한빛사논문
HeejuRyu,1 TimothyM.Bi,1 ThomasH.Pulliam,2 KorokSarkar,1 CandiceD.Church,2 NanditaKumar,1,3 KoshlanMayer-Blackwell,1 SaumyaJani,2,3 NirashaRamchurren,4 UllaK.Hansen,5 SineR.Hadrup,5 StevenP.Fling,4 DavidM.Koelle,1,3,6,7,8 PaulNghiem,2 and EvanW.Newell 1,3,9,*
1Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA
2Department of Medicine, Division of Dermatology, University of Washington, Seattle, WA, USA
3Department of Lab Medicine and Pathology, University of Washington, Seattle, WA, USA
4Cancer Immunotherapy Trails Network, Fred Hutchinson Cancer Center, Seattle, WA, USA
5Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark
6DepartmentofMedicine,DivisionofAllergyandInfectiousDiseases,UniversityofWashington,Seattle,WA,USA
7Department of Global Health, University of Washington, Seattle, WA, USA
8Benaroya Research Institute, Seattle, WA, USA
9Lead contact
*Corresponding author: correspondence to EvanW.Newell
Abstract
Merkel cell carcinoma is a skin cancer often driven by Merkel cell polyomavirus (MCPyV) with high rates of response to anti-PD-1 therapy despite low mutational burden. MCPyV-specific CD8 T cells are implicated in anti-PD-1-associated immune responses and provide a means to directly study tumor-specific T cell responses to treatment. Using mass cytometry and combinatorial tetramer staining, we find that baseline frequencies of blood MCPyV-specific cells correlated with response and survival. Frequencies of these cells decrease markedly during response to therapy. Phenotypes of MCPyV-specific CD8 T cells have distinct expression patterns of CD39, cutaneous lymphocyte-associated antigen (CLA), and CD103. Correspondingly, overall bulk CD39+CLA+ CD8 T cell frequencies in blood correlate with MCPyV-specific cell frequencies and similarly predicted favorable clinical outcomes. Conversely, frequencies of CD39+CD103+ CD8 T cells are associated with tumor burden and worse outcomes. These cell subsets can be useful as biomarkers and to isolate blood-derived tumor-specific T cells.
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