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Chromatin states define tumour-specific T cell dysfunction and reprogramming
Open accessAbstract
Tumour-specific CD8 T cells in solid tumours are dysfunctional, allowing tumours to progress. The epigenetic regulation of T cell dysfunction and therapeutic reprogrammability (for example, to immune checkpoint blockade) is not well understood. Here we show that T cells in mouse tumours differentiate through two discrete chromatin states: a plastic dysfunctional state from which T cells can be rescued, and a fixed dysfunctional state in which the cells are resistant to reprogramming. We identified surface markers associated with each chromatin state that distinguished reprogrammable from non-reprogrammable PD1 hi dysfunctional T cells within heterogeneous T cell populations from tumours in mice; these surface markers were also expressed on human PD1 hi tumour-infiltrating CD8 T cells. Our study has important implications for cancer immunotherapy as we define key transcription factors and epigenetic programs underlying T cell dysfunction and surface markers that predict therapeutic reprogrammability.
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“Additionally, comparison of liver-resident effector Tag+ T cells generated from an acute Listeria monocytogenes infection with exhausted Tag+ T cells generated in AST-CRE-ERT2 mice (liver tumor) (27) indicated that both transporters Slco3a1 and Abcb1a were significantly down-regulated in exhausted CD8+ T cells relative to the effector cells (fig. S8B).”
From Bile acid synthesis impedes tumor-specific T cell responses during liver cancer (2025) · cites this paper as [27]
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“reported in 2017 that tumor-specific CD8 T lymphocytes acquire distinct dysfunction-related chromatin accessibility states throughout their time within the tumor, and in human CD8 T cells a chronic infection-induced epigenetic scarring was observed, which persisted long after the infection was resolved (124, 125).”
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“Cachectic patients with NSCLC are resistant to immunotherapy [37]; thus, restoring the cytotoxicity of CD8+ T cells may be crucial for treatment response.”
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Harnessing CD8+ T‐cell exhaustion to treat type 1 diabetes
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“In both cases, following antigen recognition and driven by transcriptional regulation, na€ıve CD8 T cells differentiate into shortlived effector T cells and memory precursor effector cells.(23,24) These cells produce cytokines and chemokines, acquire the ability to kill target cells and have migratory”
BackgroundA cytosolic chaperone complex controls folding and degradation of type III CD38
Wu, Y., Zhang, J., Fang, L., Lee, H. C., & Zhao, Y. J. (2019) · Journal of Biological Chemistry · doi:10.1074/jbc.ra118.005844 · Cited by 15
“CD38 is usually considered as a cell surface marker and, in blood cells, is shown to be involved in HIV infection (1), malignancy in leukemias (2) and myelomas (3), as well as dysfunction of tumor-infiltrating CD8 T cells (4).”
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“Notably, ATAC-seq has opened the door to the study of tumor-infiltrating lymphocytes (TILs) from the epigenetic perspective (18).”
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“(60) found that the dysregulation of CD8 T cells would allow for tumor progression.”
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BackgroundDeletion of CD38 enhances CD19 chimeric antigen receptor T cell function
Veliz, K., Shen, F., Shestova, O. E., Shestov, M., Shestov, A. A., Sleiman, S., Hansen, T., O’Connor, R. S., & Gill, S. I. (2024) · Molecular Therapy Oncology · doi:10.1016/j.omton.2024.200819 · Cited by 14
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“Olink profiling of blood samples (collected using DF/HCC IRB approved Protocol 11–181) from patients with metastatic melanoma at MGH was performed as previously described.”
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“Philip and colleagues (21) used ATAC-seq to study the epigenetic landscape of CD8þ TILs and identified two distinct CD8þ T-cell states in a murine tumor model— one that can be reversed upon in vitro activation and one that cannot.”
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“It regulates various physiopathological processes, including insulin secretion (1), HIV infection (2), malignancies like leukemia (3) and myeloma (4), as well as dysfunction of tumorinfiltrating CD8 T cells (5).”
