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Published on: January 2, 2026
CRISPR screens identify targets to rescue age-related T cell dysfunction in cancer
Alex C Y Chen1, Keely Y Ji1, Cansu Yerinde1
1Krantz Family Center for Cancer Research, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Broad Institute of MIT and Harvard, Cambridge, MA, USA; Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital, Boston, MA, USA.
Abstract:
Immune aging impairs T cell-mediated tumor control as well as cancer immunotherapy outcomes. The most important drivers of T cell dysfunction in aged tumors remain unknown. We performed single-cell CRISPR screens to identify Dusp5 and Zfp219 as key regulators of CD8+ T cell persistence and effector differentiation within aged tumors. Loss of Dusp5 increased extracellular signal-regulated kinase (ERK) phosphorylation and globally enhanced T cell proliferation. Conversely, Zfp219 deletion induced epigenetic reprogramming and increased expression of cytotoxic molecules, enhancing antitumor immunity specifically in aging. Levels of the human ortholog ZNF219 were higher within intratumoral CD8+ T cells from older cancer patients, which correlates with worse survival following immunotherapy. Zfp219 ablation synergized with immune checkpoint inhibitors to expand effector-like CD8+ T cells, leading to tumor clearance in aged mice. Our findings highlight Dusp5 and Zfp219 as critical drivers of age-related T cell dysfunction that can be targeted to rejuvenate antitumor immunity in older cancer patients.
Insights
Immune aging harms T cell function, impacting cancer treatment. Researchers identified Dusp5 and Zfp219 as key factors in T cell dysfunction, offering new targets to improve cancer immunotherapy in older adults.
Area of Science:
- Immunology
- Oncology
- Aging Research
Background:
- Immune aging significantly impairs T cell responses, negatively affecting tumor control and cancer immunotherapy efficacy.
- The specific molecular drivers of T cell dysfunction in the context of aging tumors are not well understood.
Purpose of the Study:
- To identify key regulators of CD8+ T cell persistence and effector function within aged tumors.
- To explore the potential of targeting identified regulators to rejuvenate anti-tumor immunity in aging cancer patients.
Main Methods:
- Utilized single-cell CRISPR screens to identify critical genes regulating T cell function in aged tumors.
- Investigated the effects of Dusp5 and Zfp219 loss on T cell signaling, epigenetics, and anti-tumor activity in murine models.
- Analyzed human patient data to correlate ZNF219 levels with clinical outcomes in cancer immunotherapy.
Main Results:
- Dusp5 loss enhanced T cell proliferation by increasing extracellular signal-regulated kinase (ERK) phosphorylation.
- Zfp219 deletion promoted epigenetic reprogramming, increased cytotoxic molecule expression, and boosted anti-aging immunity.
- Higher ZNF219 levels in older cancer patients' T cells correlated with poorer immunotherapy survival.
- Zfp219 ablation synergized with immune checkpoint inhibitors to enhance anti-tumor CD8+ T cell responses and achieve tumor clearance in aged mice.
Conclusions:
- Dusp5 and Zfp219 are critical regulators of age-related T cell dysfunction in tumors.
- Targeting Dusp5 and Zfp219 presents a promising strategy to restore anti-tumor immunity in elderly cancer patients.
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