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Multiplexed Immunofluorescence Analysis and Quantification of Intratumoral PD-1+ Tim-3+ CD8+ T Cells
Published on: February 8, 2018
Upregulation of Tim-3 and PD-1 expression is associated with tumor antigen-specific CD8+ T cell dysfunction in
Julien Fourcade1, Zhaojun Sun, Mourad Benallaoua
1Department of Medicine and Division of Hematology/Oncology, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15213, USA.
Abstract:
The paradoxical coexistence of spontaneous tumor antigen-specific immune responses with progressive disease in cancer patients furthers the need to dissect the molecular pathways involved in tumor-induced T cell dysfunction. In patients with advanced melanoma, we have previously shown that the cancer-germline antigen NY-ESO-1 stimulates spontaneous NY-ESO-1-specific CD8(+) T cells that up-regulate PD-1 expression. We also observed that PD-1 regulates NY-ESO-1-specific CD8(+) T cell expansion upon chronic antigen stimulation. In the present study, we show that a fraction of PD-1(+) NY-ESO-1-specific CD8(+) T cells in patients with advanced melanoma up-regulates Tim-3 expression and that Tim-3(+)PD-1(+) NY-ESO-1-specific CD8(+) T cells are more dysfunctional than Tim-3(-)PD-1(+) and Tim-3(-)PD-1(-) NY-ESO-1-specific CD8(+) T cells, producing less IFN-γ, TNF, and IL-2. Tim-3-Tim-3L blockade enhanced cytokine production by NY-ESO-1-specific CD8(+) T cells upon short ex vivo stimulation with cognate peptide, thus enhancing their functional capacity. In addition, Tim-3-Tim-3L blockade enhanced cytokine production and proliferation of NY-ESO-1-specific CD8(+) T cells upon prolonged antigen stimulation and acted in synergy with PD-1-PD-L1 blockade. Collectively, our findings support the use of Tim-3-Tim-3L blockade together with PD-1-PD-L1 blockade to reverse tumor-induced T cell exhaustion/dysfunction in patients with advanced melanoma.
Insights
In advanced melanoma, dual blockade of Tim-3/Tim-3L and PD-1/PD-L1 pathways can reverse T cell exhaustion. This combination therapy enhances the functional capacity of tumor-specific CD8(+) T cells, offering a promising strategy for cancer treatment.
Area of Science:
- Immunology
- Cancer Biology
- Oncology
Background:
- Spontaneous anti-tumor immune responses coexist with disease progression in cancer patients, highlighting T cell dysfunction.
- In advanced melanoma, NY-ESO-1 specific CD8(+) T cells upregulate PD-1 upon chronic antigen stimulation.
- PD-1 expression is linked to T cell dysfunction and impaired expansion in melanoma patients.
Purpose of the Study:
- To investigate the role of Tim-3 expression in NY-ESO-1 specific CD8(+) T cells in advanced melanoma.
- To assess the impact of Tim-3 and PD-1 co-expression on T cell dysfunction.
- To evaluate the therapeutic potential of combined Tim-3/Tim-3L and PD-1/PD-L1 blockade in restoring T cell function.
Main Methods:
- Flow cytometry analysis of T cell markers (PD-1, Tim-3) on NY-ESO-1 specific CD8(+) T cells.
- Assessment of cytokine production (IFN-γ, TNF, IL-2) by T cells.
- Ex vivo blockade of Tim-3/Tim-3L and PD-1/PD-L1 pathways and evaluation of T cell responses.
Main Results:
- A subset of PD-1(+) NY-ESO-1 specific CD8(+) T cells also expressed Tim-3.
- Tim-3(+)PD-1(+) CD8(+) T cells exhibited greater dysfunction, producing less cytokines compared to other subsets.
- Tim-3/Tim-3L blockade alone or in synergy with PD-1/PD-L1 blockade enhanced T cell cytokine production and proliferation.
Conclusions:
- Tim-3 expression identifies a more dysfunctional subset of tumor-specific T cells in advanced melanoma.
- Combined blockade of Tim-3/Tim-3L and PD-1/PD-L1 pathways can overcome T cell exhaustion.
- This dual blockade strategy holds promise for reversing tumor-induced T cell dysfunction in melanoma.
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