Evidence map›Paper›PMID 32179884›Full record

ArticleJournal of Crohn's & colitis2020

Lymphocyte Activation Gene (LAG)-3 Is Associated With Mucosal Inflammation and Disease Activity in Ulcerative Colitis.

Stephanie M Slevin, Lucy C Garner, Conor Lahiff, Malcolm Tan, Lai Mun Wang, Helen Ferry, Borgel Greenaway, Kate Lynch, Alessandra Geremia, Stephen Hughes and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of Crohn's & colitis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 53 citations in OpenAlex.

  1. Depletion of LAG-3Clinical pharmacology and therapeutics · 2021
    Trial
  2. Article
  3. The roles and heterogeneity of CD8International journal of molecular medicine · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Exploring new frontiers in LAG-3 biology and therapeutics.Trends in pharmacological sciences · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. From bench to bedside: targeting lymphocyte activation gene 3 as a therapeutic strategy for autoimmune diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 4 institutions in 3 countries.

Stephanie M SlevinNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Lucy C GarnerNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Conor LahiffNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Malcolm TanNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Lai Mun WangDepartment of Laboratory Medicine, Changi General Hospital, SingHealth, Singapore.
Helen FerryNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Borgel GreenawayNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Kate LynchNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Alessandra GeremiaNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Stephen HughesExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
Karen LeavensExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
David KrullGlaxoSmithKline, Collegeville, Pennsylvania, USA.
Daniel J B MarksExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
Katherine NevinExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
Kevin PageExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
Naren SrinivasanExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
Ruth TarziExperimental Medicine Unit, GlaxoSmithKline, Gunnels Wood Road, Stevenage, UK.
Paul KlenermanNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Simon TravisNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Carolina V Arancibia-CárcamoNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
Satish KeshavNIHR Oxford Biomedical Research Centre, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Nuffield Department of Experimental Medicine, John Radcliffe Hospital, University of Oxford, UK.
John Radcliffe Hospital · GBGlaxoSmithKline (United Kingdom) · GBGlaxoSmithKline (United States) · USSingHealth · SG

Funding

Wellcome Trust 109965/Z/15/Z
6 · The paper itself

Abstract

BACKGROUND AND

aimsLymphocyte activation gene [LAG]-3 is an immune checkpoint and its expression identifies recently activated lymphocytes that may contribute to inflammation. We investigated the role of LAG-3 by analysing its expression and function in immune cells from blood and tissue of patients with ulcerative colitis [UC].

methodsThe phenotypic properties of LAG-3+ T cells were determined by flow cytometry, qRT-PCR and single-cell RNA-sequencing. LAG-3+ cells were quantified and correlated with disease activity. The functional effects of LAG-3+ cells were tested using a depleting anti-LAG-3 monoclonal antibody [mAb] in a mixed lymphocyte reaction [MLR].

resultsLAG-3+ cells in the blood were negligible. LAG-3+ lymphocytes were markedly increased in inflamed mucosal tissue and both frequencies of LAG-3+ T cells and transcript levels of LAG3 correlated with endoscopic severity. LAG-3 expression was predominantly on effector memory T cells, and single-cell RNA-sequencing revealed LAG3 expression in activated and cytokine-producing T cell subsets. Foxp3+CD25hi Tregs also expressed LAG-3, although most mucosal Tregs were LAG-3-. Mucosal LAG-3+ cells produced mainly interferon γ [IFNγ] and interleukin-17A. LAG-3+ cell numbers decreased in patients who responded to biologics, and remained elevated in non-responders. Treatment with a depleting anti-LAG-3 mAb led to a reduction in proliferation and IFNγ production in an MLR.

conclusionsLAG-3+ cells are increased in the inflamed mucosa, predominantly on effector memory T cells with an activated phenotype and their cell numbers positively correlate with disease activity. Depleting LAG-3 eliminates activated proliferating T cells, and hence LAG-3 could be a therapeutic target in UC.

Indexed as

Colitis, UlcerativeIntestinal MucosaAntigens, CDDrug DevelopmentEndoscopyHumansImmune Checkpoint ProteinsInflammationLymphocyte ActivationLymphocyte Activation Gene 3 ProteinPatient AcuitySeverity of Illness IndexT-Lymphocyte SubsetsAntigens, CDImmune Checkpoint ProteinsLag3 protein, humanLymphocyte Activation Gene 3 Proteinimmune checkpointLAG-3ulcerative colitis

Identifiers

PMID32179884
PMCPMC7533903
OpenAlexW3011655223

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.