颜林林
(2022-06-28 07:39):
#paper doi:10.1101/2022.06.22.497216 bioRxiv, 2022, Intratumoral mregDC and CXCL13 T helper niches enable local differentiation of CD8 T cells following PD-1 blockade. 这篇文章来自西奈山伊坎医学院,其病例队列出自一项用于非小细胞肺癌(NSCLC)、肝细胞癌(HCC)和头颈部鳞癌(HNSCC)的手术前抗PD-1免疫药物(西米普利单抗,Cemiplimab)新辅助治疗的多中心II期临床试验(NCT03916627,该临床试验尚在进行中,始于2019年,预计2024年完成)。本文仅针对其中的肝细胞癌患者,通过对其新辅助治疗后手术取样组织,开展TCR测序、全外显子测序、单细胞转录组测序、多重免疫组化等实验,寻找与新辅助治疗疗效相关的特定细胞类群。通过免疫组化和免疫荧光方法,确认在肿瘤中确实富含T细胞并浸润其中的患者,仍有部分患者对PD-1药物并无响应。对比响应者与无响应者之间的细胞类群组成差异,找到一个细胞类群组合,成熟调节树突状细胞(mregDC,LAMP3+)与 CXCL13+ CD4+ 辅助性T细胞,它们与 PD-1高表达的CD8+ T细胞前体结合,形成三元组,促使后者形成 PD-1高表达的 GZMK+ 效应T细胞。而在没有这两类细胞的情况下,后者将形成耗竭型CD8+ T细胞。这导致了该新辅助治疗的不同预后结局。这项研究也为进一步揭示免疫治疗相关机制提供了新的证据。
bioRxiv,
2022.
DOI: 10.1101/2022.06.22.497216
Intratumoral mregDC and CXCL13 T helper niches enable local differentiation of CD8 T cells following PD-1 blockade
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Abstract:
Here, we leveraged a large neoadjuvant PD-1 blockade trial in patients with hepatocellular carcinoma (HCC) to search for correlates of response to immune checkpoint blockade (ICB) within T cell-rich tumors. We show that ICB response correlated with the clonal expansion of intratumoral CXCL13+ CH25H+ IL-21+ PD-1+ CD4 T helper cells (CXCL13+ Th) and Granzyme K+ PD-1+ effector-like CD8 T cells, whereas terminally exhausted CD39hi TOXhi PD-1hi CD8 T cells dominated in non-responders. Strikingly, most T cell receptor (TCR) clones that expanded post-treatment were found in pre-treatment biopsies. Notably, PD-1+ TCF-1+ progenitor-like CD8 T cells were present in tumors of responders and non-responders and shared clones mainly with effector-like cells in responders or terminally differentiated cells in non-responders, suggesting that local CD8 T cell differentiation occurs upon ICB. We found that these progenitor CD8 T cells interact with CXCL13+ Th cells within cellular triads around dendritic cells enriched in maturation and regulatory molecules, or "mregDC". Receptor-ligand analysis revealed unique interactions within these triads that may promote the differentiation of progenitor CD8 T cells into effector-like cells upon ICB. These results suggest that discrete intratumoral niches that include mregDC and CXCL13+ Th cells control the differentiation of tumor-specific progenitor CD8 T cell clones in patients treated with ICB.
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