放疗和 CTLA-4 阻断塑造肿瘤浸润 T 细胞的 TCR 库。
Radiotherapy and CTLA-4 Blockade Shape the TCR Repertoire of Tumor-Infiltrating T Cells.
机构信息
Department of Radiation Oncology, Weill Cornell Medicine, New York, New York.
Bloomberg-Kimmel Institute for Cancer Immunotherapy, Johns Hopkins University School of Medicine, Baltimore, Maryland.
出版信息
Cancer Immunol Res. 2018 Feb;6(2):139-150. doi: 10.1158/2326-6066.CIR-17-0134. Epub 2017 Nov 27.
Immune checkpoint inhibitors activate T cells to reject tumors. Unique tumor mutations are key T-cell targets, but a comprehensive understanding of the nature of a successful antitumor T-cell response is lacking. To investigate the T-cell receptor (TCR) repertoire associated with treatment success versus failure, we used a well-characterized mouse carcinoma that is rejected by CD8 T cells in mice treated with radiotherapy (RT) and anti-CTLA-4 in combination, but not as monotherapy, and comprehensively analyzed tumor-infiltrating lymphocytes (TILs) by high-throughput sequencing of the CDR3 region. The combined treatment increased TIL density and CD8/CD4 ratio. Assessment of the frequency of T-cell clones indicated that anti-CTLA-4 resulted in fewer clones and a more oligoclonal repertoire compared with untreated tumors. In contrast, RT increased the CD8/CD4 ratio and broadened the TCR repertoire, and when used in combination with anti-CTLA-4, these selected T-cell clones proliferated. Hierarchical clustering of CDR3 sequences showed a treatment-specific clustering of TCRs that were shared by different mice. Abundant clonotypes were commonly shared between animals and yet treatment-specific. Analysis of amino-acid sequence similarities revealed a significant increase in the number and richness of dominant CDR3 motifs in tumors treated with RT + anti-CTLA-4 compared with control. The repertoire of TCRs reactive with a single tumor antigen recognized by CD8 T cells was heterogeneous but highly clonal, irrespective of treatment. Overall, data support a model whereby a diverse TCR repertoire is required to achieve tumor rejection and may underlie the synergy between RT and CTLA-4 blockade. .
免疫检查点抑制剂激活 T 细胞以排斥肿瘤。独特的肿瘤突变是 T 细胞的关键靶点,但对于成功的抗肿瘤 T 细胞反应的性质仍缺乏全面了解。为了研究与治疗成功和失败相关的 T 细胞受体 (TCR) 谱,我们使用了一种经过充分研究的小鼠癌,该癌在接受放射治疗 (RT) 和抗 CTLA-4 联合治疗的小鼠中被 CD8 T 细胞排斥,但作为单一疗法则不会被排斥,并且通过高通量测序全面分析了肿瘤浸润淋巴细胞 (TIL) 的 CDR3 区。联合治疗增加了 TIL 密度和 CD8/CD4 比值。评估 T 细胞克隆的频率表明,与未处理的肿瘤相比,抗 CTLA-4 导致更少的克隆和更寡克隆的 TCR 谱。相比之下,RT 增加了 CD8/CD4 比值并拓宽了 TCR 谱,当与抗 CTLA-4 联合使用时,这些选择的 T 细胞克隆会增殖。CDR3 序列的层次聚类显示 TCR 存在治疗特异性聚类,这些 TCR 在不同的小鼠中共享。丰富的克隆型在动物之间共同共享,但具有治疗特异性。分析氨基酸序列相似性表明,与对照相比,用 RT + 抗 CTLA-4 治疗的肿瘤中 CDR3 基序的数量和丰富度显著增加。与 CD8 T 细胞识别的单一肿瘤抗原反应的 TCR 谱是异质的,但高度克隆,与治疗无关。总的来说,数据支持这样一种模型,即需要多样化的 TCR 谱来实现肿瘤排斥,并且可能是 RT 和 CTLA-4 阻断协同作用的基础。
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