[PDF][PDF] Tumor-repopulating cells induce PD-1 expression in CD8+ T cells by transferring kynurenine and AhR activation

Y Liu, X Liang, W Dong, Y Fang, J Lv, T Zhang… - Cancer cell, 2018 - cell.com
Y Liu, X Liang, W Dong, Y Fang, J Lv, T Zhang, R Fiskesund, J Xie, J Liu, X Yin, X Jin…
Cancer cell, 2018cell.com
Despite the clinical successes fostered by immune checkpoint inhibitors, mechanisms
underlying PD-1 upregulation in tumor-infiltrating T cells remain an enigma. Here, we show
that tumor-repopulating cells (TRCs) drive PD-1 upregulation in CD8+ T cells through a
transcellular kynurenine (Kyn)-aryl hydrocarbon receptor (AhR) pathway. Interferon-γ
produced by CD8+ T cells stimulates release of high levels of Kyn produced by TRCs, which
is transferred into adjacent CD8+ T cells via the transporters SLC7A8 and PAT4. Kyn …
Summary
Despite the clinical successes fostered by immune checkpoint inhibitors, mechanisms underlying PD-1 upregulation in tumor-infiltrating T cells remain an enigma. Here, we show that tumor-repopulating cells (TRCs) drive PD-1 upregulation in CD8+ T cells through a transcellular kynurenine (Kyn)-aryl hydrocarbon receptor (AhR) pathway. Interferon-γ produced by CD8+ T cells stimulates release of high levels of Kyn produced by TRCs, which is transferred into adjacent CD8+ T cells via the transporters SLC7A8 and PAT4. Kyn induces and activates AhR and thereby upregulates PD-1 expression. This Kyn-AhR pathway is confirmed in both tumor-bearing mice and cancer patients and its blockade enhances antitumor adoptive T cell therapy efficacy. Thus, we uncovered a mechanism of PD-1 upregulation with potential tumor immunotherapeutic applications.
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