Antitumor T-cell Homeostatic Activation Is Uncoupled from Homeostatic Inhibition by Checkpoint Blockade Show others and affiliations
2019 (English) In: Cancer Discovery, ISSN 2159-8274, E-ISSN 2159-8290, Vol. 9, no 11, p. 1520-1537Article in journal (Refereed) Published
Abstract [en]
T-cell transfer into lymphodepleted recipients induces homeostatic activation and potentiates antitumor efficacy. In contrast to canonical T-cell receptor–induced activation, homeostatic activation yields a distinct phenotype and memory state whose regulatory mechanisms are poorly understood. Here, we show in patients and murine models that, following transfer into lymphodepleted bone marrow transplant (BMT) recipients, CD8+ T cells undergo activation but also simultaneous homeostatic inhibition manifested by upregulation of immune-checkpoint molecules and functional suppression. T cells transferred into BMT recipients were protected from homeostatic inhibition by PD-1/CTLA4 dual checkpoint blockade (dCB). This combination of dCB and BMT— ”immunotransplant”—increased T-cell homeostatic activation and antitumor T-cell responses by an order of magnitude. Like homeostatic activation, homeostatic inhibition is IL7/IL15-dependent, revealing mechanistic coupling of these two processes. Marked similarity in ex vivo modulation of post-BMT T cells in mice and patients is promising for the clinical translation of immunotransplant (NCT03305445) and for addressing homeostatic inhibition in T-cell therapies. SIGNIFICANCE: For optimal anticancer effect, T-cell therapies including chimeric antigen receptor T-cell, tumor-infiltrating lymphocyte, and transgenic T-cell therapies require transfer into lymphodepleted recipients and homeostatic activation; however, concomitant homeostatic inhibition mitigates T-cell therapies’ efficacy. Checkpoint blockade uncouples homeostatic inhibition from activation, amplifying T-cell responses. Conversely, tumors nonresponsive to checkpoint blockade or BMT are treatable with immunotransplant. © 2019 American Association for Cancer Research.
Place, publisher, year, edition, pages American Association For Cancer Research (AACR), 2019. Vol. 9, no 11, p. 1520-1537
National Category
Cell and Molecular Biology
Identifiers URN: urn:nbn:se:liu:diva-199831 DOI: 10.1158/2159-8290.cd-19-0391 PubMedID: 31375522 Scopus ID: 2-s2.0-85074378873 OAI: oai:DiVA.org:liu-199831 DiVA, id: diva2:1822451
Funder NIH (National Institutes of Health), 5T32AI078892 NIH (National Institutes of Health), 5T32AI007605 NIH (National Institutes of Health), 5R00CA140728 NIH (National Institutes of Health), R21HD091461 NIH (National Institutes of Health), R01 CA154947 NIH (National Institutes of Health), R01 CA190400 2023-12-222023-12-222023-12-22