[PDF][PDF] Ovarian cancer immunogenicity is governed by a narrow subset of progenitor tissue-resident memory T cells

CM Anadon, X Yu, K Hänggi, S Biswas, RA Chaurio… - Cancer Cell, 2022 - cell.com
Cancer Cell, 2022cell.com
Despite repeated associations between T cell infiltration and outcome, human ovarian
cancer remains poorly responsive to immunotherapy. We report that the hallmarks of tumor
recognition in ovarian cancer-infiltrating T cells are primarily restricted to tissue-resident
memory (TRM) cells. Single-cell RNA/TCR/ATAC sequencing of 83,454 CD3+ CD8+
CD103+ CD69+ TRM cells and immunohistochemistry of 122 high-grade serous ovarian
cancers shows that only progenitor (TCF1 low) tissue-resident T cells (TRM stem cells), but …
Summary
Despite repeated associations between T cell infiltration and outcome, human ovarian cancer remains poorly responsive to immunotherapy. We report that the hallmarks of tumor recognition in ovarian cancer-infiltrating T cells are primarily restricted to tissue-resident memory (TRM) cells. Single-cell RNA/TCR/ATAC sequencing of 83,454 CD3+CD8+CD103+CD69+ TRM cells and immunohistochemistry of 122 high-grade serous ovarian cancers shows that only progenitor (TCF1low) tissue-resident T cells (TRMstem cells), but not recirculating TCF1+ T cells, predict ovarian cancer outcome. TRMstem cells arise from transitional recirculating T cells, which depends on antigen affinity/persistence, resulting in oligoclonal, trogocytic, effector lymphocytes that eventually become exhausted. Therefore, ovarian cancer is indeed an immunogenic disease, but that depends on ∼13% of CD8+ tumor-infiltrating T cells (∼3% of CD8+ clonotypes), which are primed against high-affinity antigens and maintain waves of effector TRM-like cells. Our results define the signature of relevant tumor-reactive T cells in human ovarian cancer, which could be applicable to other tumors with unideal mutational burden.
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