[PDF][PDF] Clonal abundance of tumor-specific CD4+ T cells potentiates efficacy and alters susceptibility to exhaustion

N Malandro, S Budhu, NF Kuhn, C Liu, JT Murphy… - Immunity, 2016 - cell.com
N Malandro, S Budhu, NF Kuhn, C Liu, JT Murphy, C Cortez, H Zhong, X Yang, G Rizzuto
Immunity, 2016cell.com
Current approaches to cancer immunotherapy aim to engage the natural T cell response
against tumors. One limitation is the elimination of self-antigen-specific T cells from the
immune repertoire. Using a system in which precursor frequency can be manipulated in a
murine melanoma model, we demonstrated that the clonal abundance of CD4+ T cells
specific for self-tumor antigen positively correlated with antitumor efficacy. At elevated
precursor frequencies, intraclonal competition impaired initial activation and overall …
Summary
Current approaches to cancer immunotherapy aim to engage the natural T cell response against tumors. One limitation is the elimination of self-antigen-specific T cells from the immune repertoire. Using a system in which precursor frequency can be manipulated in a murine melanoma model, we demonstrated that the clonal abundance of CD4+ T cells specific for self-tumor antigen positively correlated with antitumor efficacy. At elevated precursor frequencies, intraclonal competition impaired initial activation and overall expansion of the tumor-specific CD4+ T cell population. However, through clonally derived help, this population acquired a polyfunctional effector phenotype and antitumor immunity was enhanced. Conversely, development of effector function was attenuated at low precursor frequencies due to irreversible T cell exhaustion. Our findings assert that the differential effects of T cell clonal abundance on phenotypic outcome should be considered during the design of adoptive T cell therapies, including use of engineered T cells.
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