Shevchenko et al. analyzed ectonucleotidase (CD39 and CD73) expression patterns in T cells in melanoma and pancreatic cancer mouse models and cancer patients. Tumor-infiltrating non-regulatory CD8+ T cells, CD4+ Treg, and CD4+FoxP3 conventional T cells showed increased ectonucleotidase expression. Increased CD39 and CD73 expression were observed in effector or memory, activated, and IFNγ+ or PD1+ T cells, suggesting a homeostatic role. Enhanced expression of CD39 and CD73 in CD8+ T cells and Tregs correlated with poor overall survival in melanoma patients. TGF-β increased ectonucleotidase expression in CD8+ T cells in mice, but not in humans.

Contributed by Shishir Pant

ABSTRACT: Synthesis of extracellular adenosine by the ectonucleotidases CD39 and CD73 represents an important pathway of immune suppression in the tumor microenvironment. Using two mouse models (RET transgenic melanoma and Panc02 orthotopic pancreatic adenocarcinoma), we identified an elevated frequency of ectonucleotidase-expressing T cells in tumors and spleens. Importantly, these ectonucleotidase-positive T cells also showed a pronounced expression of PD-1. Conversely, the PD-1+ T cell subsets in tumors contained substantially larger proportions of ectonucleotidase-expressing cells compared to their counterparts lacking PD-1 expression. Our in vitro experiments showed that the activation of normal T cells resulted in an increase in the CD39 expression. CD39+ and CD73+ T cells displayed effector or memory phenotypes and produced IFN-_, thereby linking ectonucleotidase expression to T cell effector functions. An accumulation of conventional and regulatory T cells expressing CD39 and/or CD73 was also detected in the peripheral blood of patients with melanoma and pancreatic cancer. Moreover, we demonstrated a significant association between low frequencies of circulating CD73+CD8+ T cells and CD73+CD4+ regulatory T cells and better overall survival of melanoma patients. Tumor-derived soluble factors (in particular, TGF-_) significantly enhanced the frequencies of ectonucleotidase-expressing cells in mice. Our findings suggest that the upregulation of ectonucleotidase expression in T cells promotes extracellular adenosine accumulation and represents an important mechanism of homeostatic immune auto-regulation, which could be hijacked by tumors to evade anti-cancer immunity. Targeting CD39 and CD73 can open new avenues for cancer immunotherapy.

Author Info: (a) Clinical Cooperation Unit Dermato-Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany; (b)Department of Dermatology,Venereology and Allergology, University Medi

Author Info: (a) Clinical Cooperation Unit Dermato-Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany; (b)Department of Dermatology,Venereology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University of Heidelberg, Mannheim, Germany;( c) Department of General Surgery, University of Heidelberg, Germany; (d) Department of General and Abdominal Surgery, Sana Klinikum Offenbach, Offenbach, Germany; (e) Department of General, Visceral, and Transplant Surgery, Ludwig Maximilians-University Munich, Munich, Germany; (f) German Cancer Consortium (DKTK), Partner Site Munich, Munich, Germany