BackgroundMicrobes as Master Immunomodulators: Immunopathology, Cancer and Personalized Immunotherapies
Lérias, J. R., Paraschoudi, G., de Sousa, E., Martins, J. D., Condeço, C., Figueiredo, N., Carvalho, C. T., Dodoo, E., Castillo-Martín, M., Antonio Lopez-beltran, B., et al. (2020) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2019.00362 · Cited by 14
Mogat1 drives metabolic adaptations to evade immune surveillance
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Barriers to T Cell Functionality in the Glioblastoma Microenvironment
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“In a murine model of liver cancer, CD8 T cells displayed unique chromatin remodeling (a form of epigenetic modification) specific to early exhaustion, or functional states, mainly within genomic regions of TCR signaling and cytokine production [38].”
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“Clinical evidence suggests that combinatorial use of immune checkpoint inhibitors (e.g., anti-PD-1, anti-TIM3 antibodies) can partially reverse CAR-T-cell exhaustion and enhance antitumor activity [92,105–107].”
Dosset, M., Joseph, E. L. M., Vargas, T. R., & Apétoh, L. (2020) · Cells · doi:10.3390/cells9071727 · Cited by 12
“A progressive strong expression of immune checkpoint receptors and fixed epigenetic alterations eventually lead to a steady-state inhibition of effector T cells, which cannot be further abrogated by ICPi therapy [11,71,123].”
BackgroundCD8+ T cell self-tolerance permits responsiveness but limits tissue damage
Truckenbrod, E. N., Burrack, K. S., Knutson, T. P., da Silva, H. B., Block, K. E., O’Flanagan, S. D., Stagliano, K. R., Hurwitz, A. A., Fulton, R. B., Renkema, K. R., et al. (2021) · eLife · doi:10.7554/elife.65615 · Cited by 13
“Recent studies on dysfunctional tumor-specific or exhausted CD8 T cells have shown that epigenetic changes in chromatin accessibility or methylation can maintain such states (Ghoneim et al., 2017; Pauken et al., 2016; Philip et al., 2017), which is one potential explanation for the cell-intrinsic nature of the toleran…”
BackgroundSolid Tumor Microenvironment Can Harbor and Support Functional Properties of Memory T Cells
Sullivan, P. M., Reed, S. J., Kalia, V., & Sarkar, S. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.706150 · Cited by 13
“Our findings that tumor infiltrating bystander CD8 T cells do not exhibit hallmarks of exhaustion, such as sustained inhibitory receptor expression, loss of cytokine production (4) and terminal differentiation (59), bear implications for future exploitation of bystander tumorresident memory T cells for indirect augmen…”
BackgroundStem-like T cells and niches: Implications in human health and disease
Yi, L., & Li, Y. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.907172 · Cited by 15
Lim, S. Y., & Rizos, H. (2018) · Mammalian Genome · doi:10.1007/s00335-018-9757-4 · Cited by 12
Phares, T., Kotraiah, V., Karunarathne, D. S., Huang, J., Browne, C. D., Buontempo, P., Mansour, M., Noe, A., Wykes, M., Pannucci, J., et al. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.01377 · Cited by 10
Yu, H., Wu, H., Zheng, F., Zhu, C., Yin, L., Dai, W., Liu, D. J., Tang, D., Hong, X., & Dai, Y. (2020) · Scientific Reports · doi:10.1038/s41598-020-76574-5 · Cited by 12
Imaging and AI based chromatin biomarkers for diagnosis and therapy evaluation from liquid biopsies
Challa, K., Paysan, D., Leiser, D., Sauder, N., Weber, D. C., & Shivashankar, G. V. (2023) · npj Precision Oncology · doi:10.1038/s41698-023-00484-8 · Cited by 11
“Consequently, liquid biopsies assessing the DNA methylation, miRNA, transcriptional and proteomic pro fi les of blood cells (e.g. PBMCs), as well as alterations of their speci fi c subpopulations, have become an active area of research 13,20,35,36 .”
