[PDF][PDF] Tumor-specific T cell dysfunction is a dynamic antigen-driven differentiation program initiated early during tumorigenesis

A Schietinger, M Philip, VE Krisnawan, EY Chiu… - Immunity, 2016 - cell.com
A Schietinger, M Philip, VE Krisnawan, EY Chiu, JJ Delrow, RS Basom, P Lauer…
Immunity, 2016cell.com
CD8+ T cells recognizing tumor-specific antigens are detected in cancer patients but are
dysfunctional. Here we developed a tamoxifen-inducible liver cancer mouse model with a
defined oncogenic driver antigen (SV40 large T-antigen) to follow the activation and
differentiation of naive tumor-specific CD8+ T (TST) cells after tumor initiation. Early during
the pre-malignant phase of tumorigenesis, TST cells became dysfunctional, exhibiting
phenotypic, functional, and transcriptional features similar to dysfunctional T cells isolated …
Summary
CD8+ T cells recognizing tumor-specific antigens are detected in cancer patients but are dysfunctional. Here we developed a tamoxifen-inducible liver cancer mouse model with a defined oncogenic driver antigen (SV40 large T-antigen) to follow the activation and differentiation of naive tumor-specific CD8+ T (TST) cells after tumor initiation. Early during the pre-malignant phase of tumorigenesis, TST cells became dysfunctional, exhibiting phenotypic, functional, and transcriptional features similar to dysfunctional T cells isolated from late-stage human tumors. Thus, T cell dysfunction seen in advanced human cancers may already be established early during tumorigenesis. Although the TST cell dysfunctional state was initially therapeutically reversible, it ultimately evolved into a fixed state. Persistent antigen exposure rather than factors associated with the tumor microenvironment drove dysfunction. Moreover, the TST cell differentiation and dysfunction program exhibited features distinct from T cell exhaustion in chronic infections. Strategies to overcome this antigen-driven, cell-intrinsic dysfunction may be required to improve cancer immunotherapy.
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