Barboy et al. leveraged scRNAseq to track temporal transitions in T cell phenotypes across compartments in multiple mouse tumor models, identifying 7 novel, functional programs that spanned a continuum of T cell states. PD-1 blockade was directly associated with upregulation of early effector and dysfunction programs, and played an independent role in promoting T cell recruitment and proliferation via cDC1s in the tumor and dLN. Combination treatment with anti-PD-1 and a 4-1BB agonist was associated with an influx of activated precursor cells and strong induction of early effector programs, demonstrating the potential of 4-1BB agonism to supplement the role of cDC1s in deficient tumors.
Contributed by Morgan Janes
ABSTRACT: Successful immunotherapy relies on triggering complex responses involving T cell dynamics in tumors and the periphery. Characterizing these responses remains challenging using static human single-cell atlases or mouse models. To address this, we developed a framework for in vivo tracking of tumor-specific CD8(+) T cells over time and at single-cell resolution. Our tools facilitate the modeling of gene program dynamics in the tumor microenvironment (TME) and the tumor-draining lymph node (tdLN). Using this approach, we characterize two modes of anti-programmed cell death protein 1 (PD-1) activity, decoupling induced differentiation of tumor-specific activated precursor cells from conventional type 1 dendritic cell (cDC1)-dependent proliferation and recruitment to the TME. We demonstrate that combining anti-PD-1 therapy with anti-4-1BB agonist enhances the recruitment and proliferation of activated precursors, resulting in tumor control. These data suggest that effective response to anti-PD-1 therapy is dependent on sufficient influx of activated precursor CD8(+) cells to the TME and highlight the importance of understanding system-level dynamics in optimizing immunotherapies.