Distinct Inflammatory Cytotoxic T Lymphocyte Populations Mediate PD-1 Blockade-Induced Immune-Related Adverse Events

Xiaowei Liu1,2, Jinen Song1, Fengli Zuo1

  • 1Institute for Breast Health Medicine, State Key Laboratory of Biotherapy, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University and Collaborative Innovation Center, Chengdu, China.

Cancer Research
|May 15, 2026
PubMed

Immune checkpoint blockade-induced immune-related adverse events (irAE) hamper the application of this revolutionary antitumor therapeutic strategy. In this study, we explored the mechanisms driving irAEs by profiling the immune ecosystem of major irAE-affected organs at the single-cell scale. The analysis identified 3 populations of cytotoxic T lymphocytes that mediate antitumor immunity (CTL1) or that induce irAE in the gut (CTLirAE-I) or in multiple other organs (CTLirAE-II). Interleukin-JAK1 signaling was specifically activated in the CTLirAE-II population upon PD-1 blockade. Targeting JAK1 remarkably relieved the irAEs in the heart and lung without compromising antitumor efficacy. Tracking T-cell receptor sequence and transcriptome showed that CTLirAE-II and CTL1 populations originated from lymph node progenitor cells, whereas the CTLirAE-I population was derived from tissue-resident memory T cells. Moreover, irAEs could be monitored by assessing the CTLirAE-II population in circulation. In conclusion, this study elucidates the landscape of cellular changes in irAEs across multiple organs after immunotherapy and proposes strategies for relieving irAE symptoms and facilitating diagnosis.

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