Hypoxia drives CD39-dependent suppressor function in exhausted T cells to limit antitumor immunity.

CD8 T cells are critical for elimination of cancer cells. Factors within the tumor microenvironment (TME) can drive these cells to a hypofunctional state known as exhaustion. The most terminally exhausted T (tT) cells are resistant to checkpoint blockade immunotherapy and might instead limit immunotherapeutic efficacy.