhaustion following chronic viral infection. Importantly, our lab led a team that was the first to demonstrate synergistic co-operation between LAG3 and PD1 in limiting anti-tumor immunity. This landmark study demonstrated that combined LAG3 and PD1 blockade substantially improved tumor control and survival compared with either treatment alone; readers can explore the highlighted publication for details. This study, combined with IP licensed to BMS, served as a direct impetus for a clinical trial with anti-LAG3 (Relatlimab) with or without anti-PD1 (Nivolumab) that has recently progressed to a Phase II/III trial (RELATIVITY-047) in treatment-naive patients with metastatic melanoma and recently met its primary endpoint of progression-free survival. There are now over 10 LAG3-targeting therapeutics in clinical trials, including prospective registrational trials. More recently, we have expanded our interest in inhibitory receptors to PD1 and NRP1.
Highlighted publications
- Huang C-T, Workman CJ, Flies D, Pan X, Marson AL, Zhou G, Hipkiss EL, Ravi S, Kowalski J, Lavitsky HI, Powell JD, Pardoll DM, Drake CG, Vignali DAA (2004). Role of LAG-3 in regulatory T cells. Immunity 21:503-13 [PMID: 15485628].
- Woo S-R*, Turnis ME*, Goldberg MV*, Bankoti J, Selby M, Nirschl CJ, Bettini ML, Vogel P, Liu C-L, Tangsombatvisit S, Grosso JF, Netto G, Smeltzer MP, Chaux A, Utz PJ, Workman CJ, Pardoll DM, Korman AJ, Drake CG, Vignali DAA (2012). Immune inhibitory molecules LAG-3 and PD-1 synergistically regulate T cell function to promote tumoral immune escape. Cancer Research 72:917-927 [PMCID: 3288154].
- Zhang Q, Chikina M, Szymczak-Workman AL, Horne W, Kolls JK, Vignali KM, Normolle D, Bettini M, Workman CJ, Vignali DAA (2017). LAG-3 limits regulatory T cell proliferation and function in autoimmune diabetes. Science Immunology 2:eaah4569 [PMCID: 5609824].
- Liu C, Somasundaram A, Manne S, Gocher AM, Szymczak-Workman AL, Vignali KM, Scott EN, Normolle DP, Wherry EJ, Lipson EJ, Ferris RL, Bruno TC, Workman CJ, Vignali DAA (2020). Neuropilin-1 is a T cell memory checkpoint limiting long-term anti-tumor immunity. Nature Immunology, 21:1010-1021 [PMCID: 7442600].
- Andrews LP, Somasundaram A, Moskovitz JM, Szymczak-Workman AL, Liu C, Cillo AR, Lin H, Normolle DP, Moynihan KD, Taniuchi I, Irvine DJ, Kirkwood JM, Lipson EJ, Ferris RL, Bruno TC, Workman CJ, Vignali DAA (2020). Resistance to PD1 blockade in the absence of metalloprotease-mediated LAG3 shedding. Science Immunology. 5:eabc2728 [PMCID: 32680952].
- Guy C, Mitrea DM, Chou P-C, Temirov J, Vignali KM, Liu X, Zhang H, Kriwacki R, Bruchez M, Watkins S, Workman CJ†, Vignali DAA† (2022). LAG3 associates with TCR-CD3 complexes and suppresses signaling by driving co-receptor-Lck dissociation. Nature Immunology 23:757-767 [PMCID: 9106921].
- Grebinoski S*, Zhang Q*, Cillo AR, Manne S, Burnazzi EA, Tabib T, Cardello C, Lian C, Murphy GF, Lafyatis R, Wherry EJ, Das J, Workman CJ, Vignali DAA (2022). Autoreactive CD8+ T cells are restrained by a divergent exhaustion program. Nature Immunology 23:868-877 [PMCID: 9179227].
- Andrews LP*, Butler SC*, Cui J, Cillo AR, Cardello C, Liu C, Brunazzi EA, Baessler A, Xie B, Kunning SR, Ngiow SF, Huang YJ, Manne S, Sharpe AH, Delgoffe GM, Wherry EJ, Kirkwood JM, Bruno TC, Workman CJ, Vignali DAA (2024). LAG3 and PD1 synergize on CD8+ T cells to drive T cell exhaustion and hinder autocrine IFNγ-dependent anti-tumor immunity. Cell 187:4355-4372 [PMCID: 11323044].
- Cillo AR†, Cardello C, Shan F, Karapetyan L, Kunning SR, Sander C, Rush E, Li A, Karunamurthy A, Massa RC, Rohatgi A, Workman C, Kirkwood JM†, Bruno TC†, Vignali DAA† (2024). Relatlimab plus nivolumab rewires dysfunctional CD8+ T cells by coupling cytotoxic and exhaustion gene modules to promote antitumor immunity. Cell 187:4373-4388 [PMCID: 11346583].