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Two-photon imaging of intratumoral CD8+ T cell cytotoxic activity during adoptive T cell therapy in mice
Béatrice Breart, Fabrice Lemaître, Susanna Celli, Philippe Bousso
Béatrice Breart, Fabrice Lemaître, Susanna Celli, Philippe Bousso
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Research Article Oncology

Two-photon imaging of intratumoral CD8+ T cell cytotoxic activity during adoptive T cell therapy in mice

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Abstract

CTLs have the potential to attack tumors, and adoptive transfer of CTLs can lead to tumor regression in mouse models and human clinical settings. However, the dynamics of tumor cell elimination during efficient T cell therapy is unknown, and it is unclear whether CTLs act directly by destroying tumor cells or indirectly by initiating the recruitment of innate immune cells that mediate tumor damage. To address these questions, we report real-time imaging of tumor cell apoptosis in vivo using intravital 2-photon microscopy and a Förster resonance energy transfer–based (FRET-based) reporter of caspase 3 activity. In a mouse model of solid tumor, we found that tumor regression after transfer of in vitro–activated CTLs occurred primarily through the direct action of CTLs on each individual tumor cell, with a minimal bystander effect. Surprisingly, the killing of 1 target cell by an individual CTL took an extended period of time, 6 hours on average, which suggested that the slow rate of killing intrinsically limits the efficiency of antitumor T cell responses. The ability to visualize when, where, and how tumor cells are killed in vivo offers new perspectives for understanding how immune effectors survey cancer cells and how local tumor microenvironments may subvert immune responses.

Authors

Béatrice Breart, Fabrice Lemaître, Susanna Celli, Philippe Bousso

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Figure 4

A fluorescent probe to track tumor cell apoptosis.

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A fluorescent probe to track tumor cell apoptosis.
(A) EG7 tumor cells w...
(A) EG7 tumor cells were stably transfected with a FRET-based fluorescent probe monitoring caspase 3 activity. Briefly, CFP and YFP molecules are linked by a peptide containing the sequence DEVD, which is cleaved by activated caspase 3. EG7 cells were also transfected with a control probe (noncleavable by caspase 3) bearing a mutation in the cleavage motif (DEVG). Cleavage of the probe upon caspase 3 activation resulted in FRET disruption. Tumor cell apoptosis was monitored by 2-photon imaging by calculating the ratio of CFP to YFP emission (for the sake of clarity, this is referred to as the apoptosis index). (B and C) EG7-DEVG or EG7-DEVD tumor cells were subjected to UVB irradiation for 1 minute. Eight hours later, cells were visualized by 2-photon imaging. UVB irradiation resulted in FRET disruption in EG7-DEVD but not in control EG7-DEVG tumors cells. Scale bars: 10 μm. The apoptosis index plotted for individual tumor cells is shown. Tumor cells with a ratio greater than 1.7 were considered to be undergoing apoptosis. (D and E) Flow cytometric analysis of FRET loss in EG7-DEVD and EG7-DEVG tumor cells subjected to UVB irradiation or cocultured with activated OT-I CTLs for 5 hours. The population of EG7 tumor cells displaying FRET loss is shown in green, and the corresponding percentage is indicated.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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