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Updated: Jul 4, 2025

Isolation and Characterization of a Head and Neck Squamous Cell Carcinoma Subpopulation Having Stem Cell Characteristics
Published on: May 11, 2016
Sema6D forward signaling impairs T cell activation and proliferation in head and neck cancer
Takashi Hirai1,2, Yujiro Naito1,3,4, Shohei Koyama3,4,5
1Department of Immunopathology, World Premier International Research Center (WPI), Immunology Frontier Research Center (IFReC).
Abstract:
Immune checkpoint inhibitors (ICIs) are indicated for a diverse range of cancer types, and characterizing the tumor immune microenvironment is critical for optimizing therapeutic strategies, including ICIs. T cell infiltration and activation status in the tumor microenvironment greatly affects the efficacy of ICIs. Here, we show that semaphorin 6D (Sema6D) forward signaling, which is reportedly involved in coordinating the orientation of cell development and migration as a guidance factor, impaired the infiltration and activation of tumor-specific CD8+ T cells in murine oral tumors. Sema6D expressed by nonhematopoietic cells was responsible for this phenotype. Plexin-A4, a receptor for Sema6D, inhibited T cell infiltration and partially suppressed CD8+ T cell activation and proliferation induced by Sema6D stimulation. Moreover, mouse oral tumors, which are resistant to PD-1-blocking treatment in wild-type mice, showed a response to the treatment in Sema6d-KO mice. Finally, analyses of public data sets of human head and neck squamous cell carcinoma, pan-cancer cohorts, and a retrospective cohort study showed that SEMA6D was mainly expressed by nonhematopoietic cells such as cancer cells, and SEMA6D expression was significantly negatively correlated with CD8A, PDCD1, IFNG, and GZMB expression. Thus, targeting Sema6D forward signaling is a promising option for increasing ICI efficacy.
Insights
Semaphorin 6D (Sema6D) impairs CD8+ T cell infiltration and activation, hindering cancer immunotherapy. Blocking Sema6D signaling in mice improved responses to immune checkpoint inhibitors, suggesting a new therapeutic target.
Area of Science:
- Immunology
- Cancer Biology
- Molecular Signaling
Background:
- Immune checkpoint inhibitors (ICIs) are crucial cancer therapies, but their efficacy depends on the tumor immune microenvironment.
- T cell infiltration and activation within tumors significantly influence ICI treatment outcomes.
Purpose of the Study:
- To investigate the role of semaphorin 6D (Sema6D) forward signaling in regulating anti-tumor T cell responses.
- To determine if targeting Sema6D can enhance the effectiveness of immune checkpoint inhibitors.
Main Methods:
- Utilized murine oral tumor models to study Sema6D's effect on CD8+ T cell infiltration and activation.
- Examined Sema6D's impact on PD-1 blocking therapy efficacy in wild-type and Sema6d-knockout (KO) mice.
- Analyzed human head and neck squamous cell carcinoma and pan-cancer datasets for SEMA6D expression and its correlation with immune markers.
Main Results:
- Sema6D, expressed by non-hematopoietic cells, inhibited tumor-specific CD8+ T cell infiltration and activation via its receptor, Plexin-A4.
- Sema6d-KO mice showed improved responses to PD-1 blocking therapy compared to wild-type mice.
- Human cancer data revealed SEMA6D expression negatively correlated with CD8A, PDCD1, IFNG, and GZMB, indicating suppressed anti-tumor immunity.
Conclusions:
- Sema6D forward signaling acts as a barrier to effective anti-tumor T cell responses.
- Targeting Sema6D signaling presents a promising strategy to enhance the efficacy of immune checkpoint inhibitors in various cancers.
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