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Updated: Jun 9, 2026

Multiplexed Immunofluorescence Analysis and Quantification of Intratumoral PD-1+ Tim-3+ CD8+ T Cells
Published on: February 8, 2018
Targeting Tim-3 and PD-1 pathways to reverse T cell exhaustion and restore anti-tumor immunity
Kaori Sakuishi1, Lionel Apetoh, Jenna M Sullivan
1Center for Neurological Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Abstract:
The immune response plays an important role in staving off cancer; however, mechanisms of immunosuppression hinder productive anti-tumor immunity. T cell dysfunction or exhaustion in tumor-bearing hosts is one such mechanism. PD-1 has been identified as a marker of exhausted T cells in chronic disease states, and blockade of PD-1-PD-1L interactions has been shown to partially restore T cell function. We have found that T cell immunoglobulin mucin (Tim) 3 is expressed on CD8(+) tumor-infiltrating lymphocytes (TILs) in mice bearing solid tumors. All Tim-3(+) TILs coexpress PD-1, and Tim-3(+)PD-1(+) TILs represent the predominant fraction of T cells infiltrating tumors. Tim-3(+)PD-1(+) TILs exhibit the most severe exhausted phenotype as defined by failure to proliferate and produce IL-2, TNF, and IFN-γ. We further find that combined targeting of the Tim-3 and PD-1 pathways is more effective in controlling tumor growth than targeting either pathway alone.
Insights
Blocking both T cell immunoglobulin mucin (Tim) 3 and PD-1 pathways shows promise in enhancing anti-tumor immunity. Targeting these exhausted T cell markers can improve immune response against solid tumors.
Area of Science:
- Immunology
- Oncology
- Cellular Biology
Background:
- Immune suppression hinders anti-tumor responses.
- T cell exhaustion is a key immunosuppressive mechanism.
- PD-1 blockade partially restores T cell function.
Purpose of the Study:
- Investigate T cell immunoglobulin mucin (Tim) 3 expression on tumor-infiltrating lymphocytes (TILs).
- Determine the role of Tim-3 and PD-1 co-expression in T cell exhaustion.
- Evaluate the efficacy of combined Tim-3 and PD-1 pathway targeting in controlling tumor growth.
Main Methods:
- Analysis of CD8(+) TILs in mice bearing solid tumors.
- Co-expression analysis of Tim-3 and PD-1 on TILs.
- Assessment of T cell proliferation and cytokine production (IL-2, TNF, IFN-γ).
- In vivo tumor growth control studies.
Main Results:
- Tim-3 is expressed on CD8(+) TILs and co-expressed with PD-1.
- Tim-3(+)PD-1(+) TILs exhibit a severely exhausted phenotype.
- Combined targeting of Tim-3 and PD-1 pathways is superior to single-pathway targeting for tumor growth control.
Conclusions:
- Tim-3 and PD-1 are co-expressed on highly exhausted TILs.
- Combined blockade of Tim-3 and PD-1 pathways enhances anti-tumor immunity.
- Dual targeting strategies offer a promising approach for cancer immunotherapy.
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