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Fibrinogen-Like Protein 1 (FGL1): Immune Modulation, Cancer Therapy Potential, and Metabolic Regulation

Endocrinology Diagnostics

Basic Properties and Role

  • Liver-secreted glycoprotein from fibrinogen family
  • Structurally similar to fibrinogen but lacks clotting function
  • Primarily involved in liver recovery and metabolism
  • Recently identified as important in cancer immunity

Metabolic and Liver Functions

  • Supports liver healing and regeneration
  • Production increases during liver injury
  • Involved in managing fats and insulin resistance
  • Linked to obesity and metabolic syndrome

Immune System Interaction

  • Binds to LAG-3 (Lymphocyte Activation Gene-3) receptor
  • Acts as immune checkpoint by limiting T-cell activity
  • Helps maintain immune tolerance
  • Functions similarly to PD-1/PD-L1 pathway

Cancer Treatment Potential

  • High levels found in lung, liver, and colorectal cancers
  • Promising target for tumors resistant to standard treatments
  • Can be combined with other immune checkpoint inhibitors
  • Clinical trials ongoing for FGL1-targeted therapies

Research Challenges

  • Need to balance metabolic functions with cancer treatment
  • Concerns about liver function impact during treatment
  • Requires better biomarker identification
  • Important to identify suitable patient populations
  • Research continuing into treatment optimization
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