小年 (2025-12-31 22:12):
#paper doi:10.1038/s41586-025-09440-x,Hor JL, Schrom EC, Wong-Rolle A, et al. Inhibitory PD-1 axis maintains high-avidity stem-like CD8+ T cells(Nature, 2025, IF:69.504) 这篇论文聚焦 PD-1/PD-L1 免疫检查点疗法应答率有限及耐药的核心机制,针对 “干细胞样 CD8+T 细胞如何维持干性以支持持久抗肿瘤免疫” 的关键问题,采用三维多重免疫荧光成像结合细胞功能验证等技术开展研究。发现肿瘤引流淋巴结内存在由 I 型树突状细胞构成的 “抗原呈递龛”,其中驻留的 TCF-1+PD-1+SLAMF6high 干细胞样 CD8+T 细胞可在持续抗原刺激下维持增殖与自我更新 —— 与传统认知不同,PD-1 信号并非单纯抑制 T 细胞,而是通过精细调控 TCR 信号强度,选择性扩增高亲和力 TCR 克隆,使其成为效应 T 细胞的可再生储备库。进一步实验显示,PD-1 阻断会破坏该调控平衡,导致高亲和力干细胞样细胞终末分化或死亡,且这种损伤难以恢复。该研究颠覆了对 PD-1 功能的传统认知,揭示了免疫治疗短期疗效与长期储备的潜在矛盾,为优化治疗策略、克服耐药提供了全新理论基础。
Inhibitory PD-1 axis maintains high-avidity stem-like CD8+ T cells
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Abstract:
Abstract Stem-like progenitors are self-renewing cytotoxic T cells that expand as effector cells during successful checkpoint immunotherapy 1,2 . Emerging evidence suggests that tumour-draining lymph nodes support the continuous generation of these stem-like cells that replenish tumour sites and are a key source of expanded effector populations 3–6 , underlining the importance of understanding what factors promote and maintain activated T cells in the stem-like state. Here, using advanced three-dimensional multiplex immunofluorescence imaging, we identify antigen-presentation niches in tumour-draining lymph nodes that support the expansion, maintenance and affinity evolution of TCF-1 + PD-1 + SLAMF6 high stem-like CD8 + T cells. Contrary to the prevailing view that persistent T cell receptor (TCR) signalling drives terminal effector differentiation, prolonged antigen engagement days beyond initial priming sustains the proliferation and self-renewal of these stem-like T cells in vivo. The inhibitory PD-1 pathway has a central role in this process through fine-tuning the TCR signal input that enables the selective expansion of high-affinity TCR stem-like clones as a renewable source of effector cells. PD-1 blockade disrupts this tuning, leading to terminal differentiation or death of the most avid anti-tumour stem-like cells. Our results therefore reveal a relationship between TCR ligand affinity recognition, a key negative-feedback regulatory loop and T cell stemness programming. Furthermore, these findings raise questions about whether anti-PD-1 blockade during cancer immunotherapy provides a short-term anti-tumour effect at the cost of diminishing efficacy due to progressive loss of these critical high-affinity precursors.
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