Tumor-specific T cells in head and neck cancer have rescuable functionality and can be identified through single-cell

Joseph Zenga1, Musaddiq Awan1, Anne Frei2

  • 1Cancer Center, Medical College of Wisconsin, Milwaukee, WI, United States; Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, WI, United States; Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United States.

Translational Oncology
|February 6, 2024
PubMed
Abstract

Insights

T cells in human papillomavirus (HPV)-negative head and neck squamous cell carcinoma (HNSCC) show dysfunction but retain tumor-killing ability. These cancer-specific T cells can be identified at the single-cell level for future immunotherapy development.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Human papillomavirus (HPV)-negative head and neck squamous cell carcinoma (HNSCC) is a treatment-resistant cancer with poor immunotherapy response.
  • T cells within HNSCC tumors often exhibit phenotypic dysfunction, but their functional capacity and tumor-killing potential remain largely unknown.

Purpose of the Study:

  • To investigate the functionality and tumor-specificity of tumor-infiltrating lymphocytes (TILs) in HPV-negative HNSCC.
  • To determine if dysfunctional T cells in HNSCC retain rescuable anti-tumor capabilities.

Main Methods:

  • Derived malignant cell lines and TILs from 31 HPV-negative HNSCC patients.
  • Assessed T cell function via ex vivo expansion, immunophenotyping, and single-cell proteomics (IsoLight).
  • Investigated tumor-specificity using bulk and single-cell co-culture, and developed an optofluidic single-cell co-culture platform.

Main Results:

  • Successfully generated TILs from 77% of patients, including those with radiation-recurrent HNSCC.
  • TILs displayed exhaustion markers but retained an effector memory phenotype and immunogenic functionality post-expansion.
  • Demonstrated tumor-specificity of T cells and identified individual tumor-killing TILs in real-time using single-cell co-culture.

Conclusions:

  • Cancer-specific T cells with rescuable immunogenicity exist in HNSCC patients.
  • These T cells can be identified at the single-cell level, paving the way for patient-specific T cell immunotherapies.

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