PMID- 34162549 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210814 IS - 2375-2548 (Electronic) IS - 2375-2548 (Linking) VI - 7 IP - 26 DP - 2021 Jun TI - Rejection of benign melanocytic nevi by nevus-resident CD4(+) T cells. LID - 10.1126/sciadv.abg4498 [doi] LID - eabg4498 AB - Melanoma and melanocytic nevi harbor shared lineage-specific antigens and oncogenic mutations. Yet, the relationship between the immune system and melanocytic nevi is unclear. Using a patient-derived xenograft (PDX) model, we found that 81.8% of the transplanted nevi underwent spontaneous regression, while peripheral skin remained intact. Nevus-resident CD4(+) T helper 1 cells, which exhibited a massive clonal expansion to melanocyte-specific antigens, were responsible for nevus rejection. Boosting regulatory T cell suppressive function with low-dose exogenous human interleukin-2 injection or treatment with a human leukocyte antigen (HLA) class II-blocking antibody prevented nevus rejection. Notably, mice with rejected nevus PDXs were protected from melanoma tumor growth. We detected a parallel CD4(+) T cell-dominant immunity in clinically regressing melanocytic nevi. These findings reveal a mechanistic explanation for spontaneous nevus regression in humans and posit the activation of nevus-resident CD4(+) effector T cells as a novel strategy for melanoma immunoprevention and treatment. CI - Copyright (c) 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC). FAU - Schiferle, Erik B AU - Schiferle EB AUID- ORCID: 0000-0002-3998-7530 AD - Center for Cancer Immunology and Cutaneous Biology Research Center, Department of Dermatology, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Cheon, Se Yun AU - Cheon SY AUID- ORCID: 0000-0002-8527-8938 AD - Center for Cancer Immunology and Cutaneous Biology Research Center, Department of Dermatology, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Ham, Seokjin AU - Ham S AUID- ORCID: 0000-0002-6950-2848 AD - Department of Biological Sciences, Korea Advanced Institute of Science and Technology, Yuseong Gu, Daejeon, South Korea. FAU - Son, Heehwa G AU - Son HG AD - Center for Cancer Immunology and Cutaneous Biology Research Center, Department of Dermatology, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Messerschmidt, Jonathan L AU - Messerschmidt JL AUID- ORCID: 0000-0002-6132-7256 AD - Center for Cancer Immunology and Cutaneous Biology Research Center, Department of Dermatology, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Lawrence, Donald P AU - Lawrence DP AD - Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Cohen, Justine V AU - Cohen JV AD - Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Flaherty, Keith T AU - Flaherty KT AUID- ORCID: 0000-0002-3402-0478 AD - Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Moon, James J AU - Moon JJ AUID- ORCID: 0000-0001-8246-931X AD - Center for Immunology and Inflammatory Diseases and Division of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Lian, Christine G AU - Lian CG AUID- ORCID: 0000-0003-4626-1612 AD - Program in Dermatopathology, Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. FAU - Sullivan, Ryan J AU - Sullivan RJ AUID- ORCID: 0000-0001-5344-6645 AD - Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. FAU - Demehri, Shadmehr AU - Demehri S AUID- ORCID: 0000-0002-7913-2641 AD - Center for Cancer Immunology and Cutaneous Biology Research Center, Department of Dermatology, Center for Cancer Research, Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA. sdemehri1@mgh.harvard.edu. LA - eng GR - DP5 OD021353/OD/NIH HHS/United States GR - R01 AI107020/AI/NIAID NIH HHS/United States GR - R01 AR076013/AR/NIAMS NIH HHS/United States PT - Journal Article DEP - 20210623 PL - United States TA - Sci Adv JT - Science advances JID - 101653440 SB - IM PMC - PMC8221625 EDAT- 2021/06/25 06:00 MHDA- 2021/06/25 06:01 PMCR- 2021/06/23 CRDT- 2021/06/24 05:40 PHST- 2021/01/07 00:00 [received] PHST- 2021/05/10 00:00 [accepted] PHST- 2021/06/24 05:40 [entrez] PHST- 2021/06/25 06:00 [pubmed] PHST- 2021/06/25 06:01 [medline] PHST- 2021/06/23 00:00 [pmc-release] AID - 7/26/eabg4498 [pii] AID - abg4498 [pii] AID - 10.1126/sciadv.abg4498 [doi] PST - epublish SO - Sci Adv. 2021 Jun 23;7(26):eabg4498. doi: 10.1126/sciadv.abg4498. Print 2021 Jun.