Cheng, H., & Zheng, Y. (2024) · PeerJ · doi:10.7717/peerj.16825 · Cited by 13
Lipids guide T cell antitumor immunity by shaping their metabolic and functional fitness
Rumiano, L., & Manzo, T. (2024) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2024.11.014 · Cited by 12
Zawidzka, E. M., Biavati, L., Thomas, A. M., Zanettini, C., Marchionni, L., Leone, R. D., & Borrello, I. (2025) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2024-009367 · Cited by 11
“44 45 Moreover, truly exhausted T cells are resistant to reprogramming.”
Zhou, M., Chen, M., Zheng, Z., Li, Q., Liao, L., Wang, Y., Xu, Y., Shu, G., Luo, J., Yang, T., et al. (2025) · Autophagy · doi:10.1080/15548627.2025.2503560 · Cited by 12
“While anti-PDCD1 therapy can restore T cells with early functional impairment, it may prove ineffective for T cells with severe functional deficits [41,42].”
Zou, R., Wang, Y., Ye, F., Zhang, X., Wang, M., & Cui, S. (2021) · Clinical & Translational Oncology · doi:10.1007/s12094-021-02637-2 · Cited by 11
“While initially plastic and able to be modified to restore an effector functionality, they eventually reach a state of fixed epigenetic dysfunction, in which their chromatin is rendered inaccessible and resistant to further remodeling and reinvigoration [93].”
BackgroundWang, P. H., Washburn, R. S., Maniar, R., Mu, M., Ringham, O. R., Kratchmarov, R., Henick, B. S., & Reiner, S. L. (2022) · The Journal of Immunology · doi:10.4049/jimmunol.2200317 · Cited by 11
Wnuk, K., Sudol, J., Givechian, K. B., Soon‐Shiong, P., Rabizadeh, S., Szeto, C. W., & Vaske, C. J. (2019) · iScience · doi:10.1016/j.isci.2019.09.018 · Cited by 10
Lu, H., Zhang, L., Dai, Y., Ruan, Y., Cao, X., Cai, X., Ruan, S., & Chen, Q. (2020) · Diagnostic Pathology · doi:10.1186/s13000-020-00931-1 · Cited by 11
Vahedi, G. (2021) · Immunological Reviews · doi:10.1111/imr.12942 · Cited by 11
Archetypes of checkpoint-responsive immunity
Im, K. W., Combes, A. J., Spitzer, M. H., Satpathy, A. T., & Krummel, M. F. (2021) · Trends in Immunology · doi:10.1016/j.it.2021.09.007 · Cited by 13
Zhang, M., Iwata, S., Sonomoto, K., Ueno, M., Fujita, Y., Anan, J., Miyazaki, Y., Ohkubo, N., Hajime, M., Todoroki, Y., et al. (2021) · Rheumatology · doi:10.1093/rheumatology/keab834 · Cited by 11
Histone Deacetylase Inhibitors Promote Latent Adenovirus Reactivation from Tonsillectomy Specimens
Wang, L., Zhang, M., Li, J., Yang, G., Huang, Q., Li, J., Wang, H., He, S., & Li, E. (2020) · Journal of Virology · doi:10.1128/jvi.00100-20 · Cited by 11
Sun, X., Axelrod, M. L., Waks, A. G., Fu, J., DiLullo, M. K., Allen, E. M. V., Tolaney, S. M., Mittendorf, E. A., Xu, Y., & Balko, J. M. (2025) · npj Breast Cancer · doi:10.1038/s41523-025-00776-1 · Cited by 10
Lai, J., Chan, C. W., Armitage, J. D., Audsley, K. M., Huang, Y., Derrick, E. B., Carstensen, L. S., Scheffler, C. M., Jones, M. E., Sek, K., et al. (2026) · Nature Immunology · doi:10.1038/s41590-026-02419-4 · Cited by 10
“The presence of T PEX , characterized by expression of TCF1 and a distinct transcriptional and epigenetic state relative to terminally exhausted T cells (T EX ), are crucial for antitumor immune responses following ICB, eliciting a proliferative burst post-therapy 3,9–13 .”
