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Intratumoral Activity of the CXCR3 Chemokine System Is Required for the Efficacy of Anti-PD-1 Therapy
Open accessAbstract
Despite compelling rates of durable clinical responses to programmed cell death-1 (PD-1) blockade, advances are needed to extend these benefits to resistant tumors. We found that tumor-bearing mice deficient in the chemokine receptor CXCR3 responded poorly to anti-PD-1 treatment. CXCR3 and its ligand CXCL9 were critical for a productive CD8+ T cell response in tumor-bearing mice treated with anti-PD-1 but were not required for the infiltration of CD8+ T cells into tumors. The anti-PD-1-induced anti-tumor response was facilitated by CXCL9 production from intratumoral CD103+ dendritic cells, suggesting that CXCR3 facilitates dendritic cell-T cell interactions within the tumor microenvironment. CXCR3 ligands in murine tumors and in plasma of melanoma patients were an indicator of clinical response to anti-PD-1, and their induction in non-responsive murine tumors promoted responsiveness to anti-PD-1. Our data suggest that the CXCR3 chemokine system is a biomarker for sensitivity to PD-1 blockade and that augmenting the intratumoral function of this chemokine system could improve clinical outcomes.
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In the citing paper
“Additionally, CXCL10 has been shown to promote effector T cell generation and function56,57.”
From Epigenetic state determines the in vivo efficacy of STING agonist therapy (2023) · cites this paper as [57]
Experimental — accuracy not yet measuredIn the citing paper
“CXCL9/10/11 are ligands of the CXCR3 receptor involved in increased trafficking of CD8+CXCR3+ T cells to tumors (47,48,64).”
In the citing paper
“The relevance of the CXCL9/10/11-CXCR3 pathway for recruiting and triggering cytotoxic T cells is well known (47-50,64).”
In the citing paper
“Data suggest that CXCR3 is not essential for the early recruitment of CD8+ T cells into tumors (64).”
In the citing paper
“Their ligands are reported to function both as biomarkers and inducers of response to anti-PD-1 alone (64) or in combination with anti-CTLA-4 (47).”
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Citations
Cites
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Items 201–300 of 723
The role of dendritic cells in cancer immunity and therapeutic strategies
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“During the early phase, the limited number of CD8 + T cells in tumors may be insuf fi cient to mediate effective antitumor responses 39,40 .”
Defining Immunogenic and Radioimmunogenic Tumors
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“Following this, a maturation cocktail is applied to stimulate the DCs, which are subsequently pulsed with relevant tumor-associated antigens or tumor lysates, enabling them to elicit tumor-speci fi c immune responses 52 .”
MethodProtein tyrosine phosphatase nonreceptor type 2 controls colorectal cancer development
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“In line with an increased and sustained anti–PD-1 response, gene expression profiling revealed increased mRNA expression of Cxcr3 and Cxcr5 — chemokine receptors crucial for efficient anti–PD-1 responses(30, 33) and memory formation (34, 35), respectively.”
BackgroundTIGIT Blockade Exerts Synergistic Effects on Microwave Ablation Against Cancer
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“have found that the CXCR3-CXCL9 chemokine axis plays a more local role in promoting interactions between antitumor T cells and DCs present within the tumor during PD-1 therapy (58).”
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Immune Cell Migration to Cancer
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“Tumor-associated dendritic cells increase the secretion of chemokines CXCL9 and CXCL10 which recruit naive T-cells [27].”
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“Noteworthy, patients with melanoma with high pretreatment CXCL9 levels had an improved response to treatment with anti-PD-L1 (52), underlining the importance of the presence of these chemokines for an effective antitumor immune response.”
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“CCL5 is produced in both tumor cells and CD8 TILs in human ovarian cancer,(23) while the production of CXCL9 and CXCL10 is regulated by tumor cells and myeloid cell subsets.(23,41) Therefore, increased CD8 TILs upon rhIL-7-hyFc treatment may be responsible for the increase in”
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Phosphorylation barcodes direct biased chemokine signaling at CXCR3
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“10 High expression of CXCL9 and CXCL10 has been strongly associated with improved survival and a substantial increase in the number of intratumoral CD8 + T cells in cancer patients treated with ICIs.”
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“CXCR3, the receptor of CXCL9/10/11 serves as a prognostic biomarker for CRC. Intratumoral activity of the CXCR3-chemokine system is necessary for anti-PD1 to work [90].”
BackgroundImmuno-Oncology Biomarkers for Personalized Immunotherapy in Breast Cancer
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The Complexity of Targeting Chemokines to Promote a Tumor Immune Response
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“Intra-tumoral CD103 DCs expressed high levels of CXCL9 leading to co-localization with CD8 T [9].”
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“…the migration of tumor-infiltrating DCs (TIDCs) to lymph nodes to present antigens to CD8 + T naïve cells [15], and the recruitment of CXCR3 + cytotoxic T lymphocytes (CTLs) to the tumor microenvironment (TME) via conventional type 1 dendritic cells (cDC1)-derived chemokines CXCL9/CXCL10 [16, 17].”
