Egelston et al. analyzed PD-1 and other phenotypic markers in human breast cancer (mostly ER+/HER2-) and melanoma and observed that CD8+ TILs from both tumor types were primarily CCR7-/CD45RA- effector memory cells displaying a seemingly exhausted Eomes+/TIGIT+/2B4+ and terminally differentiated CD127-/KLRG1- profile. However, breast cancer PD-1+CD8+ TILs showed enhanced IFNγ, TNFα, and IL-2 production and stronger cytolytic capability in conjunction with a bispecific antibody compared to same cells derived from melanoma. These results reveal a more nuanced relationship between PD-1 expression and T cell exhaustion.
Functional CD8(+) T cells in human tumors play a clear role in clinical prognosis and response to immunotherapeutic interventions. PD-1 expression in T cells involved in chronic infections and tumors such as melanoma often correlates with a state of T-cell exhaustion. Here we interrogate CD8(+) tumor-infiltrating lymphocytes (TILs) from human breast and melanoma tumors to explore their functional state. Despite expression of exhaustion hallmarks, such as PD-1 expression, human breast tumor CD8(+) TILs retain robust capacity for production of effector cytokines and degranulation capacity. In contrast, melanoma CD8(+) TILs display dramatic reduction of cytokine production and degranulation capacity. We show that CD8(+) TILs from human breast tumors can potently kill cancer cells via bi-specific antibodies. Our data demonstrate that CD8(+) TILs in human breast tumors retain polyfunctionality, despite PD-1 expression, and suggest that they may be harnessed for effective immunotherapies.