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A transcriptionally and functionally distinct PD-1+ CD8+ T cell pool with predictive potential in non-small-cell lung cancer treated with PD-1 blockade.


ABSTRACT: Evidence from mouse chronic viral infection models suggests that CD8+ T cell subsets characterized by distinct expression levels of the receptor PD-1 diverge in their state of exhaustion and potential for reinvigoration by PD-1 blockade. However, it remains unknown whether T cells in human cancer adopt a similar spectrum of exhausted states based on PD-1 expression levels. We compared transcriptional, metabolic and functional signatures of intratumoral CD8+ T lymphocyte populations with high (PD-1T), intermediate (PD-1N) and no PD-1 expression (PD-1-) from non-small-cell lung cancer patients. PD-1T T cells showed a markedly different transcriptional and metabolic profile from PD-1N and PD-1- lymphocytes, as well as an intrinsically high capacity for tumor recognition. Furthermore, while PD-1T lymphocytes were impaired in classical effector cytokine production, they produced CXCL13, which mediates immune cell recruitment to tertiary lymphoid structures. Strikingly, the presence of PD-1T cells was strongly predictive for both response and survival in a small cohort of non-small-cell lung cancer patients treated with PD-1 blockade. The characterization of a distinct state of tumor-reactive, PD-1-bright lymphocytes in human cancer, which only partially resembles that seen in chronic infection, provides potential avenues for therapeutic intervention.

SUBMITTER: Thommen DS 

PROVIDER: S-EPMC6110381 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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A transcriptionally and functionally distinct PD-1<sup>+</sup> CD8<sup>+</sup> T cell pool with predictive potential in non-small-cell lung cancer treated with PD-1 blockade.

Thommen Daniela S DS   Koelzer Viktor H VH   Herzig Petra P   Roller Andreas A   Trefny Marcel M   Dimeloe Sarah S   Kiialainen Anna A   Hanhart Jonathan J   Schill Catherine C   Hess Christoph C   Savic Prince Spasenija S   Wiese Mark M   Lardinois Didier D   Ho Ping-Chih PC   Klein Christian C   Karanikas Vaios V   Mertz Kirsten D KD   Schumacher Ton N TN   Zippelius Alfred A  

Nature medicine 20180611 7


Evidence from mouse chronic viral infection models suggests that CD8<sup>+</sup> T cell subsets characterized by distinct expression levels of the receptor PD-1 diverge in their state of exhaustion and potential for reinvigoration by PD-1 blockade. However, it remains unknown whether T cells in human cancer adopt a similar spectrum of exhausted states based on PD-1 expression levels. We compared transcriptional, metabolic and functional signatures of intratumoral CD8<sup>+</sup> T lymphocyte pop  ...[more]

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