γδ T cells are effectors of immunotherapy in cancers with HLA class I defects
Open accessAbstract
DNA mismatch repair-deficient (MMR-d) cancers present an abundance of neoantigens that is thought to explain their exceptional responsiveness to immune checkpoint blockade (ICB) 1,2 . Here, in contrast to other cancer types 3–5 , we observed that 20 out of 21 (95%) MMR-d cancers with genomic inactivation of β2-microglobulin (encoded by B2M ) retained responsiveness to ICB, suggesting the involvement of immune effector cells other than CD8 + T cells in this context. We next identified a strong association between B2M inactivation and increased infiltration by γδ T cells in MMR-d cancers. These γδ T cells mainly comprised the Vδ1 and Vδ3 subsets, and expressed high levels of PD-1, other activation markers, including cytotoxic molecules, and a broad repertoire of killer-cell immunoglobulin-like receptors. In vitro, PD-1 + γδ T cells that were isolated from MMR-d colon cancers exhibited enhanced reactivity to human leukocyte antigen (HLA)-class-I-negative MMR-d colon cancer cell lines and B2M -knockout patient-derived tumour organoids compared with antigen-presentation-proficient cells. By comparing paired tumour samples from patients with MMR-d colon cancer that were obtained before and after dual PD-1 and CTLA-4 blockade, we found that immune checkpoint blockade substantially increased the frequency of γδ T cells in B2M-deficient cancers. Taken together, these data indicate that γδ T cells contribute to the response to immune checkpoint blockade in patients with HLA-class-I-negative MMR-d colon cancers, and underline the potential of γδ T cells in cancer immunotherapy.
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MHC-I-defective tumour cells can still be killed by natural killer cells and gamma delta T cells.
“Given that MHC-I-defective tumour cells can still be killed by natural killer cells and gamma delta (γδ) T cells,169”
From Current and emerging concepts for systemic treatment of metastatic colorectal cancer (2025) · cites this paper as [169]
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Organoids as an Enabler of Precision Immuno-Oncology
Zhao, J., Fong, A. S. W., Seow, S. V., & Toh, H. C. (2023) · Cells · doi:10.3390/cells12081165 · Cited by 13 · see citing works
Strategies to overcome low MHC-I expression in paediatric and adult tumours
Guillaume, J., Perzolli, A., & Boes, M. L. (2023) · Immunotherapy Advances · doi:10.1093/immadv/ltad028 · Cited by 12 · see citing works
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From backstage to the spotlight: γδT cells in cancer
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- Authors
- de Vries, N. L., van de Haar, J., Veninga, V., Chalabi, M., Ijsselsteijn, M. E., van der Ploeg, M., van den Bulk, J., Ruano, D., van den Berg, J. G., Haanen, J. B., Zeverijn, L. J., Geurts, B. S., de Wit, G. F., Battaglia, T. W., Gelderblom, H., Verheul, H. M. W., Schumacher, T. N., Wessels, L. F. A., Koning, F., de Miranda, N. F. C. C., & Voest, E. E.
- Affiliations
- The Netherlands Cancer Institute (NL)
- Leiden University Medical Center (NL)
- Erasmus MC (NL)
- Corresponding author
- Voest, Emile E.
- ORCID
- de Vries, Natasja L.
- Veninga, Vivien
- Chalabi, Myriam
- Ijsselsteijn, Marieke E.
- van der Ploeg, Manon
- van den Bulk, Jitske
- Ruano, Dina
- Haanen, John B.
- Zeverijn, Laurien J.
- Geurts, Birgit S.
- Battaglia, Thomas W.
- Gelderblom, Hans
- Verheul, Henk M. W.
- Schumacher, Ton N.
- Wessels, Lodewyk F. A.
- Koning, Frits
- de Miranda, Noel F. C. C.
- Voest, Emile E.
- Venue
- Nature
- Published
- 2023-01-11
- Volume
- 613
- Issue
- 7945
- Pages
- 743-750
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- PMC
- PMC9876799
- OpenAlex
- W4315641892
- Cited by
- 311
- References
- 69
- Citations by year
- 2026: 70 · 2025: 80 · 2024: 94 · 2023: 67
- FWCI
- 38.42
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Nature (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Leiden Repository (Leiden University) (publishedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- Leiden Repository (Leiden University) (submittedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- Research Repository (Delft University of Technology) (submittedVersion)
- Funders
- European Commission (HORIZON2020, 852832)
- Universiteit Leiden
- Leids Universitair Medisch Centrum
- Oncode Institute
- 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
- γδ T cells, immune checkpoint blockade, HLA class I deficiency, PD-1, killer cell immunoglobulin-like receptors, colon cancer, tumor organoids, cancer immunotherapy, tumor-infiltrating immune cells
- MeSH terms
- Immune Checkpoint Inhibitors, beta 2-Microglobulin, Brain Neoplasms, Colonic Neoplasms, Genes, MHC Class I, Humans, Immunotherapy, Neoplastic Syndromes, Hereditary, Organoids, T-Lymphocytes, Colorectal Neoplasms, Histocompatibility Antigens Class I, Receptors, Antigen, T-Cell, gamma-delta, Antigen Presentation, Cell Line, Tumor, DNA Mismatch Repair, Receptors, KIR, CTLA-4 Antigen, Programmed Cell Death 1 Receptor
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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