To study how neoantigen avidity impacts T cell function in adoptive cell therapy (ACT), Wittling et al. compared antitumor responses of naive transgenic pmel-1 CD8+ T cells transferred into a B16F10 melanoma model expressing either low-avidity gp100 (wild-type) or a high-avidity mutant gp100 (EGS to KVP) neoantigen. Compared to wild-type, high-avidity KVP neoantigen was sufficient to activate naive CD8+ T cells, leading to enhanced cytokine production, increased effector function, sustained persistence, robust tumor regression, and long-term immunity, even in the absence of host T and B cells. Early lymph node trafficking was essential for ACT efficacy.

Contributed by Katherine Turner

ABSTRACT: Adoptive transfer of T lymphocytes specific for tumor-associated neoantigens can elicit immunity against solid tumors in patients. However, how these antigens impact T cell function, effector differentiation, and persistence remains unclear. We examined how an identical CD8+ T cell product was shaped by melanoma expressing either a low-avidity tumor-associated antigen or high-avidity neoantigen, and kinetically profiled T cell differentiation in these two contexts across host tissues. High-avidity neoantigen expression was sufficient to activate naïve CD8+ T cells - leading to robust tumor regression and long-term protective immunity upon tumor rechallenge. Mechanistically, transferred naïve CD8+ T cells reacting to high-avidity neoantigen exhibited enhanced cytokine production, heightened effector function, and sustained persistence compared to the low-avidity wild-type tumors. Antitumor activity to these high-avidity tumors was preserved even in the absence of functional host T and B lymphocytes, and early lymph node trafficking was found to be essential for ACT efficacy. Expanded effector or stem-memory T cells were compared to the naïve pmel-1 T cell product. Stem-memory but not effector-memory cells exhibited similar antitumor efficacy and lymph node trafficking patterns to the naïve cells in mice with high-avidity neoantigen tumors. These findings highlight how differential tumor antigens shape divergent cellular fate and uncover a critical role of T cell trafficking in lymph nodes in shaping high-avidity neoantigen-specific antitumor responses.

Author Info: (1) Emory University, Atlanta, GA, United States. (2) Emory University, Atlanta, GA, United States. (3) Emory University, Atlanta, GA, United States. (4) Emory University, Atlanta,

Author Info: (1) Emory University, Atlanta, GA, United States. (2) Emory University, Atlanta, GA, United States. (3) Emory University, Atlanta, GA, United States. (4) Emory University, Atlanta, GA, United States. (5) Emory University, Atlanta, Georgia, United States. (6) Medical University of South Carolina, Charleston, SC, United States. (7) Emory University, Atlanta, GA, United States. (8) Emory University, Atlanta, GA, United States. (9) Emory University, Atlanta, GA, United States. (10) Emory University, Atlanta, GA, United States. (11) Emory University, Atlanta, GA, United States. (12) Werewolf Therapeutics, Watertown, MA, United States. (13) Lumicks, Amsterdam, Netherlands. (14) Emory University, Atlanta, GA, United States. (15) Winship Cancer Institute, Atlanta, GA, United States. (16) Emory University, Atlanta, GA, United States. (17) Stanford University, Palo Alto, CA, United States.