As development of CD8+ T cell exhaustion is mediated by transcription factors (TFs), Seo et al. examined the effects of overexpression of BATF – one of the TFs that favors full T cell effector function – on exhaustion. In a mouse model, BATF transduction of CAR T cells resulted in: a) expansion of CAR TILs, b) lower percentage of TILS with exhaustion phenotype, c) enhanced tumor rejection, and d) generation of a memory response to tumor rechallenge. BATF-dependent enhancements were dependent upon interaction with the TF IRF4. Human CAR T cells transduced with BATF demonstrated enhanced tumor-specific proliferation and cytotoxicity in vitro.
Contributed by Margot O’Toole
ABSTRACT: The transcription factors nuclear factor of activated T cells (NFAT) and activator protein 1 (AP-1; Fos-Jun) cooperate to promote the effector functions of T cells, but NFAT in the absence of AP-1 imposes a negative feedback program of T cell hyporesponsiveness (exhaustion). Here, we show that basic leucine zipper ATF-like transcription factor (BATF) and interferon regulatory factor 4 (IRF4) cooperate to counter T cell exhaustion in mouse tumor models. Overexpression of BATF in CD8(+) T cells expressing a chimeric antigen receptor (CAR) promoted the survival and expansion of tumor-infiltrating CAR T cells, increased the production of effector cytokines, decreased the expression of inhibitory receptors and the exhaustion-associated transcription factor TOX and supported the generation of long-lived memory T cells that controlled tumor recurrence. These responses were dependent on BATF-IRF interaction, since cells expressing a BATF variant unable to interact with IRF4 did not survive in tumors and did not effectively delay tumor growth. BATF may improve the antitumor responses of CAR T cells by skewing their phenotypes and transcriptional profiles away from exhaustion and towards increased effector function.