Cited by 845Cancer Immunotherapy and BiomarkersT-cell and B-cell ImmunologyImmunotherapy and Immune Responses

Exhaustion of tumor-specific CD8+ T cells in metastases from melanoma patients

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Baitsch, Lukas, Baumgaertner, Petra, Devêvre, Estelle, Raghav, Sunil K., Legat, Amandine, Barba, Leticia, Wieckowski, Sébastien, Bouzourene, Hanifa +4 more·2011·Journal of Clinical Investigation

Abstract

In chronic viral infections, CD8⁺ T cells become functionally deficient and display multiple molecular alterations. In contrast, only little is known of self- and tumor-specific CD8⁺ T cells from mice and humans. Here we determined molecular profiles of tumor-specific CD8⁺ T cells from melanoma patients. In peripheral blood from patients vaccinated with CpG and the melanoma antigen Melan-A/MART-1 peptide, we found functional effector T cell populations, with only small but nevertheless significant differences in T cells specific for persistent herpesviruses (EBV and CMV). In contrast, Melan-A/MART-1-specific T cells isolated from metastases from patients with melanoma expressed a large variety of genes associated with T cell exhaustion. The identified exhaustion profile revealed extended molecular alterations. Our data demonstrate a remarkable coexistence of effector cells in circulation and exhausted cells in the tumor environment. Functional T cell impairment is mediated by inhibitory receptors and further molecular pathways, which represent potential targets for cancer therapy.

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  • Exhausted T cells can occur in cancer, not only in chronic viral infections.

    “Originally described in the context of chronic viral infections, where the host fails to clear the pathogen, it is now apparent that exhausted T cells can also occur in cancer (12, 13).”
  • PD-1 has been detected on circulating tumor-specific T cells and tumor-infiltrating lymphocytes, where it was associated with decreased T cell function in humans and mice.

    “The inhibitory receptor has been detected on both circulating tumor-specific T cells and tumor-infiltrating lymphocytes, where it was associated with decreased T cell function in humans and mice (13, 29, 55–57).”
  • PD-L1 on tumor cells or other infiltrating immune cells can disable PD-1-expressing tumor-infiltrating T cells.

    “PD-1-expressing tumor-infiltrating T cells can be disabled by PD-L1 on the surfaces of tumor cells or other infiltrating immune cells, and blocking antibodies targeting PD-1 signaling are therefore thought to mainly affect the effector stage of the immune response (13, 55–57).”
  • Blocking antibodies targeting PD-1 signaling mainly affect the effector stage of the immune response.

    “PD-1-expressing tumor-infiltrating T cells can be disabled by PD-L1 on the surfaces of tumor cells or other infiltrating immune cells, and blocking antibodies targeting PD-1 signaling are therefore thought to mainly affect the effector stage of the immune response (13, 55–57).”
  • LAG3 highly expressed on tumor-infiltrating lymphocytes interacts with tumor cell surface ligands to cause T cell dysfunction or exhaustion, promoting tumor immune escape, particularly in CD8+ T cells.

    “LAG3, highly expressed on the tumor‐infiltrating lymphocytes (TILs), interacts with ligands located on the surface of tumor cells to cause T cell dysfunction or even exhaustion, promoting tumor immune escape, particularly evident in CD8+ T cells [329, 330].”

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Authors
Baitsch, L., Baumgaertner, P., Devêvre, E., Raghav, S. K., Legat, A., Barba, L., Wieckowski, S., Bouzourene, H., Deplancke, B., Romero, P., Rufer, N., & Speiser, D. E.
Affiliations
  • Ludwig Cancer Research (BE)
  • École Polytechnique Fédérale de Lausanne (CH)
  • University of Lausanne (CH)
  • Ludwig Cancer Research (CH)
Corresponding author
Speiser, Daniel E.
Venue
Journal of Clinical Investigation
Published
2011-06-01
Volume
121
Issue
6
Pages
2350-2360
ISSN
0021-9738 (ISSN-L)
OpenAlex
W1981291019
Cited by
845
References
5
Citations by year
2026: 27 · 2025: 38 · 2024: 44 · 2023: 64 · 2022: 62 · 2021: 90 · 2020: 88 · 2019: 78 · 2018: 69 · 2017: 56 · 2016: 50 · 2015: 63 · 2014: 39 · 2013: 42 · 2012: 29
FWCI
17.62
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • SERVAL (Université de Lausanne) (publishedVersion, other-oa)
  • IRIS (submittedVersion)
  • HAL (submittedVersion)
  • Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion)
  • Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
  • SERVAL (Université de Lausanne) (submittedVersion)
Funders
  • National Science Foundation
  • Cancer Research Institute
  • Pfizer
  • Ludwig Institute for Cancer Research
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
  • National Center of Competence in Research Chemical Biology
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 exhaustion, CD8+ T cells, melanoma, metastasis, Melan-A/MART-1, Epstein-Barr virus, cytomegalovirus, inhibitory receptors, effector T cells, tumor microenvironment, cancer immunotherapy
MeSH terms
Cytomegalovirus Infections, Cytomegalovirus, Herpesvirus 4, Human, Humans, Melanoma, Molecular Sequence Data, Receptors, Immunologic, Vaccination, T-Lymphocyte Subsets, Lymphocytes, Tumor-Infiltrating, Virus Latency, CD8-Positive T-Lymphocytes, CpG Islands, Cancer Vaccines, Epstein-Barr Virus Infections, Gene Expression Profiling, T-Cell Antigen Receptor Specificity, MART-1 Antigen

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