Enhancement of Tumor Antigen-specific T-cell Responses by Immune Checkpoint Blockade in Human Papillomavirus-related Head and Neck Squamous Cell Carcinoma

  • 0Department of Otolaryngology-Head and Neck Surgery, Gunma University Graduate School of Medicine, Gunma, Japan; tikamatu@gunma-u.ac.jp.

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Summary

This summary is machine-generated.

Tumor antigen-specific T cells are present in HPV-positive head and neck cancers. Immune checkpoint blockade can boost these T-cell responses in some patients, offering potential therapeutic avenues.

Area Of Science

  • Immunology
  • Oncology
  • Virology

Background

  • Human papillomavirus (HPV)-positive head and neck squamous cell carcinoma (HNSCC) exhibits distinct clinical and immunological characteristics compared to HPV-negative HNSCC.
  • Investigating T-cell responses to tumor antigens HPV E6/E7 and wild-type p53 is crucial for understanding HPV-positive HNSCC immunity.

Purpose Of The Study

  • To determine the presence of T-cell responses against HPV E6/E7 and wild-type p53 tumor antigens in patients with HPV-positive HNSCC.
  • To evaluate the impact of immune checkpoint blockade on these T-cell responses.

Main Methods

  • Peripheral blood mononuclear cells (PBMCs) were stimulated with HPV E6/E7 or wild-type p53 peptides.
  • Interferon-γ enzyme-linked immunosorbent spot assay and flow cytometry were used to assess T-cell responses and immune checkpoint molecule expression.

Main Results

  • High prevalence of HPV E6/E7-specific T cells (95.7%) and lower prevalence of wild-type p53-specific T cells (15.0%) were detected.
  • Immune checkpoint blockade enhanced wild-type p53-specific T-cell responses in 45.0% of patients.
  • Responders showed increased proportions of activated T cells (Ki-67+), regulatory T cells (Tregs), and exhausted T cells (PD-1+, TIM-3+).

Conclusions

  • Tumor antigen-specific T cells are detectable in the peripheral blood of patients with HPV-positive HNSCC.
  • Immune checkpoint blockade can augment T-cell responses in a subset of these patients.
  • Enhanced responses may involve activated T cells, Tregs, and/or exhausted CD4+ T cells.