Beyond T cell exhaustion: TIM-3 regulation of myeloid cells

Sci Immunol. 2024 Mar 8;9(93):eadf2223. doi: 10.1126/sciimmunol.adf2223. Epub 2024 Mar 8.

Abstract

T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3) is an important immune checkpoint molecule initially identified as a marker of IFN-γ-producing CD4+ and CD8+ T cells. Since then, our understanding of its role in immune responses has significantly expanded. Here, we review emerging evidence demonstrating unexpected roles for TIM-3 as a key regulator of myeloid cell function, in addition to recent work establishing TIM-3 as a delineator of terminal T cell exhaustion, thereby positioning TIM-3 at the interface between fatigued immune responses and reinvigoration. We share our perspective on the antagonism between TIM-3 and T cell stemness, discussing both cell-intrinsic and cell-extrinsic mechanisms underlying this relationship. Looking forward, we discuss approaches to decipher the underlying mechanisms by which TIM-3 regulates stemness, which has remarkable potential for the treatment of cancer, autoimmunity, and autoinflammation.

Publication types

  • Review

MeSH terms

  • CD8-Positive T-Lymphocytes
  • Hepatitis A Virus Cellular Receptor 2*
  • Humans
  • Myeloid Cells
  • Neoplasms*
  • T-Cell Exhaustion

Substances

  • Hepatitis A Virus Cellular Receptor 2
  • HAVCR2 protein, human