LAG-3 inhibits the activation of CD4 + T cells that recognize stable pMHCII through its conformation-dependent recognition of pMHCII

Nat Immunol. 2018 Dec;19(12):1415-1426. doi: 10.1038/s41590-018-0217-9. Epub 2018 Oct 22.


The success of tumor immunotherapy targeting the inhibitory co-receptors PD-1 and CTLA-4 has indicated that many other co-receptors might be potential druggable targets, despite limited information about their functional differences. Here we identified a unique target selectivity for the inhibitory co-receptor LAG-3 that was intrinsic to its immunoregulatory roles. Although LAG-3 has been reported to recognize major histocompatibility complex (MHC) class II, it did not recognize MHC class II universally; instead, we found that it selectively recognized stable complexes of peptide and MHC class II (pMHCII). LAG-3 did not directly interfere with interactions between the co-receptor CD4 and MHC class II or between the T cell antigen receptor and MHC class II. Instead, LAG-3 preferentially suppressed T cells responsive to stable pMHCII by transducing inhibitory signals via its intracellular region. Thus, LAG-3 might function more selectively than previously thought and thereby maintain tolerance to dominant autoantigens.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, CD / chemistry
  • Antigens, CD / immunology*
  • CD4-Positive T-Lymphocytes / immunology*
  • Cell Line, Tumor
  • Histocompatibility Antigens Class II / immunology*
  • Humans
  • Lymphocyte Activation / immunology*
  • Mice
  • Molecular Conformation


  • Antigens, CD
  • CD223 antigen
  • Histocompatibility Antigens Class II