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Characterising Distinct Migratory Profiles of Infiltrating T-Cell Subsets in Human Glioblastoma
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“Moreover, accumulating evidence suggests that DC recruitment and crosstalk with T cells is critically required for anti-PD-1-mediated antitumor response [74,75].”
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“To our knowledge, CXCL9 is also released by activated CD103+ dendritic cells [24] and immunotherapytreated macrophages [27].”
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“This alignment would enable CXCR3 + T cells to receive anti-PD-1 (antitumor) immunotherapeutic signals, thus improving the ef fi cacy of this treatment [55] (Fig.”
BackgroundA hepatic network of dendritic cells mediates CD4 T cell help outside lymphoid organs
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Stem-like CD8+ T cells in cancer
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Interleukin-34 Limits the Therapeutic Effects of Immune Checkpoint Blockade
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“…locations of drug exposure within the same tumor samples where we observed M1 polarization, we also observed recruitment of CXCR3-expressing cells, including cytotoxic CD8 T and NK cells to regions of SUMOylation inhibition, characteristic of a shift in the TME from “ cold-to-hot ” (46, 47).”
Targeting the dendritic cell-T cell axis to develop effective immunotherapies for glioblastoma
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“44,45 Our results suggested that CXCR3 expressed on CD8 + T cells was upregulated in the oHSV therapy group.”
Abdala-Saleh, N., Lugassy, J., Shivakumar-Kalvhati, A., Turky, A., Ras, S. A., Razon, H., Berger, N., Bar-On, D., Bar‐On, Y., Taura, T., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1452212 · Cited by 25
Dendritic cells instruct T cell anti-tumor immunity and immunotherapy response
Xiao, Z., Wang, J., Yang, J., Guo, F., Zhang, L., & Zhang, L. (2025) · The Innovation Medicine · doi:10.59717/j.xinn-med.2025.100128 · Cited by 27
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“Subsequently, more IFN-gamma can be produced by CD8+ T cells and a positive feedback loop intensifying antitumor immune response can be formed [58].”
BackgroundYu, Y., Zhang, H., Ren, T., Huang, Y., Liang, X., Wang, W., Niu, J., Han, Y., & Guo, W. (2020) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.15687 · Cited by 25
Phenotypic and spatial heterogeneity of CD8+ tumour infiltrating lymphocytes
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“Cells with both antigen-presenting and immunomodulatory capabilities, especially DCs, are almost invariably implicated in the organisation of these CD8 + T-accommodating alcoves [174, 190, 191, 257–259].”
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Single-cell transcriptomics reveals the effect of PD-L1/TGF-β blockade on the tumor microenvironment
Lim, Y. W., Coles, G. L., Sandhu, S. K., Johnson, D. S., Adler, A. S., & Stone, E. L. (2021) · BMC Biology · doi:10.1186/s12915-021-01034-z · Cited by 26
Dendritic Cell-Based Immunotherapy in Hot and Cold Tumors
Kang, B. H., & Lee, H. K. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23137325 · Cited by 27
Xue, S., Su, L., Ke, L.-N., & Huang, Y. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1077780 · Cited by 24
“revealed that CXCL9 (derived from CD103 dendritic cell) and CD8 T cells (CXCR3 are essential for the efficiency of anti-PD-1 therapy in melanoma, colon adenocarcinoma, and breast adenocarcinoma cell lines (21).”
BackgroundIn situ Vaccination by Direct Dendritic Cell Inoculation: The Coming of Age of an Old Idea?
Castiello, L., Aricò, E., D'Agostino, G., Santodonato, L., & Belardelli, F. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.02303 · Cited by 23
“Further, recent literature has unraveled how intratumoral cDC1 “license” CD8 response during checkpoint blockade by secreting IL-12 and CXCL9, potentiating T cell activation (97, 98).”
BackgroundStructure basis for the modulation of CXC chemokine receptor 3 by antagonist AMG487
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Loss of the orphan nuclear receptor NR2F6 enhances CD8+ T-cell memory via IFN-γ
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T cell–Mediated Development of Stromal Fibroblasts with an Immune-Enhancing Chemokine Profile
Yan, R., Moresco, P., Gegenhuber, B., & Fearon, D. T. (2023) · Cancer Immunology Research · doi:10.1158/2326-6066.cir-22-0593 · Cited by 24
Matsushima, K., Shichino, S., & Ueha, S. (2023) · Proceedings of the Japan Academy Series B · doi:10.2183/pjab.99.014 · Cited by 22
The Cancer-Immunity Cycle in Multiple Myeloma
Casey, M., & Nakamura, K. (2021) · ImmunoTargets and Therapy · doi:10.2147/itt.s305432 · Cited by 24
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“37 48–51 Furthermore, the intra-tumoral CXCL9/10-CXCR3 chemokine axis has been shown to play an essential role for the antitumor response mediated by ICB.”
