Singhaviranon et al. analyzed neoepitope-specific CD8+ T cells of distinct avidities among TILs and LNs of two mouse cancers with different haplotypes and histologies. Only low-avidity T cells mediated tumor control and response to ICB, whereas high-avidity T cells were ineffective and immunosuppressive. Mechanistically, high-avidity T cells had a distinct transcriptomic profile and expressed higher levels of exhaustion markers. In silico, an avidity score identified low- and high-avidity T cells in mice and humans, and in human TILs, low-avidity TILs predicted ICB responses. The study also revealed unexpected diversity of avidities among single clonotypes in vivo.
Contributed by Katherine Turner
ABSTRACT: T cells recognize neoepitope peptide-major histocompatibility complex class I on cancer cells. The strength (or avidity) of the T cell receptor-peptide-major histocompatibility complex class I interaction is a critical variable in immune control of cancers. Here, we analyze neoepitope-specific CD8 cells of distinct avidities and show that low-avidity T cells are the sole mediators of cancer control in mice and are solely responsive to checkpoint blockade in mice and humans. High-avidity T cells are ineffective and immune-suppressive. The mechanistic basis of these differences lies in the higher exhaustion status of high-avidity cells. High-avidity T cells have a distinct transcriptomic profile that is used here to calculate an 'avidity score', which we then use for in silico identification of low-avidity and high-avidity T cells in mice and humans. Surprisingly, CD8(+) T cells with identical T cell receptors exhibit wide variation in avidities, suggesting an additional level of regulation of T cell activity. Aside from providing a better understanding of endogenous T cell responses to cancer, these findings might instruct future immunotherapy strategies.