Yamauchi and Hoki et al. showed that tumor-specific CX3CR1- CD8+ TCR transgenic T cells transferred into a melanoma-bearing mouse model controlled tumors and generated CX3CR1-, CX3CR1int, and CX3CR1hi cells (unidirectionally). Terminally differentiated CX3CR1hi cells expressed high granzyme and low coinhibitory receptor levels, produced IFNγ and TNFα, and mediated tumor lysis in vitro, but their selective depletion did not reverse antitumor effects. Secondary adoptive transfer and antigen rechallenge showed that the CX3CR1- Tcf1+ subset proliferated, differentiated, exerted antitumor effects, and was most impacted by anti-PD-L1.

Contributed by Paula Hochman

ABSTRACT: While blockade of PD-1/PD-L1 immune checkpoint revolutionized cancer treatment, how it works on tumor-infiltrating CD8+ T cells recognizing the same antigen at various differentiation stages remains elusive. Here, we found that the chemokine receptor CX3CR1 identified three distinct differentiation states of intratumoral CD8+ T-cell subsets. Adoptively transferred antigen-specific CX3CR1neg CD8+ T cells generated phenotypically and functionally distinct CX3CR1int and CX3CR1hi subsets in the periphery. Notably, expression of co-inhibitory receptors and Tcf1 inversely correlated with the degree of T-cell differentiation defined by CX3CR1. Despite significantly lower expression of co-inhibitory receptors and potent cytolytic activity, in vivo depletion of the CX3CR1hi subset did not alter the antitumor efficacy of adoptively transferred CD8+ T cells. Furthermore, differentiated CX3CR1int and CX3CR1hi subsets were impaired in their ability to undergo proliferation upon re-stimulation, and had no impact on established tumors upon second adoptive transfer compared with the CX3CR1neg subset that remained effective. Accordingly, anti-PD-L1 therapy preferentially rescued proliferation and cytokine production of the CX3CR1neg subset, and significantly enhanced antitumor efficacy of adoptively transferred CD8+ T cells. These findings provide a better understanding of the phenotypic and functional heterogeneity of tumor-infiltrating CD8+ T cells, and can be exploited to develop more effective immunotherapy.

Author Info: (1) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America. (2) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, B

Author Info: (1) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America. (2) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America. (3) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America. (4) Department of Surgery, University of Michigan, Ann Arbor, United States of America. (5) Department of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America. (6) Department of Surgery, University of Michigan, Ann Arbor, United States of America. (7) Department of Surgery, University of Michigan, Ann Arbor, United States of America. (8) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America. (9) Center for Immunotherapy, Roswell Park Comprehensive Cancer Center, Buffalo, United States of America.