Elevated T Cell Immunoreceptor with Ig and ITIM Domains (TIGIT) Expression and Immune Cell Dysfunction Characterize

Shungang Zhang1, Elaina R Daniels1, Jake McGue2

  • 1Department of Pathology & Clinical Labs, University of Michigan, Ann Arbor, Michigan.

Insights

COMPASS-like complex gene (CLCG) mutations identify aggressive pancreatic cancer (PDAC) resistant to immunotherapy. These mutations correlate with altered immune cell infiltration and elevated TIGIT checkpoint expression, suggesting TIGIT-targeting therapies for CLCG-mutant PDAC.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) exhibits significant resistance to current immunotherapies.
  • Biomarkers for immunotherapy response in PDAC are limited, with mismatch repair proteins being a notable exception.
  • A subset of aggressive PDACs (approx. 25%) harbors mutations in COMPASS-like complex genes (CLCG).

Purpose of the Study:

  • To investigate the immune microenvironment of PDACs with CLCG mutations compared to wild-type PDACs.
  • To identify potential new biomarkers for targeted immunotherapy in PDAC.
  • To explore the role of CLCG mutations in immune suppression mechanisms within PDAC.

Main Methods:

  • Multiplex fluorescent immunohistochemistry (mfIHC) was employed to analyze immune cell infiltration and checkpoint expression.
  • Computational imaging techniques were utilized to quantify cellular interactions and spatial relationships.
  • Single-cell RNA sequencing (scRNA-seq) was performed to confirm gene expression patterns and immune cell states.

Main Results:

  • CLCG-mutant PDACs showed reduced infiltration of CD4+ T cells and antigen-presenting cells (APCs).
  • Elevated expression of the immune checkpoint TIGIT was observed on CD4+ T cells and APCs in CLCG-mutant PDACs.
  • CLCG-mutant PDACs exhibited impaired immune cell crosstalk and increased CD4+ T cell exhaustion.

Conclusions:

  • COMPASS-like complex genes (CLCG) can serve as novel biomarkers for identifying PDAC patients who may benefit from immunotherapy.
  • The findings reveal unique immune suppression mechanisms in CLCG-deficient PDAC.
  • Targeting TIGIT represents a potential therapeutic strategy for CLCG-mutant pancreatic cancer.

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