Intratumoral CD4+ T Cells Mediate Anti-tumor Cytotoxicity in Human Bladder Cancer

被引:524
作者
Oh, David Y. [1 ]
Kwek, Serena S. [1 ]
Raju, Siddharth S. [3 ,4 ,5 ,8 ,10 ]
Li, Tony [1 ]
McCarthy, Elizabeth [3 ,4 ,5 ]
Chow, Eric [6 ]
Aran, Dvir [7 ]
Ilano, Arielle [1 ]
Pai, Chien-Chun Steven [1 ,13 ]
Rancan, Chiara [1 ]
Allaire, Kathryn [1 ]
Burra, Arun [1 ]
Sun, Yang [3 ,4 ,5 ]
Spitzer, Matthew H. [2 ,8 ,10 ]
Mangul, Serghei [11 ]
Porten, Sima [9 ]
Meng, Maxwell, V [9 ]
Friedlander, Terence W. [1 ]
Ye, Chun Jimmie [2 ,3 ,4 ,5 ,7 ,12 ]
Fong, Lawrence [1 ,2 ]
机构
[1] Univ Calif San Francisco, Dept Med, Div Hematol Oncol, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Parker Inst Canc Immunotherapy, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Div Rheumatol, Dept Med, San Francisco, CA 94143 USA
[4] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA
[5] Univ Calif San Francisco, Inst Human Genet, San Francisco, CA 94143 USA
[6] Univ Calif San Francisco, Ctr Adv Technol, Dept Biochem & Biophys, San Francisco, CA 94143 USA
[7] Univ Calif San Francisco, Bakar Computat Hlth Sci Inst, San Francisco, CA 94143 USA
[8] Univ Calif San Francisco, Dept Microbiol & Immunol, San Francisco, CA 94143 USA
[9] Univ Calif San Francisco, Dept Urol, San Francisco, CA 94143 USA
[10] Univ Calif San Francisco, Dept Otolaryngol Head & Neck Surg, San Francisco, CA 94143 USA
[11] Univ Calif Los Angeles, Dept Comp Sci, Los Angeles, CA 90095 USA
[12] Chan Zuckerberg Biohub, San Francisco, CA 94158 USA
[13] Genentech Inc, Dept Oncol Biomarker Dev, 1 DNA Way, San Francisco, CA 94080 USA
关键词
BREAST-CANCER; BLOCKADE; LYMPHOCYTES; EFFECTOR; MELANOMA; EXPRESSION; LANDSCAPE; MPDL3280A; RESPONSES; IMMUNITY;
D O I
10.1016/j.cell.2020.05.017
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Responses to anti-PD-1 immunotherapy occur but are infrequent in bladder cancer. The specific T cells that mediate tumor rejection are unknown. T cells from human bladder tumors and non-malignant tissue were assessed with single-cell RNA and paired T cell receptor (TCR) sequencing of 30,604 T cells from 7 patients. We find that the states and repertoires of CD8(+) T cells are not distinct in tumors compared with non-malignant tissues. In contrast, single-cell analysis of CD4(+) T cells demonstrates several tumor-specific states, including multiple distinct states of regulatory T cells. Surprisingly, we also find multiple cytotoxic CD4(+) T cell states that are clonally expanded. These CD4(+) T cells can kill autologous tumors in an MHC class II-dependent fashion and are suppressed by regulatory T cells. Further, a gene signature of cytotoxic CD4(+) T cells in tumors predicts a clinical response in 244 metastatic bladder cancer patients treated with anti-PD-L1.
引用
收藏
页码:1612 / +
页数:27
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