Alteber and Cojocaru et al. found that the inhibitory receptor PVRIG was mostly detected on stem-like memory T cells, and its ligand PVRL2 was highly expressed on all tumoral DC subsets. LAMP3+PVRL2+ mregDCs were found to interact with CD28+PVRIG+CD8+ T cells in tumoral immune aggregates. Triple therapy with blockade of PVRIG, PD-1, and TIGIT in patients with solid tumors resulted in immune activation, including increased CD8+ T cell proliferation, increased TCR clonality, and expansion of pre-existing clones. Combination therapies with PVRIG blockade induced these effects in patients with “immune desert” tumors.

Contributed by Maartje Wouters

ABSTRACT: Cancers that are poorly immune infiltrated pose a substantial challenge, with current immunotherapies yielding limited clinical success. Stem-like memory T cells (TSCM) have been identified as a subgroup of T cells that possess strong proliferative capacity and that can expand and differentiate following interactions with dendritic cells (DCs). In this study, we explored the pattern of expression of a recently discovered inhibitory receptor PVRIG and its ligand, PVRL2, in the human tumor microenvironment. Using spatial and single-cell RNA transcriptomics data across diverse cancer indications, we found that among the T-cell checkpoints, PVRIG is uniquely expressed on TSCM and PVRL2 is expressed on DCs in immune aggregate niches in tumors. PVRIG blockade could therefore enhance TSCM-DC interactions and efficiently drive T-cell infiltration to tumors. Consistent with these data, following PVRIG blockade in patients with poorly infiltrated tumors, we observed immune modulation including increased tumor T-cell infiltration, T-cell receptor (TCR) clonality, and intratumoral T-cell expansion, all of which were associated with clinical benefit. These data suggest PVRIG blockade as a promising strategy to induce potent antitumor T-cell responses, providing a novel approach to overcome resistance to immunotherapy in immune-excluded tumors.

Author Info: (1) Compugen Ltd, Holon, Israel. (2) Compugen Ltd, Israel. (3) Compugen Ltd, Holon, Israel. (4) Compugen Ltd, Israel. (5) Compugen (Israel), Holon, Israel. (6) Compugen Ltd, Holon,

Author Info: (1) Compugen Ltd, Holon, Israel. (2) Compugen Ltd, Israel. (3) Compugen Ltd, Holon, Israel. (4) Compugen Ltd, Israel. (5) Compugen (Israel), Holon, Israel. (6) Compugen Ltd, Holon, Israel. (7) Compugen (Israel), Israel. (8) Compugen (Israel), Israel. (9) Compugen (Israel), Israel. (10) Compugen (Israel), Israel. (11) Compugen Ltd, Israel. (12) Vizgen Inc., San Diego, United States. (13) Vizgen Inc., United States. (14) Vizgen Inc., United States. (15) Compugen (Israel), Rishon LeZion, Israel. (16) Rabin Medical Center, petch tikva, Israel. (17) Rabin Medical Center - Sackler School of Medicine, Tel Aviv University, Petah Tikva, Israel. (18) Rabin Medical Center, Petah Tikva, Israel. (19) Rabin Medical Center, Petah Tikva, Israel. (20) Rabin Medical Center, Petah Tikva, Israel. (21) Rabin Medical Center, Petah Tikva, Israel. (22) Compugen USA Inc., United States. (23) Compugen Ltd, Toulouse, France. (24) Compugen Ltd, Holon, Israel. (25) Compugen Ltd, Holon, Israel.