Chromatin states define tumour-specific T cell dysfunction and reprogramming

M Philip, L Fairchild, L Sun, EL Horste, S Camara… - Nature, 2017 - nature.com
M Philip, L Fairchild, L Sun, EL Horste, S Camara, M Shakiba, AC Scott, A Viale, P Lauer…
Nature, 2017nature.com
Tumour-specific CD8 T cells in solid tumours are dysfunctional, allowing tumours to
progress. The epigenetic regulation of T cell dysfunction and therapeutic reprogrammability
(for example, to immune checkpoint blockade) is not well understood. Here we show that T
cells in mouse tumours differentiate through two discrete chromatin states: a plastic
dysfunctional state from which T cells can be rescued, and a fixed dysfunctional state in
which the cells are resistant to reprogramming. We identified surface markers associated …
Abstract
Tumour-specific CD8 T cells in solid tumours are dysfunctional, allowing tumours to progress. The epigenetic regulation of T cell dysfunction and therapeutic reprogrammability (for example, to immune checkpoint blockade) is not well understood. Here we show that T cells in mouse tumours differentiate through two discrete chromatin states: a plastic dysfunctional state from which T cells can be rescued, and a fixed dysfunctional state in which the cells are resistant to reprogramming. We identified surface markers associated with each chromatin state that distinguished reprogrammable from non-reprogrammable PD1hi dysfunctional T cells within heterogeneous T cell populations from tumours in mice; these surface markers were also expressed on human PD1hi tumour-infiltrating CD8 T cells. Our study has important implications for cancer immunotherapy as we define key transcription factors and epigenetic programs underlying T cell dysfunction and surface markers that predict therapeutic reprogrammability.
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