Zhang, Q., Wang, C., Qin, M., Ye, Y., Mo, Y., Meng, Q., Guanglin, Y., Feng, G., Lin, R., Xian, S., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1298087 · Cited by 10
Sui, S., Zhong, M., Zhong, S., Peng, X., Mao, L., Chen, C., Zeng, C., Luo, O. J., & Li, Y. (2024) · Biomarker Research · doi:10.1186/s40364-024-00667-w · Cited by 12
“An early study has reported that T cell exhaustion involves two distinct chromatin states: a reversible dysfunctional state from which T cells can be rejuve-nated and an irreversible dysfunctional state in which T cells are recalcitrant to therapeutic reprogramming [19].”
BackgroundFunctional subsets of tumor-specific CD8+ T cells in draining lymph nodes and tumor microenvironment
Huang, Q., Xu, L., & Ye, L. (2024) · Current Opinion in Immunology · doi:10.1016/j.coi.2024.102506 · Cited by 11
Attias, M., Alvarez, F., Al-Aubodah, T.-A., Istomine, R., McCallum, P. A., Huang, F., Sleiman, A., Nishimura, T., Rincon, S. V. D., Riazalhosseini, Y., et al. (2025) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2024-009435 · Cited by 12
“24 38 Nonetheless, T reg TILs are highly functional in TMEs 5 14 39 and it is unclear if they undergo exhaustion.”
MacLean, F., Tsegaye, A. T., Graham, J. B., Swarts, J. L., Vick, S. C., Potchen, N. B., Talavera, I. C., Warrier, L., Dubrulle, J., Schroeder, L. K., et al. (2025) · Journal of Clinical Investigation · doi:10.1172/jci184609 · Cited by 14
“Additionally, CD101 is associated with exhausted T cell phenotypes that result from chronic activation and can promote immune dysfunction (71–73).”
Chen, X., Lu, L., Liang, Z., Yu, B., Shao, Z., Li, J., Cen, Y., Liu, Y., Li, S., & Chen, X. S. (2025) · Angewandte Chemie International Edition · doi:10.1002/anie.202502120 · Cited by 10
Zhang, H., Wu, W., Wang, M., Zhang, J., Guo, C., Han, G., & Wang, L. (2025) · Journal of Translational Medicine · doi:10.1186/s12967-025-06770-2 · Cited by 14
“Conversely, despite high cytotoxic potential (Perforin + , Granzyme B + ), the functionality of Temra cells is restricted by a terminal exhaustion phenotype (PD-1 high TIM-3 high ) and irreversible epigenetic modifications such as DNA methylation [43].”
Faithful modeling of terminal CD8+T cell dysfunction and epigenetic stabilization in vitro
Yousif, A., Saadey, A. A., Lowin, A. M., Yousif, A. M., Saini, A., Allison, M. R., Ptak, K., Oltz, E. M., & Ghoneim, H. E. (2025) · JCI Insight · doi:10.1172/jci.insight.191220 · Cited by 12
“Furthermore, it remains unclear whether in vitro–induced dysfunction is stable after antigen withdrawal — a core defining feature of the epigenetically fixed state of terminal exhaustion observed in vivo (11, 22–24).”
