[PDF][PDF] Intratumoral Tcf1+ PD-1+ CD8+ T cells with stem-like properties promote tumor control in response to vaccination and checkpoint blockade immunotherapy

I Siddiqui, K Schaeuble, V Chennupati, SAF Marraco… - Immunity, 2019 - cell.com
I Siddiqui, K Schaeuble, V Chennupati, SAF Marraco, S Calderon-Copete, DP Ferreira…
Immunity, 2019cell.com
Checkpoint blockade mediates a proliferative response of tumor-infiltrating CD8+ T
lymphocytes (TILs). The origin of this response has remained elusive because chronic
activation promotes terminal differentiation or exhaustion of tumor-specific T cells. Here we
identified a subset of tumor-reactive TILs bearing hallmarks of exhausted cells and central
memory cells, including expression of the checkpoint protein PD-1 and the transcription
factor Tcf1. Tcf1+ PD-1+ TILs mediated the proliferative response to immunotherapy …
Summary
Checkpoint blockade mediates a proliferative response of tumor-infiltrating CD8+ T lymphocytes (TILs). The origin of this response has remained elusive because chronic activation promotes terminal differentiation or exhaustion of tumor-specific T cells. Here we identified a subset of tumor-reactive TILs bearing hallmarks of exhausted cells and central memory cells, including expression of the checkpoint protein PD-1 and the transcription factor Tcf1. Tcf1+PD-1+ TILs mediated the proliferative response to immunotherapy, generating both Tcf1+PD-1+ and differentiated Tcf1PD-1+ cells. Ablation of Tcf1+PD-1+ TILs restricted responses to immunotherapy. Tcf1 was not required for the generation of Tcf1+PD-1+ TILs but was essential for the stem-like functions of these cells. Human TCF1+PD-1+ cells were detected among tumor-reactive CD8+ T cells in the blood of melanoma patients and among TILs of primary melanomas. Thus, immune checkpoint blockade relies not on reversal of T cell exhaustion programs, but on the proliferation of a stem-like TIL subset.
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