The aged tumor microenvironment limits T cell control of cancer

The aged tumor microenvironment limits T cell control of cancer

2024 June | Alex C. Y. Chen, Sneha Jaiswal, Daniela Martinez, Cansu Yerinde, Keely Ji, Velita Miranda, Megan E. Fung, Sarah A. Weiss, Maria Zschumme, Kazuhiro Taguchi, Christopher S. Garris, Thorsten R. Mempel, Nir Hacohen, Debattama R. Sen
Aging impairs tumor control by limiting CD8+ T cell function in the tumor microenvironment (TME). The study shows that the aged TME drives a unique dysfunctional state in CD8+ T cells, termed T_TAD, which is distinct from canonical T cell exhaustion. This state is characterized by reduced effector function, altered transcription, and epigenetic changes. The aged TME also impairs NK cell–dendritic cell (DC)–CD8+ T cell cross-talk, reducing CD8+ T cell priming by conventional type 1 DCs (cDC1s). Myeloid-targeted therapies that reinvigorate cDC1s can improve tumor control and restore CD8+ T cell immunity in aged mice. Aging reduces the infiltration of NK cells and cDC1s, which are critical for initiating robust CD8+ T cell responses, ultimately preventing aged mice from responding to mRNA neoantigen vaccines. The study highlights the importance of understanding the mechanisms limiting CD8+ T cell immunity in the aged TME and developing strategies to reinvigorate dysfunctional CD8+ T cells. The findings suggest that age-associated defects in CD8+ T cells and cDC1s restrict the ability of aged mice to respond to mRNA vaccines, and that myeloid-targeted immunotherapies, such as CD40 agonism, can rescue these defects and improve tumor control. The study also identifies a distinct age-associated T_TAD cell subset in human tumors, which is functionally and transcriptionally distinct from canonical exhausted CD8+ T cells. These findings have important implications for improving cancer immunotherapy outcomes in older individuals.Aging impairs tumor control by limiting CD8+ T cell function in the tumor microenvironment (TME). The study shows that the aged TME drives a unique dysfunctional state in CD8+ T cells, termed T_TAD, which is distinct from canonical T cell exhaustion. This state is characterized by reduced effector function, altered transcription, and epigenetic changes. The aged TME also impairs NK cell–dendritic cell (DC)–CD8+ T cell cross-talk, reducing CD8+ T cell priming by conventional type 1 DCs (cDC1s). Myeloid-targeted therapies that reinvigorate cDC1s can improve tumor control and restore CD8+ T cell immunity in aged mice. Aging reduces the infiltration of NK cells and cDC1s, which are critical for initiating robust CD8+ T cell responses, ultimately preventing aged mice from responding to mRNA neoantigen vaccines. The study highlights the importance of understanding the mechanisms limiting CD8+ T cell immunity in the aged TME and developing strategies to reinvigorate dysfunctional CD8+ T cells. The findings suggest that age-associated defects in CD8+ T cells and cDC1s restrict the ability of aged mice to respond to mRNA vaccines, and that myeloid-targeted immunotherapies, such as CD40 agonism, can rescue these defects and improve tumor control. The study also identifies a distinct age-associated T_TAD cell subset in human tumors, which is functionally and transcriptionally distinct from canonical exhausted CD8+ T cells. These findings have important implications for improving cancer immunotherapy outcomes in older individuals.
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