Tumor antigen–specific CD8 T cells infiltrating the tumor express high levels of PD-1 and are functionally impaired

M Ahmadzadeh, LA Johnson… - Blood, The Journal …, 2009 - ashpublications.org
M Ahmadzadeh, LA Johnson, B Heemskerk, JR Wunderlich, ME Dudley, DE White…
Blood, The Journal of the American Society of Hematology, 2009ashpublications.org
Tumor antigen–specific T cells are found within melanomas, yet tumors continue to grow.
Although the tumor microenvironment is thought to influence the suppression of tumor-
reactive T cells, the underlying mechanisms for this T-cell dysfunction are not clear. Here, we
report that the majority of tumor infiltrating T lymphocytes (TIL), including MART-1/Melan-A
melanoma antigen–specific CD8 T cells, predominantly expressed PD-1, in contrast to T
cells in normal tissues and peripheral blood T lymphocytes (PBL). PD-1+ TIL expressed …
Abstract
Tumor antigen–specific T cells are found within melanomas, yet tumors continue to grow. Although the tumor microenvironment is thought to influence the suppression of tumor-reactive T cells, the underlying mechanisms for this T-cell dysfunction are not clear. Here, we report that the majority of tumor infiltrating T lymphocytes (TIL), including MART-1/Melan-A melanoma antigen–specific CD8 T cells, predominantly expressed PD-1, in contrast to T cells in normal tissues and peripheral blood T lymphocytes (PBL). PD-1+ TIL expressed CTLA-4 and Ki-67, markers that were not expressed by PD-1 TIL and T cells in the normal tissues and PBL. Moreover, PD-1+ TIL were primarily HLA-DR+ and CD127, in contrast to PD-1 TIL. Effector cytokine production by PD-1+ TIL was impaired compared with PD-1 TIL and PBL. Collectively, the phenotypic and functional characterizations of TIL revealed a significantly higher frequency and level of PD-1 expression on TIL compared with normal tissue T-cell infiltrates and PBL, and PD-1 expression correlated with an exhausted phenotype and impaired effector function. These findings suggest that the tumor microenvironment can lead to up-regulation of PD-1 on tumor-reactive T cells and contribute to impaired antitumor immune responses.
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