CRATER tumor niches facilitate CD8+ T cell engagement and correspond with immunotherapy success
- PMID: 41109214
- DOI: 10.1016/j.cell.2025.09.021
CRATER tumor niches facilitate CD8+ T cell engagement and correspond with immunotherapy success
Abstract
T cell-mediated tumor killing underlies immunotherapy success. Here, we used long-term in vivo imaging and high-resolution spatial transcriptomics of zebrafish endogenous melanoma, as well as multiplex imaging of human melanoma, to identify domains facilitating the immune response during immunotherapy. We identified cancer regions of antigen presentation and T cell engagement and retention (CRATERs) as pockets at the stroma-melanocyte boundaries of zebrafish and human melanoma. CRATERs are rich in antigen-recognition molecules, harboring the highest density of CD8+ T cells in tumors. In zebrafish, CD8+ T cells formed prolonged interactions with melanoma cells within CRATERs, characteristic of antigen recognition. Following immunostimulatory treatment, CRATERs expanded, becoming the major sites of activated CD8+ T cell accumulation and tumor killing. In humans, elevation in CRATER density in biopsies following immune checkpoint blockade (ICB) therapy correlated with a clinical response to therapy. CRATERs are structures that show active tumor killing and may be useful as a diagnostic indicator for immunotherapy success.
Keywords: CD8+ T cells; cancer; immune response; immunotherapy; melanoma; zebrafish.
Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved.
Conflict of interest statement
Declaration of interests L.I.Z. is a founder and stockholder of Fate Therapeutics, CAMP4 Therapeutics, Amagma Therapeutics, Scholar Rock, and Branch Biosciences and a consultant for Celularity and Cellarity. F.S.H. reports grants and personal fees related to the submitted work from Bristol-Myers Squibb and Novartis and personal fees from Merck, Surface, Compass Therapeutics, Apricity, 7 Hills Pharma, Bicara, Checkpoint Therapeutics, Bioentre, Gossamer, Iovance, Catalym, Immunocore, Kairos, Rheos, Zumutor, Corner Therapeuitcs, Puretech, Curis, Astra Zeneca, and Solu Therapeutics. Outside the submitted work, F.S.H. has the following patents: Methods for Treating MICA-Related Disorders (#20100111973) with royalties paid; Tumor antigens and uses thereof (#7250291) (issued); Angiopoiten-2 Biomarkers Predictive of Anti-immune checkpoint response (#20170248603) (pending); Compositions and Methods for Identification, Assessment, Prevention, and Treatment of Melanoma using PD-L1 Isoforms (#20160340407) (pending); Therapeutic peptides (#20160046716) (pending); Therapeutic Peptides (#20140004112) (pending); Therapeutic Peptides (#20170022275) (pending); Therapeutic Peptides (#20170008962) (pending); THERAPEUTIC PEPTIDES (#9402905) (issued); METHODS OF USING PEMBROLIZUMAB AND TREBANANIB (pending); Vaccine compositions and methods for restoring NKG2D pathway function against cancers (#10279021) (issued); Antibodies that bind to MHC class I polypeptide-related Sequence A (#10106611) (issued); ANTI-GALECTIN ANTIBODY BIOMARKERS PREDICTIVE OF ANTI-IMMUNE CHECKPOINT AND ANTI-ANGIOGENESIS RESPONSES (#20170343552) (pending); and Antibodies against EDIL3 and methods of use thereof (pending). J.V.A. is on the advisory board of BMS and AstraZeneca and consultant for MSD, Janssen. K.W.W. serves on the scientific advisory boards of DEM BioPharma, Solu Therapeutics, D2M Biotherapeutics, DoriNano, Inc., and Nextechinvest. He is a co-founder of Immunitas Therapeutics and receives sponsored research funding from Fate Therapeutics. He holds equity in TScan Therapeutics. These activities are not related to the research reported in this publication.
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