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Publication : Progenitor-like exhausted SPRY1(+)CD8(+) T cells potentiate responsiveness to neoadjuvant PD-1 blockade in esophageal squamous cell carcinoma.

First Author  Liu Z Year  2023
Journal  Cancer Cell Volume  41
Issue  11 Pages  1852-1870.e9
PubMed ID  37832554 Mgi Jnum  J:357476
Mgi Id  MGI:7550270 Doi  10.1016/j.ccell.2023.09.011
Citation  Liu Z, et al. (2023) Progenitor-like exhausted SPRY1(+)CD8(+) T cells potentiate responsiveness to neoadjuvant PD-1 blockade in esophageal squamous cell carcinoma. Cancer Cell 41(11):1852-1870.e9
abstractText  Neoadjuvant immune checkpoint blockade (ICB) demonstrates promise in operable esophageal squamous cell carcinoma (ESCC), but lacks available efficacy biomarkers. Here, we perform single-cell RNA-sequencing of tumors from patients with ESCC undergoing neoadjuvant ICB, revealing a subset of exhausted CD8(+) T cells expressing SPRY1 (CD8(+) Tex-SPRY1) that displays a progenitor exhausted T cell (Tpex) phenotype and correlates with complete response to ICB. We validate CD8(+) Tex-SPRY1 cells as an ICB-specific predictor of improved response and survival using independent ICB-/non-ICB cohorts and demonstrate that expression of SPRY1 in CD8(+) T cells enforces Tpex phenotype and enhances ICB efficacy. Additionally, CD8(+) Tex-SPRY1 cells contribute to proinflammatory phenotype of macrophages and functional state of B cells, which thereby promotes antitumor immunity by enhancing CD8(+) T cell effector functions. Overall, our findings unravel progenitor-like CD8(+) Tex-SPRY1 cells' role in effective responses to ICB for ESCC and inform mechanistic biomarkers for future individualized immunotherapy.
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