Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient

Abstract Immunotherapies targeting PD-1/PD-L1 are now widely used in the clinic to treat a variety of malignancies. While most of the research on T cell exhaustion and PD-1 blockade has been focused on conventional αβ T cells, the contribution of innate-like T cells such as γδ T cells to anti-PD-1/P...

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Main Authors: Scott C. Lien, Dalam Ly, S. Y. Cindy Yang, Ben X. Wang, Derek L. Clouthier, Michael St. Paul, Ramy Gadalla, Babak Noamani, Carlos R. Garcia-Batres, Sarah Boross-Harmer, Philippe L. Bedard, Trevor J. Pugh, Anna Spreafico, Naoto Hirano, Albiruni R. A. Razak, Pamela S. Ohashi
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-45449-y
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author Scott C. Lien
Dalam Ly
S. Y. Cindy Yang
Ben X. Wang
Derek L. Clouthier
Michael St. Paul
Ramy Gadalla
Babak Noamani
Carlos R. Garcia-Batres
Sarah Boross-Harmer
Philippe L. Bedard
Trevor J. Pugh
Anna Spreafico
Naoto Hirano
Albiruni R. A. Razak
Pamela S. Ohashi
author_facet Scott C. Lien
Dalam Ly
S. Y. Cindy Yang
Ben X. Wang
Derek L. Clouthier
Michael St. Paul
Ramy Gadalla
Babak Noamani
Carlos R. Garcia-Batres
Sarah Boross-Harmer
Philippe L. Bedard
Trevor J. Pugh
Anna Spreafico
Naoto Hirano
Albiruni R. A. Razak
Pamela S. Ohashi
author_sort Scott C. Lien
collection DOAJ
description Abstract Immunotherapies targeting PD-1/PD-L1 are now widely used in the clinic to treat a variety of malignancies. While most of the research on T cell exhaustion and PD-1 blockade has been focused on conventional αβ T cells, the contribution of innate-like T cells such as γδ T cells to anti-PD-1/PD-L1 mediated therapy is limited. Here we show that tumor reactive γδ T cells respond to PD-1 blockade in a Merkel cell carcinoma (MCC) patient experiencing a complete response to therapy. We find clonally expanded γδ T cells in the blood and tumor after pembrolizumab treatment, and this Vγ2Vδ1 clonotype recognizes Merkel cancer cells in a TCR-dependent manner. Notably, the intra-tumoral γδ T cells in the MCC patient are characterized by higher expression of PD-1 and TIGIT, relative to conventional CD4 and CD8 T cells. Our results demonstrate that innate-like T cells could also contribute to an anti-tumor response after PD-1 blockade.
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spelling doaj.art-fd59752fa86742a8a6eab34aa0b37b3b2024-03-05T19:41:13ZengNature PortfolioNature Communications2041-17232024-02-0115111110.1038/s41467-024-45449-yTumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patientScott C. Lien0Dalam Ly1S. Y. Cindy Yang2Ben X. Wang3Derek L. Clouthier4Michael St. Paul5Ramy Gadalla6Babak Noamani7Carlos R. Garcia-Batres8Sarah Boross-Harmer9Philippe L. Bedard10Trevor J. Pugh11Anna Spreafico12Naoto Hirano13Albiruni R. A. Razak14Pamela S. Ohashi15Princess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkPrincess Margaret Cancer Centre, University Health NetworkDivision of Medical Oncology and Haematology, Princess Margaret Cancer Centre, University Health Network, University of TorontoDivision of Medical Oncology and Haematology, Princess Margaret Cancer Centre, University Health Network, University of TorontoPrincess Margaret Cancer Centre, University Health NetworkDivision of Medical Oncology and Haematology, Princess Margaret Cancer Centre, University Health Network, University of TorontoPrincess Margaret Cancer Centre, University Health NetworkDivision of Medical Oncology and Haematology, Princess Margaret Cancer Centre, University Health Network, University of TorontoPrincess Margaret Cancer Centre, University Health NetworkAbstract Immunotherapies targeting PD-1/PD-L1 are now widely used in the clinic to treat a variety of malignancies. While most of the research on T cell exhaustion and PD-1 blockade has been focused on conventional αβ T cells, the contribution of innate-like T cells such as γδ T cells to anti-PD-1/PD-L1 mediated therapy is limited. Here we show that tumor reactive γδ T cells respond to PD-1 blockade in a Merkel cell carcinoma (MCC) patient experiencing a complete response to therapy. We find clonally expanded γδ T cells in the blood and tumor after pembrolizumab treatment, and this Vγ2Vδ1 clonotype recognizes Merkel cancer cells in a TCR-dependent manner. Notably, the intra-tumoral γδ T cells in the MCC patient are characterized by higher expression of PD-1 and TIGIT, relative to conventional CD4 and CD8 T cells. Our results demonstrate that innate-like T cells could also contribute to an anti-tumor response after PD-1 blockade.https://doi.org/10.1038/s41467-024-45449-y
spellingShingle Scott C. Lien
Dalam Ly
S. Y. Cindy Yang
Ben X. Wang
Derek L. Clouthier
Michael St. Paul
Ramy Gadalla
Babak Noamani
Carlos R. Garcia-Batres
Sarah Boross-Harmer
Philippe L. Bedard
Trevor J. Pugh
Anna Spreafico
Naoto Hirano
Albiruni R. A. Razak
Pamela S. Ohashi
Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient
Nature Communications
title Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient
title_full Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient
title_fullStr Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient
title_full_unstemmed Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient
title_short Tumor reactive γδ T cells contribute to a complete response to PD-1 blockade in a Merkel cell carcinoma patient
title_sort tumor reactive γδ t cells contribute to a complete response to pd 1 blockade in a merkel cell carcinoma patient
url https://doi.org/10.1038/s41467-024-45449-y
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