Hope and Spantidea et al. showed that in mice bearing an OVA-secreting, asbestos-induced mesothelioma cell line, adoptively transferred naive OT-I CD8+ T cells initially expanded and produced high levels of IFNγ and TNFα within the tumor at day 15, but by day 22, intratumoral donor OT-I T cells showed signs of exhaustion, including significant contraction, loss of polyfunctionality, and increased expression of multiple inhibitory receptors. On day 22, donor OT-I CD8+ T cells were most exhausted in the tumor, less exhausted in the tumor-draining lymph nodes, and least exhausted in the spleen.

Contributed by Anna Scherer

ABSTRACT: The immune system, and in particular, cytotoxic CD8(+) T cells (CTLs), plays a vital part in the prevention and elimination of tumors. In many patients, however, CTL-mediated tumor killing ultimately fails in the clearance of cancer cells resulting in disease progression, in large part due to the progression of effector CTL into exhausted CTL. While there have been major breakthroughs in the development of CTL-mediated "reinvigoration"-driven immunotherapies such as checkpoint blockade therapy, there remains a need to better understand the drivers behind the development of T cell exhaustion. Our study highlights the unique differences in T cell exhaustion development in tumor-specific CTL which arises over time in a mouse model of mesothelioma. Importantly, we also show that peripheral tumor-specific T cells have a unique expression profile compared to exhausted tumor-infiltrating CTL at a late-stage of tumor progression in mice. Together, these data suggest that greater emphasis should be placed on understanding contributions of individual microenvironments in the development of T cell exhaustion.

Author Info: (1) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. Cancer Immunology and Tumor Microenvironment Program, Sanford Burnham Prebys Medical Dis

Author Info: (1) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. Cancer Immunology and Tumor Microenvironment Program, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, United States. (2) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (3) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (4) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (5) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (6) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (7) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (8) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands. (9) Immunology and Cancer Group, School of Biomedical Sciences, Curtin University, Perth, WA, Australia. (10) Cancer Immunology and Tumor Microenvironment Program, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, United States. (11) Department of Pulmonary Medicine, Erasmus MC University Medical Center, Rotterdam, Netherlands. (12) Department of Immunology, Erasmus MC University Medical Center, Rotterdam, Netherlands.