Multiple Myeloma, Targeting B-Cell Maturation Antigen With Chimeric Antigen Receptor T-Cells
Shah, U. A., & Smith, E. L. (2019) · The Cancer Journal · doi:10.1097/ppo.0000000000000379 · Cited by 11
Origin and fine-tuning of effector CD8 T cell subpopulations in chronic infection
Kanev, K., & Zehn, D. (2020) · Current Opinion in Virology · doi:10.1016/j.coviro.2020.10.003 · Cited by 10
Givechian, K. B., Garner, C. P., Benz, S. C., Rabizadeh, S., & Soon‐Shiong, P. (2020) · Neuro-Oncology Advances · doi:10.1093/noajnl/vdaa162 · Cited by 10
Judge, S. J., Bloomstein, J. D., Sholevar, C. J., Darrow, M. A., Stoffel, K. M., Vick, L. V., Dunai, C., Cruz, S. M., Razmara, A. M., Monjazeb, A. M., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.893177 · Cited by 10
“Transcriptomic Analysis of Peripheral and Tumor-Infiltrating Immune Cells Highlights Distinct Changes in Gene Expression Patterns Between NK and T Cells in Soft Tissue Sarcomas There is currently a thorough and evolving understanding of the genetic and epigenetic changes in tumor-infiltrating T cells which distinguish…”
BackgroundTET Proteins in the Spotlight: Emerging Concepts of Epigenetic Regulation in T Cell Biology
Tsagaratou, A. (2023) · ImmunoHorizons · doi:10.4049/immunohorizons.2200067 · Cited by 9
“However, tumor-infiltrating lymphocytes at later stages of their presence in the tumor microenvironment establish a chromatin signature that is refractory to reprogramming, and thus, they cannot regain effector function after checkpoint blockade, rendering these cells terminally dysfunctional (101).”
BackgroundInfluentialAge-associated systemic factors change central and peripheral immunity in adult male mice
van Olst, L., Kamermans, A., van der Pol, S. M. A., Rodríguez, E., Hulshof, L. A., van Dijk, R. E., Vonk, D., Schouten, M., Witte, M. E., de Vries, H. E., et al. (2023) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2023.05.004 · Cited by 10
Scharf, L., Pedersen, C. B., Johansson, E., Lindman, J. L., Olsen, L. R., Buggert, M., Wilhelmson, S., Månsson, F., Esbjörnsson, J., Biague, A. J., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.744530 · Cited by 10
Wang, X., Li, L., Yang, Y., Fan, L., Ma, Y., & Mao, F. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.832715 · Cited by 10
“2017 (43) Nivolumab responsive Riaz et al.”
Lymphoid tissue residency: A key to understand Tcf-1+PD-1+ T cells
Ma, C., & Zhang, N. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1074698 · Cited by 10
Metadata
- Authors
- Philip, M., Fairchild, L., Sun, L., Horste, E. L., Camara, S., Shakiba, M., Scott, A. C., Viale, A., Lauer, P., Merghoub, T., Hellmann, M. D., Wolchok, J. D., Leslie, C. S., & Schietinger, A.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Aduro BioTech (United States) (US)
- Corresponding author
- Schietinger, Andrea
- ORCID
- Venue
- Nature
- Published
- 2017-05
- Volume
- 545
- Issue
- 7655
- Pages
- 452-456
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC5693219
- OpenAlex
- W2616155686
- Cited by
- 933
- References
- 51
- Citations by year
- 2026: 92 · 2025: 104 · 2024: 104 · 2023: 111 · 2022: 113 · 2021: 126 · 2020: 123 · 2019: 90 · 2018: 58 · 2017: 12
- FWCI
- 34.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Human Genome Research Institute (U01HG007893)
- National Cancer Institute (R00CA172371, K08CA158069, U54CA209975, P30CA008748)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- T cell dysfunction, chromatin state, epigenetic regulation, T cell exhaustion, PD-1, immune checkpoint blockade, T cell reprogramming, transcription factors, cell surface markers, solid tumors, cancer immunotherapy
- MeSH terms
- Animals, Chromatin, Female, Humans, Immunologic Memory, Male, Neoplasms, Transcription Factors, Gene Expression Regulation, Neoplastic, Lymphocytes, Tumor-Infiltrating, CD8-Positive T-Lymphocytes, Gene Expression Profiling, Epigenesis, Genetic, Mice
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