Subsets of exhausted CD8+ T cells differentially mediate tumor control and respond to checkpoint blockade

T cell dysfunction is a hallmark of many cancers, but the basis for T cell dysfunction and the mechanisms by which antibody blockade of the inhibitory receptor PD-1 (anti-PD-1) reinvigorates T cells are not fully understood. Here we show that such therapy acts on a specific subpopulation of exhauste...

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Vydáno v:Nature immunology Ročník 20; číslo 3; s. 326 - 336
Hlavní autoři: Miller, Brian C., Sen, Debattama R., Al Abosy, Rose, Bi, Kevin, Virkud, Yamini V., LaFleur, Martin W., Yates, Kathleen B., Lako, Ana, Felt, Kristen, Naik, Girish S., Manos, Michael, Gjini, Evisa, Kuchroo, Juhi R., Ishizuka, Jeffrey J., Collier, Jenna L., Griffin, Gabriel K., Maleri, Seth, Comstock, Dawn E., Weiss, Sarah A., Brown, Flavian D., Panda, Arpit, Zimmer, Margaret D., Manguso, Robert T., Hodi, F. Stephen, Rodig, Scott J., Sharpe, Arlene H., Haining, W. Nicholas
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Nature Publishing Group US 01.03.2019
Nature Publishing Group
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ISSN:1529-2908, 1529-2916, 1529-2916
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Shrnutí:T cell dysfunction is a hallmark of many cancers, but the basis for T cell dysfunction and the mechanisms by which antibody blockade of the inhibitory receptor PD-1 (anti-PD-1) reinvigorates T cells are not fully understood. Here we show that such therapy acts on a specific subpopulation of exhausted CD8 + tumor-infiltrating lymphocytes (TILs). Dysfunctional CD8 + TILs possess canonical epigenetic and transcriptional features of exhaustion that mirror those seen in chronic viral infection. Exhausted CD8 + TILs include a subpopulation of ‘progenitor exhausted’ cells that retain polyfunctionality, persist long term and differentiate into ‘terminally exhausted’ TILs. Consequently, progenitor exhausted CD8 + TILs are better able to control tumor growth than are terminally exhausted T cells. Progenitor exhausted TILs can respond to anti-PD-1 therapy, but terminally exhausted TILs cannot. Patients with melanoma who have a higher percentage of progenitor exhausted cells experience a longer duration of response to checkpoint-blockade therapy. Thus, approaches to expand the population of progenitor exhausted CD8 + T cells might be an important component of improving the response to checkpoint blockade. Exhausted cytotoxic T lymphocytes (CTLs) express the receptor PD-1 as a key signature. Haining and colleagues show that there are different ‘depths’ of exhaustion with a subset of exhausted CTLs that retain polyfunctionality and are responsive to PD-1 blockade.
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J.J.I., J.L.C., A.P., S.M., D.E.C., S.A.W. and F.D.B. performed mouse experiments and/or data analysis. M.D.Z., R.T.M. and F.S.H. provided critical reagents. A.L., K.F., G.S.N., M.M., E.G., G.K.G., F.S.H. and S.J.R. collected human samples and data. B.C.M., D.R.S. and W.N.H. wrote the manuscript. All authors reviewed and edited the manuscript.
B.C.M., D.R.S. and W.N.H. conceived the study. B.C.M., D.R.S., A.H.S. and W.N.H. designed the experiments. B.C.M., D.R.S., R.A.A., K.B., Y.V.V., M.W.L., K.B.Y., J.R.K.
Author contributions
ISSN:1529-2908
1529-2916
1529-2916
DOI:10.1038/s41590-019-0312-6