MRC Weatherall Institute of Molecular Medicine, University of Oxford, Headington, Oxford OX3 9DU, UK.
Department of Oncology, University of Oxford, Old Road Campus Research Building, Oxford OX3 7DQ, UK.
Sci Immunol. 2021 Oct;6(64):eabj8825. doi: 10.1126/sciimmunol.abj8825. Epub 2021 Oct 1.
The antitumor action of immune checkpoint blockade (ICB) is primarily mediated by CD8 T cells. How sensitivity to ICB varies across CD8 T cell subsets and clonotypes and the relationship of these with clinical outcome is unclear. To explore this, we used single-cell V(D)J and RNA-sequencing to track gene expression changes elicited by ICB across individual peripheral CD8 T cell clones, identify baseline markers of CD8 T cell clonal sensitivity, and chart how CD8 T cell transcriptional changes vary according to phenotypic subset and clonal size. We identified seven subsets of CD8 T cells with divergent reactivity to ICB and found that the cytotoxic effector subset showed the greatest number of differentially expressed genes while remaining stable in clonal size after ICB. At the level of CD8 T cell clonotypes, we found a relationship between transcriptional changes and clone size, with large clones showing a greater number of differentially regulated genes enriched for pathways including T cell receptor (TCR) signaling. Cytotoxic CD8 effector clones were more likely to persist following ICB and were more likely to correspond with public tumor-infiltrating lymphocyte clonotypes. Last, we demonstrated that individuals whose CD8 T cell pretreatment showed low cytotoxicity and had fewer expanded clones typically had worse outcomes after ICB treatment. This work further advances understanding of the molecular determinants of ICB response, assisting in the search for peripheral prognostic biomarkers and highlighting the importance of the baseline CD8 immune landscape in determining ICB response in metastatic melanoma.
免疫检查点阻断(ICB)的抗肿瘤作用主要由 CD8 T 细胞介导。CD8 T 细胞亚群和克隆型对 ICB 的敏感性如何变化,以及这些与临床结果的关系尚不清楚。为了探索这一点,我们使用单细胞 V(D)J 和 RNA 测序来跟踪个体外周 CD8 T 细胞克隆对 ICB 产生的基因表达变化,确定 CD8 T 细胞克隆敏感性的基线标志物,并绘制 CD8 T 细胞转录变化如何根据表型亚群和克隆大小而变化。我们确定了七种具有不同 ICB 反应性的 CD8 T 细胞亚群,发现细胞毒性效应器亚群表现出最多的差异表达基因,而在 ICB 后克隆大小保持稳定。在 CD8 T 细胞克隆型水平上,我们发现转录变化与克隆大小之间存在关系,大克隆显示出更多的差异调节基因,这些基因富集了包括 T 细胞受体(TCR)信号在内的途径。ICB 后,细胞毒性 CD8 效应克隆更有可能持续存在,并且更有可能与公共肿瘤浸润淋巴细胞克隆型相对应。最后,我们证明,在 ICB 治疗前 CD8 T 细胞表现出低细胞毒性和较少扩增克隆的个体通常在 ICB 治疗后预后更差。这项工作进一步推进了对 ICB 反应分子决定因素的理解,有助于寻找外周预后生物标志物,并强调了基线 CD8 免疫景观在确定转移性黑色素瘤 ICB 反应中的重要性。
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