Impaired PD-1 expression in tumor-infiltrating senescent CD8+ T cells is reversed by PD-L1 blockade in a murine

Yi Lu1, Yuya Su2, Yuto Nagatomo3

  • 1Department of Oral Biology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo (SCIENCE TOKYO), Tokyo, 113-8549, Japan; Department of Molecular Immunology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, 113-8549, Japan; Oral Science Center, Institute of Science Tokyo (SCIENCE TOKYO), Tokyo, 113-8549, Japan.

Journal of Oral Biosciences
|February 19, 2026
PubMed
Abstract

Insights

Aging impairs antitumor immunity in head and neck squamous cell carcinoma (SCC) by altering the tumor microenvironment. Immune checkpoint inhibitor (ICI) therapy shows differential effects in aged mice, highlighting age-related immune changes.

Area of Science:

  • Immunology
  • Oncology
  • Aging Research

Background:

  • Aging is associated with immune system alterations that can impair antitumor immunity and reduce the efficacy of cancer treatments like immune checkpoint inhibitors (ICIs).
  • Head and neck squamous cell carcinoma (SCC) is a significant health concern, and ICIs targeting programmed cell death-1 (PD-1) are approved for recurrent and metastatic cases.
  • Understanding how aging impacts the tumor immune microenvironment (TME) is crucial for optimizing treatment strategies.

Purpose of the Study:

  • To investigate the effects of aging on the tumor immune microenvironment in a murine SCC model.
  • To determine how aging modulates the efficacy of anti-PD-1/PD-L1 therapy in SCC.
  • To elucidate age-related changes in immune cell populations and their functions within the TME.

Main Methods:

  • Analysis of SCCVII tumor growth, tumor-draining lymph node (TDLN) cells, and tumor-infiltrating leukocytes in young, middle-aged, and aged mice.
  • Assessment of CD206+ M2-like tumor-associated macrophage (TAM) accumulation and CD8+ T cell (CD8T) phenotypes.
  • Evaluation of anti-PD-1 ligand-1 (PD-L1) antibody treatment effects in young and aged mice, including PD-1 expression and IFN-γ production.

Main Results:

  • Tumor growth accelerated with age, correlating with increased M2-like TAMs.
  • Aged mice showed increased CD8T, interferon (IFN)-γ, and PD-1 expression in lymph nodes, but impaired PD-1 expression on CD8T within the TME.
  • Anti-PD-L1 treatment enhanced antitumor immunity in aged mice but preferentially increased PD-1+ CD8T, suggesting age-dependent mechanisms of action for PD-L1 blockade.

Conclusions:

  • Aging impairs antitumor immune responses in SCC, characterized by M2-like TAM recruitment and altered CD8T function within the TME.
  • PD-1 expression on CD8T in the aged TME is impaired, yet PD-L1 blockade can increase it, indicating differential therapeutic targets or responses based on age.
  • These findings underscore the importance of considering age-related immune changes when developing and applying ICI therapies for SCC.