Tumor Infiltrating Effector Memory Antigen-Specific CD8+ T Cells Predict Response to Immune Checkpoint Therapy

N Principe, J Kidman, S Goh, CM Tilsed… - Frontiers in …, 2020 - frontiersin.org
N Principe, J Kidman, S Goh, CM Tilsed, SA Fisher, VS Fear, CA Forbes, RM Zemek
Frontiers in Immunology, 2020frontiersin.org
Immune checkpoint therapy (ICT) results in durable responses in individuals with some
cancers, but not all patients respond to treatment. ICT improves CD8+ cytotoxic T
lymphocyte (CTL) function, but changes in tumor antigen-specific CTLs post-ICT that
correlate with successful responses have not been well characterized. Here, we studied
murine tumor models with dichotomous responses to ICT. We tracked tumor antigen-specific
CTL frequencies and phenotype before and after ICT in responding and non-responding …
Immune checkpoint therapy (ICT) results in durable responses in individuals with some cancers, but not all patients respond to treatment. ICT improves CD8+ cytotoxic T lymphocyte (CTL) function, but changes in tumor antigen-specific CTLs post-ICT that correlate with successful responses have not been well characterized. Here, we studied murine tumor models with dichotomous responses to ICT. We tracked tumor antigen-specific CTL frequencies and phenotype before and after ICT in responding and non-responding animals. Tumor antigen-specific CTLs increased within tumor and draining lymph nodes after ICT, and exhibited an effector memory-like phenotype, expressing IL-7R (CD127), KLRG1, T-bet, and granzyme B. Responding tumors exhibited higher infiltration of effector memory tumor antigen-specific CTLs, but lower frequencies of regulatory T cells compared to non-responders. Tumor antigen-specific CTLs persisted in responding animals and formed memory responses against tumor antigens. Our results suggest that increased effector memory tumor antigen-specific CTLs, in the presence of reduced immunosuppression within tumors is part of a successful ICT response. Temporal and nuanced analysis of T cell subsets provides a potential new source of immune based biomarkers for response to ICT.
Frontiers