Stem-like CD8 T cells mediate response of adoptive cell immunotherapy against human cancer

S Krishna, FJ Lowery, AR Copeland, E Bahadiroglu… - Science, 2020 - science.org
S Krishna, FJ Lowery, AR Copeland, E Bahadiroglu, R Mukherjee, L Jia, JT Anibal, A Sachs
Science, 2020science.org
Adoptive T cell therapy (ACT) using ex vivo–expanded autologous tumor-infiltrating
lymphocytes (TILs) can mediate complete regression of certain human cancers. The impact
of TIL phenotypes on clinical success of TIL-ACT is currently unclear. Using high-
dimensional analysis of human ACT products, we identified a memory-progenitor CD39-
negative stem-like phenotype (CD39− CD69−) associated with complete cancer regression
and TIL persistence and a terminally differentiated CD39-positive state (CD39+ CD69+) …
Adoptive T cell therapy (ACT) using ex vivo–expanded autologous tumor-infiltrating lymphocytes (TILs) can mediate complete regression of certain human cancers. The impact of TIL phenotypes on clinical success of TIL-ACT is currently unclear. Using high-dimensional analysis of human ACT products, we identified a memory-progenitor CD39-negative stem-like phenotype (CD39CD69) associated with complete cancer regression and TIL persistence and a terminally differentiated CD39-positive state (CD39+CD69+) associated with poor TIL persistence. Most antitumor neoantigen-reactive TILs were found in the differentiated CD39+ state. However, ACT responders retained a pool of CD39 stem-like neoantigen-specific TILs that was lacking in ACT nonresponders. Tumor-reactive stem-like TILs were capable of self-renewal, expansion, persistence, and superior antitumor response in vivo. These data suggest that TIL subsets mediating ACT response are distinct from TIL subsets enriched for antitumor reactivity.
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