Exhausted intratumoral Vδ2- γδ T cells in human kidney cancer retain effector function

Chiara Rancan1, Marcel Arias-Badia1, Pranay Dogra2

  • 1Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, CA, USA.

Nature Immunology
|March 17, 2023
PubMed

Insights

Gamma delta (γδ) T cells in kidney cancer exhibit exhaustion markers but retain anti-tumor functions. Their specific transcriptional profiles can predict patient response to immune checkpoint inhibitors like PD-1 blockade.

Area of Science:

  • Immunology
  • Oncology
  • Cell Biology

Background:

  • Gamma delta (γδ) T cells are tissue-resident immune cells, but their role in anti-tumor immunity, particularly during immune checkpoint inhibition, remains unclear.
  • Kidney cancers harbor distinct populations of γδ T cells compared to normal tissues.

Purpose of the Study:

  • To investigate the function and characteristics of γδ T cells within the tumor microenvironment.
  • To determine if γδ T cells contribute to anti-tumor responses and predict clinical outcomes in patients treated with immune checkpoint inhibitors.

Main Methods:

  • Analysis of γδ T cell populations in kidney cancer tissues and normal tissues.
  • Transcriptional profiling and characterization of tumor-resident γδ T cells, including markers of exhaustion and effector function.
  • In vitro functional assays to assess cytotoxicity and cytokine secretion.
  • Correlation of γδ T cell transcriptional programs with clinical response to PD-1 blockade.

Main Results:

  • Kidney cancers are infiltrated by Vδ2- γδ T cells distinct from those in normal tissues.
  • These tumor-resident γδ T cells display features of T-cell exhaustion (e.g., PD-1, TIGIT, TIM-3) but retain cytotoxic potential and express co-stimulatory receptors (e.g., 4-1BB).
  • Transcriptional signatures of Vδ2- γδ T cells in pre-treatment biopsies predicted patient response to PD-1 blockade therapy.

Conclusions:

  • Vδ2- γδ T cells within the tumor microenvironment possess anti-tumor cytotoxic functions despite expressing exhaustion markers.
  • The transcriptional state of these γδ T cells can serve as a predictive biomarker for clinical response to immune checkpoint inhibition in cancer patients.

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