Tumor-reactive T cell clonotype dynamics underlying clinical response to TIL therapy in melanoma.
Details
Serval ID
serval:BIB_3BC38E07E916
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Tumor-reactive T cell clonotype dynamics underlying clinical response to TIL therapy in melanoma.
Journal
Immunity
ISSN
1097-4180 (Electronic)
ISSN-L
1074-7613
Publication state
Published
Issued date
10/09/2024
Peer-reviewed
Oui
Volume
57
Number
10
Pages
2466-2482
Language
english
Notes
Publication types: Journal Article
Abstract
Adoptive cell therapy (ACT) using in vitro expanded tumor-infiltrating lymphocytes (TILs) has inconsistent clinical responses. To better understand determinants of therapeutic success, we tracked TIL clonotypes from baseline tumors to ACT products and post-ACT blood and tumor samples in melanoma patients using single-cell RNA and T cell receptor (TCR) sequencing. Patients with clinical responses had baseline tumors enriched in tumor-reactive TILs, and these were more effectively mobilized upon in vitro expansion, yielding products enriched in tumor-specific CD8 <sup>+</sup> cells that preferentially infiltrated tumors post-ACT. Conversely, lack of clinical responses was associated with tumors devoid of tumor-reactive resident clonotypes and with cell products mostly composed of blood-borne clonotypes that persisted in blood but not in tumors post-ACT. Upon expansion, tumor-specific TILs lost tumor-associated transcriptional signatures, including exhaustion, and responders exhibited an intermediate exhausted effector state after TIL engraftment in the tumor, suggesting functional reinvigoration. Our findings provide insight into the nature and dynamics of tumor-specific clonotypes associated with clinical response to TIL-ACT, with implications for treatment optimization.
Keywords
adoptive cell transfer, cancer immunotherapy, cell state, clonotype dynamics, exhaustion, expansion, melanoma, tumor engraftment, tumor reactivity, tumor-infiltrating lymphocytes
Pubmed
Create date
20/09/2024 10:54
Last modification date
06/12/2024 7:04