Analyzing primary ccRCC samples, Laboureur et al. identified a subset of CD8+ILT2+PD-1- TILs that were terminally differentiated and expressed high baseline levels of granzyme B, perforin, and NKG2D, but lacked tumor specificity and tissue residency markers. These “bystander” T cells, likely recruited from the periphery, exhibited CD3-driven activation and IFNγ production in response to viral antigens, as well as IL-15/NKG2D-driven, TCR-independent cytotoxicity. The innate-like cytotoxicity was inhibited by HLA-G (an ILT2 ligand expressed on tumor cells), suggestive of a checkpoint axis that could potentially be targeted for immunotherapy.

Contributed by Lauren Hitchings

ABSTRACT: Immune checkpoint inhibitors (ICIs) have improved clear-cell renal cell carcinoma (ccRCC) therapy, yet many patients remain unresponsive. Alternative strategies are needed, and the HLA-G/ILT2 axis has emerged as a promising immunosuppressive pathway. Here, we deeply characterized CD8_ILT2_ tumor-infiltrating lymphocytes (TILs) as a distinct subset from CD8_PD1_ TILs in ccRCC, using high-dimensional spectral flow cytometry, single-cell transcriptomics, and TCR clonotype analysis. CD8_ILT2_ TILs were terminally differentiated, highly cytotoxic "bystander" cells, enriched for virus-specific TCRs. They phenotypically, transcriptionally and functionally mirrored their circulating counterparts, suggesting peripheral recruitment. In dynamic co-culture assays, they exhibited potent TCR-independent cytotoxicity, mediated by activating innate receptors, namely NKG2D. However, HLA-G inhibited this activity, underscoring the immune-evasive role of the HLA-G/ILT2 axis. Our study defines CD8_ILT2_ TILs as an untapped effector population with potential antitumor activity and a promising therapeutic target in ccRCC. These findings offer new insights into TIL functional diversity and pave the way for innovative immunotherapies beyond conventional ICIs.

Author Info: (1) CEA Fontenay-aux-Roses Paris France. ROR: https://ror.org/010j2gw05 (2) H™pital Saint-Louis Paris France. ROR: https://ror.org/049am9t04 (3) CEA Grenoble Grenoble France. ROR: https://ror.org/02mg6n827 (4) CEA Fontenay-aux-Roses Paris France. ROR: https://ror.org/010j2gw05 (5) Inserm Paris France. ROR: https://ror.org/02vjkv261 (6) Inserm Paris France. ROR: https://ror.org/02vjkv261 (7) CEA Fontenay-aux-Roses Paris France. ROR: https://ror.org/010j2gw05 (8) APHP Paris France. (9) H™pital Saint-Louis, Assistance publique H™pitaux de Paris Paris France. (10) APHP Paris France. (11) Assistance Publique - H™pitaux de Paris Paris France. ROR: https://ror.org/00pg5jh14 (12) CEA Paris-Saclay - Etablissement de Fontenay-aux-roses Paris France. (13) Commissariat ˆ l'Energie Atomique et aux Energies Alternatives Paris France. (14) AP-HP, H™pital Saint-Louis Paris France. (15) Commissariat a l'Energie Atomique et aux Energies Alternatives (CEA) Grenoble France. (16) Inserm Paris France. ROR: https://ror.org/02vjkv261 (17) CEA Fontenay-aux-Roses Paris France. ROR: https://ror.org/010j2gw05 (18) Atomic Energy and Alternative Energies Commission Paris France. ROR: https://ror.org/00jjx8s55