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Publication : Intratumoral Tcf1<sup>+</sup>PD-1<sup>+</sup>CD8<sup>+</sup> T Cells with Stem-like Properties Promote Tumor Control in Response to Vaccination and Checkpoint Blockade Immunotherapy.

First Author  Siddiqui I Year  2019
Journal  Immunity Volume  50
Issue  1 Pages  195-211.e10
PubMed ID  30635237 Mgi Jnum  J:282507
Mgi Id  MGI:6381093 Doi  10.1016/j.immuni.2018.12.021
Citation  Siddiqui I, et al. (2019) Intratumoral Tcf1(+)PD-1(+)CD8(+) T Cells with Stem-like Properties Promote Tumor Control in Response to Vaccination and Checkpoint Blockade Immunotherapy. Immunity 50(1):195-211.e10
abstractText  Checkpoint blockade mediates a proliferative response of tumor-infiltrating CD8(+) T lymphocytes (TILs). The origin of this response has remained elusive because chronic activation promotes terminal differentiation or exhaustion of tumor-specific T cells. Here we identified a subset of tumor-reactive TILs bearing hallmarks of exhausted cells and central memory cells, including expression of the checkpoint protein PD-1 and the transcription factor Tcf1. Tcf1(+)PD-1(+) TILs mediated the proliferative response to immunotherapy, generating both Tcf1(+)PD-1(+) and differentiated Tcf1(-)PD-1(+) cells. Ablation of Tcf1(+)PD-1(+) TILs restricted responses to immunotherapy. Tcf1 was not required for the generation of Tcf1(+)PD-1(+) TILs but was essential for the stem-like functions of these cells. Human TCF1(+)PD-1(+) cells were detected among tumor-reactive CD8(+) T cells in the blood of melanoma patients and among TILs of primary melanomas. Thus, immune checkpoint blockade relies not on reversal of T cell exhaustion programs, but on the proliferation of a stem-like TIL subset.
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