Spatiotemporal co-dependency between macrophages and exhausted CD8 T cells in cancer.

Cancer Cell

Department of Pathology, University of California, San Francisco, San Francisco, CA 94143, USA; ImmunoX Initiative, University of California, San Francisco, San Francisco, CA 94143, USA; UCSF CoLabs, University of California, San Francisco, San Francisco, CA 94143, USA; Parker Institute for Cancer Immunotherapy, San Francisco, CA 94129, USA. Electronic address:

Published: June 2022

AI Article Synopsis

  • - T cell exhaustion hinders effective antitumor immunity, but how other immune cells, particularly tumor-associated macrophages (TAMs), contribute to this issue is not well understood.
  • - Research shows that depleting TAMs can reduce levels of exhaustion in CD8 T cells, enhancing their ability to fight tumors; conversely, exhausted T cells influence monocyte recruitment and differentiation within the tumor microenvironment.
  • - The study highlights complex interactions between TAMs and CD8 T cells that can lead to T cell exhaustion, especially in low-oxygen areas of tumors, creating a feedback loop that ultimately protects the tumor instead of attacking it.

Article Abstract

T cell exhaustion is a major impediment to antitumor immunity. However, it remains elusive how other immune cells in the tumor microenvironment (TME) contribute to this dysfunctional state. Here, we show that the biology of tumor-associated macrophages (TAMs) and exhausted T cells (T) in the TME is extensively linked. We demonstrate that in vivo depletion of TAMs reduces exhaustion programs in tumor-infiltrating CD8 T cells and reinvigorates their effector potential. Reciprocally, transcriptional and epigenetic profiling reveals that T express factors that actively recruit monocytes to the TME and shape their differentiation. Using lattice light sheet microscopy, we show that TAM and CD8 T cells engage in unique, long-lasting, antigen-specific synaptic interactions that fail to activate T cells but prime them for exhaustion, which is then accelerated in hypoxic conditions. Spatially resolved sequencing supports a spatiotemporal self-enforcing positive feedback circuit that is aligned to protect rather than destroy a tumor.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9197962PMC
http://dx.doi.org/10.1016/j.ccell.2022.05.004DOI Listing

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