The costimulatory molecule ICOS limits memory-like properties and function of exhausted PD-1+CD8+ T cells
- PMID: 40628269
- PMCID: PMC12366506
- DOI: 10.1016/j.immuni.2025.06.001
The costimulatory molecule ICOS limits memory-like properties and function of exhausted PD-1+CD8+ T cells
Abstract
During persistent antigen stimulation, CD8+ T cell responses are maintained by progenitor exhausted CD8+ T (Tpex) cells. Tpex cells respond to blockade of the inhibitory receptor programmed cell death-1 (PD-1), and regulation of their differentiation is critical for immunotherapies. Tpex cells highly express inducible costimulator (ICOS), but how ICOS modulates PD-1+CD8+ T cells is not clear. During chronic infection, intrinsic ICOS deficiency increased number and quality of virus-specific CD8+ T cells. Loss of ICOS potentiated activity of the transcription factor forkhead box O1 (FoxO1) and memory-like features of Tpex cells. ICOS-deficient Tpex cells were poised to generate effecor-like cells with improved survival and cytokine production. ICOS-ligand (ICOSL) blockade expanded effector-like PD-1+CD8+ T cells, reduced viral load, and improved response to PD-1 blockade. Similarly, in a mouse model of hepatocellular carcinoma, ICOS inhibition enhanced tumor-specific CD8+ T cell responses and tumor control by PD-1 blockade. Overall, we show that sustained ICOS costimulation limits CD8+ T cell responses during chronic antigen exposure.
Keywords: CD8(+) T cells; FoxO1; ICOS; LCMV; PD-1; T cell differentiation; costimulation; exhaustion; immunotherapy; progenitor exhausted.
Copyright © 2025 Elsevier Inc. All rights reserved.
Conflict of interest statement
Declaration of interests The authors declare no competing interests.
Update of
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ICOS limits memory-like properties and function of exhausted PD-1 + CD8 T cells.bioRxiv [Preprint]. 2024 Sep 20:2024.09.16.611518. doi: 10.1101/2024.09.16.611518. bioRxiv. 2024. Update in: Immunity. 2025 Aug 12;58(8):1966-1983.e10. doi: 10.1016/j.immuni.2025.06.001. PMID: 39345453 Free PMC article. Updated. Preprint.
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