“…However, increased and sustained expression of inhibitory receptors, often found in patients with chronic viral infections and malignancies, is a principle mechanism priming lymphocytes to be dysfunctional. The suppressive role of some inhibitory receptors, programmed cell death protein 1 (PD-1), cytotoxic T lymphocyte-associated protein 4 (CTLA-4), lymphocyte activation gene 3 (LAG-3), T cell immunoglobulin and mucin-domain containing-3 (TIM-3), and, more recently, T cell immunoglobulin and ITIM domain (TIGIT), is relatively well understood ( Bi and Tian, 2019 ; Golden-Mason and Rosen, 2013 ; Joller and Kuchroo, 2017 ; Lee et al, 2010 ). With chronic antigen availability, the surface expression of the inhibitory receptor is significantly upregulated and maintained on T and NK cells ( Bi and Tian, 2019 ; Joller and Kuchroo, 2017 ).…”