An intra-tumoral niche maintains and differentiates stem-like CD8 T cells

CS Jansen, N Prokhnevska, VA Master, MG Sanda… - Nature, 2019 - nature.com
CS Jansen, N Prokhnevska, VA Master, MG Sanda, JW Carlisle, MA Bilen, M Cardenas…
Nature, 2019nature.com
Tumour-infiltrating lymphocytes are associated with a survival benefit in several tumour
types and with the response to immunotherapy,,,,,,–. However, the reason some tumours
have high CD8 T cell infiltration while others do not remains unclear. Here we investigate
the requirements for maintaining a CD8 T cell response against human cancer. We find that
CD8 T cells within tumours consist of distinct populations of terminally differentiated and
stem-like cells. On proliferation, stem-like CD8 T cells give rise to more terminally …
Abstract
Tumour-infiltrating lymphocytes are associated with a survival benefit in several tumour types and with the response to immunotherapy, , , , , , –. However, the reason some tumours have high CD8 T cell infiltration while others do not remains unclear. Here we investigate the requirements for maintaining a CD8 T cell response against human cancer. We find that CD8 T cells within tumours consist of distinct populations of terminally differentiated and stem-like cells. On proliferation, stem-like CD8 T cells give rise to more terminally differentiated, effector-molecule-expressing daughter cells. For many T cells to infiltrate the tumour, it is critical that this effector differentiation process occur. In addition, we show that these stem-like T cells reside in dense antigen-presenting-cell niches within the tumour, and that tumours that fail to form these structures are not extensively infiltrated by T cells. Patients with progressive disease lack these immune niches, suggesting that niche breakdown may be a key mechanism of immune escape.
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