Molecular Medicine Israel

Antigen dominance hierarchies shape TCF1+ progenitor CD8 T cell phenotypes in tumors

Highlights

  • Peptide-MHC binding properties underlie antigen dominance hierarchies in a lung cancer model
  • CD8 T cells responding to subdominant antigens are enriched in TCF1+ progenitors
  • CCR6+ TCF1+ progenitor cells contribute poorly to checkpoint blockade response
  • Vaccination can eliminate CCR6+ TCF1+ cells and improve the subdominant response

Summary

CD8 T cell responses against different tumor neoantigens occur simultaneously, yet little is known about the interplay between responses and its impact on T cell function and tumor control. In mouse lung adenocarcinoma, we found that immunodominance is established in tumors, wherein CD8 T cell expansion is predominantly driven by the antigen that most stably binds MHC. T cells responding to subdominant antigens were enriched for a TCF1+ progenitor phenotype correlated with response to immune checkpoint blockade (ICB) therapy. However, the subdominant T cell response did not preferentially benefit from ICB due to a dysfunctional subset of TCF1+ cells marked by CCR6 and Tc17 differentiation. Analysis of human samples and sequencing datasets revealed that CCR6+ TCF1+ cells exist across human cancers and are not correlated with ICB response. Vaccination eliminated CCR6+ TCF1+ cells and dramatically improved the subdominant response, highlighting a strategy to optimally engage concurrent neoantigen responses against tumors.

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