Advances in Cell and Immune Therapies for Melanoma
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Development of DPP-4-resistant CXCL9-Fc and CXCL10-Fc chemokines for effective cancer immunotherapy
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“This and previous reports ( 14 , 21 , 26 , 27 , 52 ) pnas.org induces CXCL10 production by effector and cytotoxic CD4+ and CD8+ T cells, which in turn stimulates further CXCL10 production by both cancer cells and T cells, thereby enhancing the activity of tumor - infiltrating T cells.”
CXCR6 + T Cells Drive Immune Checkpoint Inhibitor Myocarditis
Munir, A. Z., Gutierrez, A., Krawiec, C. M., Manandhar, P., Shyani, A. C., Ma, P., Gougis, P., Baylis, R. A., Hou, L., Remold‐O’Donnell, E., et al. (2026) · Circulation · doi:10.1161/circulationaha.125.076976 · Cited by 21
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“Moreover, the biomarker also showed a good predictive effect on different histological types of NSCLC and chemotherapy combined with different PD1 drug groups, it provides a new idea for the biomarkers of tumor combination therapy.”
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“It should be noted that CXCR3-dependent T cell infiltration is a prerequisite to the success of PD-1/PD-L1 blockade therapy [17].”
BackgroundZhang, H., Hunter, M. V., Chou, J., Quinn, J. F., Zhou, M., White, R. M., & Tansey, W. (2023) · Cell Systems · doi:10.1016/j.cels.2023.06.003 · Cited by 22
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Olingy, C. E., Alimadadi, A., Araujo, D. J., Barry, D., Gutierrez, N. A., Hardy-Werbin, M., Arriola, E., Patel, S. P., Ottensmeier, C. H. H., Dinh, H. Q., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.842653 · Cited by 24
“To evaluate the interplay between monocytes and T lymphocytes, we added markers for quantifying the frequencies of CD4+ and CD8+ T cells, including the chemokine receptor CXCR3 (30).”
BackgroundInfluentialLee, J. Y., Nguyen, B., Mukhopadhyay, A., Han, M., Zhang, J., Gujar, R., Salazar, J. V., Hermiz, R., Svenson, L., Browning, E., et al. (2022) · Molecular Therapy — Oncolytics · doi:10.1016/j.omto.2022.04.005 · Cited by 20
“Recent studies have demonstrated a critical role for CXCL9 in facilitating anti-PD-1 checkpoint therapeutic responses.(19,20,34) To investigate this potential relationship, a CT26 tumor model was used to determine whether this increased intratumoral chemokine gradient, particularly in the context of IL-12, could enhan…”
BackgroundMethodSelf-citationMa, Y., Liu, Y., Zhi, Y., Wang, H., Yang, M., Niu, J., Zhao, L., & Wang, P. (2022) · Cancer Nanotechnology · doi:10.1186/s12645-022-00116-z · Cited by 20
“In addition, the intra-tumoral activity of CXCR3 is required for anti-PD-1 therapy efficacy (Chow et al. 2019).”
BackgroundRole of Exosomes in Immunotherapy of Hepatocellular Carcinoma
Tian, B., Han, C., Dong, Z., Tan, S., Wang, D., & Li, T. (2022) · Cancers · doi:10.3390/cancers14164036 · Cited by 20
Metadata
- Authors
- Chow, M. T., Ozga, A. J., Servis, R. L., Frederick, D. T., Lo, J. A., Fisher, D. E., Freeman, G. J., Boland, G. M., & Luster, A. D.
- Affiliations
- Harvard University (US)
- Corresponding author
- Luster, Andrew D.
- ORCID
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 50
- Issue
- 6
- Pages
- 1498-1512.e5
- ISSN
- 1074-7613 (ISSN-L)
- PMC
- PMC6527362
- OpenAlex
- W2945224722
- Cited by
- 716
- References
- 57
- Citations by year
- 2026: 83 · 2025: 98 · 2024: 120 · 2023: 128 · 2022: 96 · 2021: 90 · 2020: 81 · 2019: 19
- FWCI
- 30.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Immunity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (AR043369)
- Dr. Miriam and Sheldon G. Adelson Medical Research Foundation
- National Institutes of Health (AR043369, CA204028, AI112521, CA222871, CA163222)
- Melanoma Research Alliance
- Cancer Research Institute
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Oncology › Chemokine receptors and signaling
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- CXCR3, CXCL9, anti-PD-1 therapy, chemokine system, CD8+ T cells, CD103+ dendritic cells, dendritic cell-T cell interaction, tumor microenvironment, melanoma, predictive biomarkers, immunotherapy resistance
- MeSH terms
- Antineoplastic Agents, Immunological, Animals, Disease Models, Animal, Humans, Lymphocyte Activation, Neoplasms, Biomarkers, T-Lymphocyte Subsets, Mice, Knockout, CD8-Positive T-Lymphocytes, Xenograft Model Antitumor Assays, Epigenesis, Genetic, Mice, Receptors, CXCR3, Immunomodulation, Molecular Targeted Therapy, Tumor Microenvironment, Programmed Cell Death 1 Receptor
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