Cytokines and Adaptive Immunity Laboratory, CHU Sainte-Justine Research Center, Montreal, Quebec, Canada; Department of Microbiology and Immunology, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada.
Department of Systems Pharmacology and Translational Therapeutics, University of Pennsylvania, Philadelphia, PA, USA; Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Semin Immunol. 2019 Apr;42:101307. doi: 10.1016/j.smim.2019.101307.
Overcoming exhaustion-associated dysfunctions and generating antigen-specific CD8 T cells with the ability to persist in the host and mediate effective long-term anti-tumor immunity is the final aim of cancer immunotherapy. To achieve this goal, immuno-modulatory properties of the common gamma-chain (γ) family of cytokines, that includes IL-2, IL-7, IL-15 and IL-21, have been used to fine-tune and/or complement current immunotherapeutic protocols. These agents potentiate CD8 T cell expansion and functions particularly in the context of immune checkpoint (IC) blockade, shape their differentiation, improve their persistence in vivo and alternatively, influence distinct aspects of the T cell exhaustion program. Despite these properties, the intrinsic impact of cytokines on CD8 T cell exhaustion has remained largely unexplored impeding optimal therapeutic use of these agents. In this review, we will discuss current knowledge regarding the influence of relevant γ cytokines on CD8 T cell differentiation and function based on clinical data and preclinical studies in murine models of cancer and chronic viral infection. We will restate the place of these agents in current immunotherapeutic regimens such as IC checkpoint blockade and adoptive cell therapy. Finally, we will discuss how γ cytokine signaling pathways regulate T cell immunity during cancer and whether targeting these pathways may sustain an effective and durable T cell response in patients.
克服与衰竭相关的功能障碍,并产生能够在宿主中持续存在并介导有效长期抗肿瘤免疫的抗原特异性 CD8 T 细胞,是癌症免疫治疗的最终目标。为了实现这一目标,已利用共同γ链(γ)细胞因子家族的免疫调节特性,包括 IL-2、IL-7、IL-15 和 IL-21,来微调和/或补充当前的免疫治疗方案。这些药物增强了 CD8 T 细胞的扩增和功能,特别是在免疫检查点(IC)阻断的情况下,塑造其分化,提高其在体内的持久性,并可改变 T 细胞衰竭程序的不同方面。尽管具有这些特性,但细胞因子对 CD8 T 细胞衰竭的内在影响在很大程度上仍未得到探索,这阻碍了这些药物的最佳治疗应用。在这篇综述中,我们将根据癌症和慢性病毒感染的临床数据和临床前研究,讨论有关相关 γ 细胞因子对 CD8 T 细胞分化和功能影响的现有知识。我们将重新阐述这些药物在当前免疫治疗方案(如 IC 检查点阻断和过继细胞治疗)中的地位。最后,我们将讨论 γ 细胞因子信号通路如何在癌症期间调节 T 细胞免疫,以及靶向这些通路是否可以在患者中维持有效的和持久的 T 细胞反应。