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Publication : Developmental Relationships of Four Exhausted CD8<sup>+</sup> T Cell Subsets Reveals Underlying Transcriptional and Epigenetic Landscape Control Mechanisms.

First Author  Beltra JC Year  2020
Journal  Immunity Volume  52
Issue  5 Pages  825-841.e8
PubMed ID  32396847 Mgi Jnum  J:290372
Mgi Id  MGI:6431928 Doi  10.1016/j.immuni.2020.04.014
Citation  Beltra JC, et al. (2020) Developmental Relationships of Four Exhausted CD8(+) T Cell Subsets Reveals Underlying Transcriptional and Epigenetic Landscape Control Mechanisms. Immunity 52(5):825-841.e8
abstractText  CD8(+) T cell exhaustion is a major barrier to current anti-cancer immunotherapies. Despite this, the developmental biology of exhausted CD8(+) T cells (Tex) remains poorly defined, restraining improvement of strategies aimed at "re-invigorating" Tex cells. Here, we defined a four-cell-stage developmental framework for Tex cells. Two TCF1(+) progenitor subsets were identified, one tissue restricted and quiescent and one more blood accessible, that gradually lost TCF1 as it divided and converted to a third intermediate Tex subset. This intermediate subset re-engaged some effector biology and increased upon PD-L1 blockade but ultimately converted into a fourth, terminally exhausted subset. By using transcriptional and epigenetic analyses, we identified the control mechanisms underlying subset transitions and defined a key interplay between TCF1, T-bet, and Tox in the process. These data reveal a four-stage developmental hierarchy for Tex cells and define the molecular, transcriptional, and epigenetic mechanisms that could provide opportunities to improve cancer immunotherapy.
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