High-dimensional single cell analysis identifies stem-like cytotoxic CD8+ T cells infiltrating human tumors

J Brummelman, EMC Mazza, G Alvisi… - Journal of Experimental …, 2018 - rupress.org
J Brummelman, EMC Mazza, G Alvisi, FS Colombo, A Grilli, J Mikulak, D Mavilio, M Alloisio…
Journal of Experimental Medicine, 2018rupress.org
CD8+ T cells infiltrating tumors are largely dysfunctional, but whether a subset maintains
superior functionality remains ill defined. By high-dimensional single cell analysis of millions
of CD8+ T cells from 53 individuals with lung cancer, we defined those subsets that are
enriched in tumors compared with cancer-free tissues and blood. Besides exhausted and
activated cells, we identified CXCR5+ TIM-3–CD8+ T cells with a partial exhausted
phenotype, while retaining gene networks responsible for stem-like plasticity and …
CD8+ T cells infiltrating tumors are largely dysfunctional, but whether a subset maintains superior functionality remains ill defined. By high-dimensional single cell analysis of millions of CD8+ T cells from 53 individuals with lung cancer, we defined those subsets that are enriched in tumors compared with cancer-free tissues and blood. Besides exhausted and activated cells, we identified CXCR5+ TIM-3 CD8+ T cells with a partial exhausted phenotype, while retaining gene networks responsible for stem-like plasticity and cytotoxicity, as revealed by single cell sequencing of the whole transcriptome. Ex vivo, CXCR5+ TIM-3 CD8+ T cells displayed enhanced self-renewal and multipotency compared with more differentiated subsets and were largely polyfunctional. Analysis of inhibitory and costimulatory receptors revealed PD-1, TIGIT, and CD27 as possible targets of immunotherapy. We thus demonstrate a hierarchy of differentiation in the context of T cell exhaustion in human cancer similar to that of chronically infected mice, which is further shown to disappear with disease progression.
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