Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion

Persistent antigen exposure in chronic infection and cancer has been proposed to lead to cytotoxic T lymphocyte (CTL) “exhaustion”, i.e., loss of effector function and disease control. Recent work identifies a population of poorly differentiated TCF-1+PD-1+ CD8+ T cells as precursors of the terminal...

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Main Authors: Julia Busselaar, Sun Tian, Hans van Eenennaam, Jannie Borst
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.592569/full
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author Julia Busselaar
Sun Tian
Hans van Eenennaam
Jannie Borst
author_facet Julia Busselaar
Sun Tian
Hans van Eenennaam
Jannie Borst
author_sort Julia Busselaar
collection DOAJ
description Persistent antigen exposure in chronic infection and cancer has been proposed to lead to cytotoxic T lymphocyte (CTL) “exhaustion”, i.e., loss of effector function and disease control. Recent work identifies a population of poorly differentiated TCF-1+PD-1+ CD8+ T cells as precursors of the terminally exhausted CTL pool. These “predysfunctional” CTLs are suggested to respond to PD-1 targeted therapy by giving rise to a pool of functional CTLs. Supported by gene expression analyses, we present a model in which lack of CD4+ T cell help during CD8+ T cell priming results in the formation of predysfunctional CTLs. Our model implies that predysfunctional CTLs are formed during priming and that the remedy for CTL dysfunction is to provide “help” signals for generation of optimal CTL effectors. We substantiate that this may be achieved by engaging CD4+ T cells in new CD8+ T cell priming, or by combined PD-1 blocking and CD27 agonism with available immunotherapeutic antibodies.
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spelling doaj.art-01e4c58a73e045768e15e740f92a15822022-12-22T01:24:12ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-10-011110.3389/fimmu.2020.592569592569Helpless Priming Sends CD8+ T Cells on the Road to ExhaustionJulia Busselaar0Sun Tian1Hans van Eenennaam2Jannie Borst3Department of Immunology and Oncode Institute, Leiden University Medical Center, Leiden, NetherlandsAduro Biotech Europe BV, Oss, NetherlandsAIMM Therapeutics BV, Amsterdam, NetherlandsDepartment of Immunology and Oncode Institute, Leiden University Medical Center, Leiden, NetherlandsPersistent antigen exposure in chronic infection and cancer has been proposed to lead to cytotoxic T lymphocyte (CTL) “exhaustion”, i.e., loss of effector function and disease control. Recent work identifies a population of poorly differentiated TCF-1+PD-1+ CD8+ T cells as precursors of the terminally exhausted CTL pool. These “predysfunctional” CTLs are suggested to respond to PD-1 targeted therapy by giving rise to a pool of functional CTLs. Supported by gene expression analyses, we present a model in which lack of CD4+ T cell help during CD8+ T cell priming results in the formation of predysfunctional CTLs. Our model implies that predysfunctional CTLs are formed during priming and that the remedy for CTL dysfunction is to provide “help” signals for generation of optimal CTL effectors. We substantiate that this may be achieved by engaging CD4+ T cells in new CD8+ T cell priming, or by combined PD-1 blocking and CD27 agonism with available immunotherapeutic antibodies.https://www.frontiersin.org/article/10.3389/fimmu.2020.592569/fullCD8+ T cellCD4+ T cellexhaustiondysfunctioncancerinfection
spellingShingle Julia Busselaar
Sun Tian
Hans van Eenennaam
Jannie Borst
Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion
Frontiers in Immunology
CD8+ T cell
CD4+ T cell
exhaustion
dysfunction
cancer
infection
title Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion
title_full Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion
title_fullStr Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion
title_full_unstemmed Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion
title_short Helpless Priming Sends CD8+ T Cells on the Road to Exhaustion
title_sort helpless priming sends cd8 t cells on the road to exhaustion
topic CD8+ T cell
CD4+ T cell
exhaustion
dysfunction
cancer
infection
url https://www.frontiersin.org/article/10.3389/fimmu.2020.592569/full
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