Interferon-induced senescent CD8+ T cells reduce anti-PD1 immunotherapy efficacy in early triple-negative breast

Tong Fu1, Xi Jin1, Min He1

  • 1Key Laboratory of Breast Cancer in Shanghai, Department of Breast Surgery, Precision Cancer Medicine Center, Fudan University Shanghai Cancer Center, Shanghai 200032, P. R. China.

PubMed

Insights

Researchers found that interferon-induced senescent CD8+ T cells drive immunotherapy nonresponse in early triple-negative breast cancer (TNBC). Nicotinamide mononucleotide treatment restored T cell function and improved immunotherapy efficacy.

Area of Science:

  • Immunology
  • Oncology
  • Cellular Biology

Background:

  • Triple-negative breast cancer (TNBC) lacks biomarkers for immunotherapy guidance, particularly in early stages.
  • Current immunotherapy strategies face challenges in predicting patient response.

Purpose of the Study:

  • To identify biomarkers predicting immunotherapy response in early-stage TNBC.
  • To elucidate mechanisms of immunotherapy nonresponsiveness.
  • To develop strategies to enhance immunotherapy efficacy.

Main Methods:

  • Single-cell RNA sequencing, bulk transcriptomics, and pathology assays on 171 early-stage TNBC patient samples.
  • Investigation of interferon (IFN)-induced CD8+ T cell subsets.
  • Analysis of monocyte-derived IFN and its effect on T cell senescence.
  • Assessment of nicotinamide mononucleotide (NMN) treatment in preclinical models.

Main Results:

  • An enriched subset of interferon (IFN)-induced CD8+ T cells was identified, predicting immunotherapy nonresponsiveness.
  • IFN from HLA-DR+ monocytes induced CD8+ T cell senescence, characterized by NAD+ consumption and reduced cytotoxicity.
  • NMN treatment reversed T cell senescence and improved immunotherapy efficacy in organoid-T cell cocultures and mouse models.

Conclusions:

  • Interferon-induced T cell senescence is a key mechanism of immunotherapy nonresponsiveness in early TNBC.
  • Nicotinamide mononucleotide represents a potential therapeutic strategy to restore CD8+ T cell function and enhance immunotherapy outcomes in TNBC.

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