The aged tumor microenvironment limits T cell control of cancer

The aged tumor microenvironment limits T cell control of cancer

2024 June ; 25(6): 1033–1045 | 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
The study investigates the impact of aging on the tumor microenvironment (TME) and its effects on CD8+ T cell function in cancer. Key findings include: 1. **Aging and Tumor Growth**: Aging is associated with increased tumor growth and reduced CD8+ T cell infiltration and function. Transfer of young T cells into aged mice does not restore tumor control due to rapid T cell dysfunction. 2. **New Tumor-Infiltrating dysfunctional (T_TAD) Cell State**: The aged TME induces a novel, age-associated dysfunctional (T_TAD) cell state in CD8+ T cells, distinct from canonical T cell exhaustion. This state is functionally, transcriptionally, and epigenetically distinct from exhausted T cells. 3. **Cell-Extrinsic Signals in the Aged TME**: Altered natural killer (NK) cell–dendritic cell–CD8+ T cell cross-talk in aged tumors impairs T cell priming by conventional type 1 dendritic cells (cDC1s) and promotes T_TAD cell formation. Aged mice are unable to benefit from therapeutic mRNA vaccination due to these defects. 4. **Myeloid-Targeted Therapy**: Reinvigorating cDC1s through myeloid-targeted immunotherapies, such as CD40 agonism, can improve tumor control and enhance CD8+ T cell immunity in aged mice by restoring cDC1 function and improving T cell priming. 5. **Clinical Implications**: The presence of T_TAD cells is associated with poor tumor control in older individuals with cancer, suggesting that targeted adjuvant therapies to recruit more cDC1s and boost CD8+ T cell function may be necessary to improve immunotherapy outcomes in this population. Overall, the study highlights the importance of understanding the complex interplay between aging, the TME, and T cell dysfunction in cancer immunotherapy.The study investigates the impact of aging on the tumor microenvironment (TME) and its effects on CD8+ T cell function in cancer. Key findings include: 1. **Aging and Tumor Growth**: Aging is associated with increased tumor growth and reduced CD8+ T cell infiltration and function. Transfer of young T cells into aged mice does not restore tumor control due to rapid T cell dysfunction. 2. **New Tumor-Infiltrating dysfunctional (T_TAD) Cell State**: The aged TME induces a novel, age-associated dysfunctional (T_TAD) cell state in CD8+ T cells, distinct from canonical T cell exhaustion. This state is functionally, transcriptionally, and epigenetically distinct from exhausted T cells. 3. **Cell-Extrinsic Signals in the Aged TME**: Altered natural killer (NK) cell–dendritic cell–CD8+ T cell cross-talk in aged tumors impairs T cell priming by conventional type 1 dendritic cells (cDC1s) and promotes T_TAD cell formation. Aged mice are unable to benefit from therapeutic mRNA vaccination due to these defects. 4. **Myeloid-Targeted Therapy**: Reinvigorating cDC1s through myeloid-targeted immunotherapies, such as CD40 agonism, can improve tumor control and enhance CD8+ T cell immunity in aged mice by restoring cDC1 function and improving T cell priming. 5. **Clinical Implications**: The presence of T_TAD cells is associated with poor tumor control in older individuals with cancer, suggesting that targeted adjuvant therapies to recruit more cDC1s and boost CD8+ T cell function may be necessary to improve immunotherapy outcomes in this population. Overall, the study highlights the importance of understanding the complex interplay between aging, the TME, and T cell dysfunction in cancer immunotherapy.
Reach us at info@study.space