Distinct dominant T-cell receptors with a tissue resident memory phenotype in individual melanoma metastases.

Authors

null

Kavita M. Dhodapkar

Yale Univ, New Haven, CT

Kavita M. Dhodapkar, Chandra S Boddupalli, Noffar Bar, Krishna Kadaveru, Michael Krauthammer, Natapol Pornputtapong, Zifeng Mai, Stephan Ariyan, Deepak Narayan, Harriet M. Kluger, Yanhong Deng, Rakesh Verma, Rituparna Das, Antonella Bacchiocchi, Ruth Halaban, Mario Sznol, Madhav V. Dhodapkar

Organizations

Yale Univ, New Haven, CT, Yale University, New Haven, CT, Yale-New Haven Smilow Cancer Hosp, New Haven, CT, Yale Cancer Center, New Haven, CT, Yale Univ, Woodbridge, CT, Yale Center for Analytical Sciences, New Haven, CT, Yale University School of Medicine, New Haven, CT

Research Funding

NIH

Background: Expression of inhibitory immune checkpoints (ICPs) within tumors has emerged as an important barrier for effective anti-tumor immunity. Antibody-mediated blockade of ICPs can lead to durable responses in patients. Interestingly, only a small subset of tumor infiltrating lymphocytes (TILs) express these checkpoints and there is a need to better understand the characteristics of this subset. We undertook this study to understand characteristics of TILs within melanoma. Methods: We used single cell mass cytometry, gene expression profiling of purified T cell subsets, T cell receptor (TCR) sequencing as well as functional studies to understand the characteristics of TILs in melanoma patients (n=50). We also performed exome sequencing of tumor cells in some patients. Results: We find that TILs are functionally and phenotypically distinct from circulating T cells. They express higher levels of inhibitory ICPs (PD-1, TIM-3) and secrete less IL2, IFNg and TNFa than T cells in circulation. Expression of vascular endothelial growth factor within tumors correlated with reduced T cell infiltration. Expression of ICPs (PD-1, TIM-3, PD-L1) were enriched in T cells with a phenotype and expression profile of tissue resident memory T (TRM) cells with most cells expressing multiple checkpoints. Within the myeloid compartment, ICPs were predominantly expressed on CD14+CD16+ subset. TCR sequencing revealed that individual melanoma metastases revealed that the top clones within each of the lesions have distinct TCRs. Concurrent TCR and tumor exome sequencing of individual metastases in the same patient revealed that inter-lesional diversity of TCRs exceeded differences in mutation/neoantigen load in tumor cells. Conclusions: Our findings suggest that TRM cells and CD16+ myeloid cells may be the major target of ICP blockade within tumors. The ability to activate, and retain TRM cells may be an important determinant of the T cell content of the tumor microenvironment and should be a goal for future vaccines. Importantly, our study illustrates inter-lesional diversity of TCRs within individual metastases which may differentially impact the outcome of immune therapy at each site.

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Abstract Details

Meeting

2017 ASCO-SITC Clinical Immuno-Oncology Symposium

Session Type

Poster Session

Session Title

Poster Session B

Track

Biomarkers and Inflammatory Signatures,Humoral Immunity for Diagnosis and Therapy,Immune Checkpoints and Stimulatory Receptors,Modulating Innate Immunity,Therapies Targeting T cells

Sub Track

Phamacodynamic Markers

Citation

J Clin Oncol 35, 2017 (suppl 7S; abstract 3)

DOI

10.1200/JCO.2017.35.7_suppl.3

Abstract #

3

Poster Bd #

A3

Abstract Disclosures

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