[HTML][HTML] TIGIT and PD-1 impair tumor antigen–specific CD8+ T cells in melanoma patients

JM Chauvin, O Pagliano, J Fourcade… - The Journal of …, 2015 - Am Soc Clin Investig
JM Chauvin, O Pagliano, J Fourcade, Z Sun, H Wang, C Sander, JM Kirkwood, TT Chen…
The Journal of clinical investigation, 2015Am Soc Clin Investig
T cell Ig and ITIM domain (TIGIT) is an inhibitory receptor expressed by activated T cells,
Tregs, and NK cells. Here, we determined that TIGIT is upregulated on tumor antigen–
specific (TA-specific) CD8+ T cells and CD8+ tumor-infiltrating lymphocytes (TILs) from
patients with melanoma, and these TIGIT-expressing CD8+ T cells often coexpress the
inhibitory receptor PD-1. Moreover, CD8+ TILs from patients exhibited downregulation of the
costimulatory molecule CD226, which competes with TIGIT for the same ligand, supporting a …
T cell Ig and ITIM domain (TIGIT) is an inhibitory receptor expressed by activated T cells, Tregs, and NK cells. Here, we determined that TIGIT is upregulated on tumor antigen–specific (TA-specific) CD8+ T cells and CD8+ tumor-infiltrating lymphocytes (TILs) from patients with melanoma, and these TIGIT-expressing CD8+ T cells often coexpress the inhibitory receptor PD-1. Moreover, CD8+ TILs from patients exhibited downregulation of the costimulatory molecule CD226, which competes with TIGIT for the same ligand, supporting a TIGIT/CD226 imbalance in metastatic melanoma. TIGIT marked early T cell activation and was further upregulated by T cells upon PD-1 blockade and in dysfunctional PD-1+TIM-3+ TA-specific CD8+ T cells. PD-1+TIGIT+, PD-1TIGIT+, and PD-1+TIGIT CD8+ TILs had similar functional capacities ex vivo, suggesting that TIGIT alone, or together with PD-1, is not indicative of T cell dysfunction. However, in the presence of TIGIT ligand–expressing cells, TIGIT and PD-1 blockade additively increased proliferation, cytokine production, and degranulation of both TA-specific CD8+ T cells and CD8+ TILs. Collectively, our results show that TIGIT and PD-1 regulate the expansion and function of TA-specific CD8+ T cells and CD8+ TILs in melanoma patients and suggest that dual TIGIT and PD-1 blockade should be further explored to elicit potent antitumor CD8+ T cell responses in patients with advanced melanoma.
The Journal of Clinical Investigation