Neoantigen-specific cytotoxic Tr1 CD4 T cells suppress cancer immunotherapy
- PMID: 39048822
- PMCID: PMC11291290
- DOI: 10.1038/s41586-024-07752-y
Neoantigen-specific cytotoxic Tr1 CD4 T cells suppress cancer immunotherapy
Abstract
CD4+ T cells can either enhance or inhibit tumour immunity. Although regulatory T cells have long been known to impede antitumour responses1-5, other CD4+ T cells have recently been implicated in inhibiting this response6,7. Yet, the nature and function of the latter remain unclear. Here, using vaccines containing MHC class I (MHC-I) neoantigens (neoAgs) and different doses of tumour-derived MHC-II neoAgs, we discovered that whereas the inclusion of vaccines with low doses of MHC-II-restricted peptides (LDVax) promoted tumour rejection, vaccines containing high doses of the same MHC-II neoAgs (HDVax) inhibited rejection. Characterization of the inhibitory cells induced by HDVax identified them as type 1 regulatory T (Tr1) cells expressing IL-10, granzyme B, perforin, CCL5 and LILRB4. Tumour-specific Tr1 cells suppressed tumour rejection induced by anti-PD1, LDVax or adoptively transferred tumour-specific effector T cells. Mechanistically, HDVax-induced Tr1 cells selectively killed MHC-II tumour antigen-presenting type 1 conventional dendritic cells (cDC1s), leading to low numbers of cDC1s in tumours. We then documented modalities to overcome this inhibition, specifically via anti-LILRB4 blockade, using a CD8-directed IL-2 mutein, or targeted loss of cDC2/monocytes. Collectively, these data show that cytotoxic Tr1 cells, which maintain peripheral tolerance, also inhibit antitumour responses and thereby function to impede immune control of cancer.
© 2024. The Author(s).
Conflict of interest statement
R.D.S. is a cofounder, scientific advisory board member, stockholder and royalty recipient of Asher Biotherapeutics, and is a paid scientific advisory board member for A2 Biotherapeutics, NGM Biopharmaceuticals, BioLegend, Sensei Biotherapeutics Neuvogen and BlueSphere Biopharmaceuticals. K.M.M. is on the Scientific Advisory Board for Harbour Biomed. J.P.A. receives consulting fees from Achelois, Adaptive Biotechnologies, Apricity, BioAtla, BioNTech, Candel Therapeutics, Codiak, Dragonfly, Earli, Enable Medicine, Hummingbird, ImaginAb, Jounce, Lava Therapeutics, Lytix, Marker, PBM Capital, Phenomic AI, Polaris Pharma, Time Bioventures, Trained Therapeutix, Two Bear Capital and Venn Biosciences; and has ownership of stocks for Achelois, Adaptive Biotechnologies, Apricity, BioAtla, BioNTech, Candel Therapeutics, Codiak, Dragonfly, Earli, Enable Medicine, Hummingbird, ImaginAb, Jounce, Lava Therapeutics, Lytix, Marker, PBM Capital, Phenomic AI, Polaris Pharma, Time Bioventures, Trained Therapeutix, Two Bear Capital and Venn Biosciences. T.N.S. is a cofounder, scientific advisory board member and stockholder of Asher Biotherapeutics and Neogene Therapeutics, cofounder and stockholder of Cell Control Bio, consultant and stockholder at Third Rock Ventures, and a scientific advisory board member for Allogene Therapeutics, Celsius, Merus and Scenic Biotech. K.D.M., Y.A.Y. and I.D. are full-time employees of Asher Biotherapeutics. R.B. and H.A.C. are full-time employees of Natera, Inc. All other authors declare no competing interests.
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Comment in
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The expanding universe of type I regulatory T cell biology: a new role in cancer immunotherapy.Immunol Cell Biol. 2024 Nov;102(10):868-870. doi: 10.1111/imcb.12822. Epub 2024 Sep 11. Immunol Cell Biol. 2024. PMID: 39261289
References
-
- Hori, S., Nomura, T. & Sakaguchi, S. Control of regulatory T cell development by the transcription factor Foxp3. Science299, 1057–1061 (2003). - PubMed
-
- Fontenot, J. D., Gavin, M. A. & Rudensky, A. Y. Foxp3 programs the development and function of CD4+CD25+ regulatory T cells. Nat. Immunol.4, 330–336 (2003). - PubMed
-
- Khattri, R., Cox, T., Yasayko, S. A. & Ramsdell, F. An essential role for scurfin in CD4+CD25+ T regulatory cells. Nat. Immunol.4, 337–342 (2003). - PubMed
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