Single-cell meta-analysis of T cells reveals clonal dynamics of response to checkpoint immunotherapy

Ofir Shorer1, Asaf Pinhasi1, Keren Yizhak2

  • 1Department of Cell Biology and Cancer Science, The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa 3525422, Israel.

Cell Genomics
|April 5, 2025
PubMed

Insights

Expanded CD8+ T cell clones reveal distinct transcriptional states linked to patient response to immune checkpoint inhibitors. These findings offer insights into anti-tumor immunity mechanisms and patient outcomes.

Area of Science:

  • Immunology
  • Oncology
  • Genomics

Background:

  • T cell clones are vital for anti-tumor immunity but their role in immune checkpoint inhibitor (ICI) response is not well understood.
  • Characterizing T cell clones and their association with clinical outcomes after ICI therapy is crucial for improving treatment strategies.

Purpose of the Study:

  • To investigate the role of T cell clone characteristics in predicting response to immune checkpoint inhibitors.
  • To identify T cell signatures associated with differential clinical outcomes in cancer patients treated with ICIs.

Main Methods:

  • Paired single-cell RNA sequencing and T cell receptor sequencing were performed on 767,606 T cells from 460 samples across six cancer types.
  • Analysis included identification of expanded and persistent T cell clones, gene expression profiling, and pseudo-temporal state analysis.
  • Comparative analysis of T cell clones in tumor and blood samples from responders versus non-responders.

Main Results:

  • A significant signature of response was identified based on expanded CD8+ T cell clones, differentiating responders from non-responders.
  • Persistent clones in responders exhibited transcriptional changes indicative of enhanced reinvigoration capacity compared to non-responders.
  • De novo clones showed pseudo-temporal state changes associated with clinical outcomes, and shared tumor-blood clones were more abundant in non-responders.

Conclusions:

  • Differences in T cell clonal transcriptional states are linked to patient response to immune checkpoint inhibitors.
  • Expanded and persistent T cell clones provide valuable biomarkers for predicting ICI efficacy.
  • Understanding T cell clonal dynamics offers insights into mechanisms of anti-tumor immunity and potential therapeutic targets.

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