Polyfunctional tumor-reactive T cells are effectively expanded from non-small cell lung cancers, and correlate with

Rosa De Groot1,2, Marleen M Van Loenen1,3, Aurélie Guislain1,2

  • 1Department of Hematopoiesis, Sanquin Research, Amsterdam, The Netherlands.

Oncoimmunology
|October 25, 2019
PubMed

Insights

Tumor-infiltrating lymphocyte (TIL) therapy shows promise for non-small cell lung cancer (NSCLC). Researchers successfully isolated and expanded tumor-reactive T cells from NSCLC patients, indicating TIL therapy

Area of Science:

  • Immunology
  • Oncology
  • Cell Therapy

Background:

  • Non-small cell lung cancer (NSCLC) has a high mortality rate despite current treatments.
  • NSCLC tumors are often infiltrated by T cells, making tumor-infiltrating lymphocyte (TIL) therapy a potential treatment strategy.
  • Existing therapeutic approaches for NSCLC require enhancement due to persistent high mortality rates.

Purpose of the Study:

  • To investigate the feasibility and effectiveness of isolating and expanding tumor-infiltrating lymphocytes (TILs) from NSCLC tumors for therapeutic purposes.
  • To assess the tumor reactivity and polyfunctionality of TILs derived from NSCLC patients.
  • To explore potential correlations between TIL product characteristics and the composition of T cell infiltrates within NSCLC lesions.

Main Methods:

  • Isolation and expansion of T cells from treatment-naive NSCLC tumors (Stages I-IVa) and normal lung tissue.
  • Assessment of TIL product reactivity against primary tumor digests using cytokine production assays (e.g., Interferon-gamma).
  • Flow cytometry analysis to characterize T cell populations (CD4+, CD8+, polyfunctional T cells) and tumor infiltrates (CD103, CD69, PD-1, FoxP3, CD25).

Main Results:

  • T cells were effectively isolated and expanded from NSCLC tumors with similar efficiency to normal lung tissue.
  • 76% of tested TIL products demonstrated significant tumor reactivity, with T cells producing inflammatory cytokines like Interferon-gamma (IFN-γ).
  • Nearly half of the TIL products contained polyfunctional T cells (producing TNF-α and/or IL-2 alongside IFN-γ), and tumor reactivity correlated with specific T cell infiltrate profiles.

Conclusions:

  • Effective generation of tumor-reactive and polyfunctional TIL products is achievable from NSCLC patients.
  • TIL therapy holds significant potential as a successful treatment regimen for non-small cell lung cancer.
  • The composition of T cell infiltrates within tumors may serve as a predictive marker for TIL product efficacy.

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