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A Critical Role for Fas-Mediated Off-Target Tumor Killing in T-cell Immunotherapy
Department of Medicine, Division of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, USA; Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, USA; Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York..ORCID iD: 0000-0002-1326-5898
Department of Medicine, Division of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, New York;Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, New York.;3Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, USA.
Department of Medicine, Division of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, USA; Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, USA; Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, USA.
Department of Medicine, Division of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, USA; Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, USA; Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, USA.ORCID iD: 0000-0002-6260-0808
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2021 (English)In: Cancer Discovery, ISSN 2159-8274, E-ISSN 2159-8290, Vol. 11, no 3, p. 599-613Article in journal (Refereed) Published
Abstract [en]

T cell-based therapies have induced cancer remissions, though most tumors ultimately progress, reflecting inherent or acquired resistance including antigen escape. Better understanding of how T cells eliminate tumors will help decipher resistance mechanisms. We used a CRISPR/Cas9 screen and identified a necessary role for Fas-FasL in antigen-specific T-cell killing. We also found that Fas-FasL mediated off-target "bystander" killing of antigen-negative tumor cells. This localized bystander cytotoxicity enhanced clearance of antigen-heterogeneous tumors in vivo, a finding that has not been shown previously. Fas-mediated on-target and bystander killing was reproduced in chimeric antigen receptor (CAR-T) and bispecific antibody T-cell models and was augmented by inhibiting regulators of Fas signaling. Tumoral FAS expression alone predicted survival of CAR-T-treated patients in a large clinical trial (NCT02348216). These data suggest strategies to prevent immune escape by targeting both the antigen expression of most tumor cells and the geography of antigen-loss variants. SIGNIFICANCE: This study demonstrates the first report of in vivo Fas-dependent bystander killing of antigen-negative tumors by T cells, a phenomenon that may be contributing to the high response rates of antigen-directed immunotherapies despite tumoral heterogeneity. Small molecules that target the Fas pathway may potentiate this mechanism to prevent cancer relapse.

Place, publisher, year, edition, pages
American Association For Cancer Research (AACR), 2021. Vol. 11, no 3, p. 599-613
National Category
Immunology in the medical area
Identifiers
URN: urn:nbn:se:liu:diva-199830DOI: 10.1158/2159-8290.cd-20-0756ISI: 000625890400024PubMedID: 33334730Scopus ID: 2-s2.0-85102641191OAI: oai:DiVA.org:liu-199830DiVA, id: diva2:1822449
Funder
NIH (National Institutes of Health), P30CA196521NIH (National Institutes of Health), 5T32GM007280NIH (National Institutes of Health), 5T32AI007605NIH (National Institutes of Health), R01CA154947NIH (National Institutes of Health), R01CA190400NIH (National Institutes of Health), R01AT011326NIH (National Institutes of Health), R01AI113221NIH (National Institutes of Health), R33CA223947NIH (National Institutes of Health), U19AI128949NIH (National Institutes of Health), R37CA246239Available from: 2023-12-22 Created: 2023-12-22 Last updated: 2023-12-22

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Svensson-Arvelund, Judit

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