Duhen et al. show that various human primary and metastatic tumors (but not peripheral blood) contain CD8+ T cells that express both CD103 and CD39 as a result of prolonged TCR stimulation in the presence of TGFβ. These TILs exhibit an exhausted, tissue-resident memory phenotype, possess a highly clonal TCR repertoire, and express relatively low levels of IFNγ and TNFα, however they proliferate within the tumor and produce granzyme B. Following in vitro expansion, CD103+CD39+CD8+ TILs were tumor-reactive and cytotoxic, and their frequency correlated with increased survival in patients with head and neck squamous cell carcinoma.
Identifying tumor antigen-specific T cells from cancer patients has important implications for immunotherapy diagnostics and therapeutics. Here, we show that CD103(+)CD39(+) tumor-infiltrating CD8 T cells (CD8 TIL) are enriched for tumor-reactive cells both in primary and metastatic tumors. This CD8 TIL subset is found across six different malignancies and displays an exhausted tissue-resident memory phenotype. CD103(+)CD39(+) CD8 TILs have a distinct T-cell receptor (TCR) repertoire, with T-cell clones expanded in the tumor but present at low frequencies in the periphery. CD103(+)CD39(+) CD8 TILs also efficiently kill autologous tumor cells in a MHC-class I-dependent manner. Finally, higher frequencies of CD103(+)CD39(+) CD8 TILs in patients with head and neck cancer are associated with better overall survival. Our data thus describe an approach for detecting tumor-reactive CD8 TILs that will help define mechanisms of existing immunotherapy treatments, and may lead to future adoptive T-cell cancer therapies.