Rejection of benign melanocytic nevi by nevus-resident CD4+ T cells

Erik B Schiferle1, Se Yun Cheon1, Seokjin Ham2

  • 1Center for Cancer Immunology and Cutaneous Biology Research Center, Department of Dermatology, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

Science Advances
|June 24, 2021
PubMed

Insights

Immune cells called CD4+ T helper 1 cells drive spontaneous nevus regression by targeting melanocyte antigens. This immune response also protects against melanoma development.

Area of Science:

  • Immunology
  • Dermatology
  • Oncology

Background:

  • Melanoma and melanocytic nevi share antigens and mutations, but their immune system relationship is unknown.
  • Understanding nevus-immune interactions may reveal insights into melanoma development and prevention.

Purpose of the Study:

  • To investigate the immune system's role in melanocytic nevus regression.
  • To explore the potential of targeting nevus immunity for melanoma prevention and treatment.

Main Methods:

  • Utilized a patient-derived xenograft (PDX) model of melanocytic nevi.
  • Analyzed T cell responses, including clonal expansion and phenotype.
  • Intervened with interleukin-2 and HLA class II-blocking antibodies to assess impact on nevus regression.
  • Evaluated protection against subsequent melanoma tumor growth in mice with rejected nevi.

Main Results:

  • Transplanted nevi showed high rates (81.8%) of spontaneous regression in the PDX model.
  • Nevus-resident CD4+ T helper 1 cells were identified as the key mediators of regression.
  • Interventions boosting regulatory T cell function or blocking HLA class II prevented nevus rejection.
  • Mice with rejected nevi exhibited protection against melanoma tumor growth.

Conclusions:

  • CD4+ T cell-dominant immunity drives spontaneous regression of melanocytic nevi.
  • This immune response offers protection against melanoma development.
  • Activating nevus-resident CD4+ effector T cells represents a potential strategy for melanoma immunoprevention and therapy.

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