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IL10 and PD-1 Cooperate to Limit the Activity of Tumor-Specific CD8+ T Cells
Zhaojun Sun1, Julien Fourcade1, Ornella Pagliano1
1Division of Hematology/Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Abstract:
Immune checkpoint inhibitors show great promise as therapy for advanced melanoma, heightening the need to determine the most effective use of these agents. Here, we report that programmed death-1(high) (PD-1(high)) tumor antigen (TA)-specific CD8(+) T cells present at periphery and at tumor sites in patients with advanced melanoma upregulate IL10 receptor (IL10R) expression. Multiple subsets of peripheral blood mononucleocytes from melanoma patients produce IL10, which acts directly on IL10R(+) TA-specific CD8(+) T cells to limit their proliferation and survival. PD-1 blockade augments expression of IL10R by TA-specific CD8(+) T cells, thereby increasing their sensitivity to the immunosuppressive effects of endogenous IL10. Conversely, IL10 blockade strengthened the effects of PD-1 blockade in expanding TA-specific CD8(+) T cells and reinforcing their function. Collectively, our findings offer a rationale to block both IL10 and PD-1 to strengthen the counteraction of T-cell immunosuppression and to enhance the activity of TA-specific CD8(+) T cell in advanced melanoma patients.
Insights
Blocking IL10 and PD-1 may enhance anti-tumor immunity in advanced melanoma. This approach could improve the function of tumor antigen (TA)-specific CD8(+) T cells by counteracting immunosuppression.
Area of Science:
- Immunology
- Oncology
- Cellular Biology
Background:
- Immune checkpoint inhibitors are promising for advanced melanoma.
- Understanding T-cell regulation is crucial for optimizing therapy.
Purpose of the Study:
- To investigate the role of IL10 and PD-1 in regulating TA-specific CD8(+) T cells in melanoma.
- To explore combination blockade strategies for enhanced anti-tumor immunity.
Main Methods:
- Analysis of programmed death-1(high) (PD-1(high)) tumor antigen (TA)-specific CD8(+) T cells in melanoma patients.
- Assessment of IL10 receptor (IL10R) expression and IL10 effects on T cells.
- Evaluation of PD-1 and IL10 blockade effects on T cell function.
Main Results:
- PD-1(high) TA-specific CD8(+) T cells upregulate IL10R in melanoma patients.
- Endogenous IL10 limits the proliferation and survival of IL10R(+) TA-specific CD8(+) T cells.
- PD-1 blockade increases IL10R expression, enhancing IL10 sensitivity.
- Combined IL10 and PD-1 blockade expands and reinforces TA-specific CD8(+) T cell function.
Conclusions:
- IL10 acts as an immunosuppressive factor on TA-specific CD8(+) T cells in melanoma.
- Blocking both IL10 and PD-1 offers a synergistic strategy to enhance anti-tumor T cell activity.
- This dual blockade approach holds potential for improving advanced melanoma treatment.
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