[PDF][PDF] Dysfunctional CD8 T cells form a proliferative, dynamically regulated compartment within human melanoma

H Li, AM van der Leun, I Yofe, Y Lubling… - Cell, 2019 - cell.com
H Li, AM van der Leun, I Yofe, Y Lubling, D Gelbard-Solodkin, ACJ van Akkooi…
Cell, 2019cell.com
Tumor immune cell compositions play a major role in response to immunotherapy, but the
heterogeneity and dynamics of immune infiltrates in human cancer lesions remain poorly
characterized. Here, we identify conserved intratumoral CD4 and CD8 T cell behaviors in
scRNA-seq data from 25 melanoma patients. We discover a large population of CD8 T cells
showing continuous progression from an early effector" transitional" into a dysfunctional T
cell state. CD8 T cells that express a complete cytotoxic gene set are rare, and TCR sharing …
Summary
Tumor immune cell compositions play a major role in response to immunotherapy, but the heterogeneity and dynamics of immune infiltrates in human cancer lesions remain poorly characterized. Here, we identify conserved intratumoral CD4 and CD8 T cell behaviors in scRNA-seq data from 25 melanoma patients. We discover a large population of CD8 T cells showing continuous progression from an early effector "transitional" into a dysfunctional T cell state. CD8 T cells that express a complete cytotoxic gene set are rare, and TCR sharing data suggest their independence from the transitional and dysfunctional cell states. Notably, we demonstrate that dysfunctional T cells are the major intratumoral proliferating immune cell compartment and that the intensity of the dysfunctional signature is associated with tumor reactivity. Our data demonstrate that CD8 T cells previously defined as exhausted are in fact a highly proliferating, clonal, and dynamically differentiating cell population within the human tumor microenvironment.
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