PMID- 36631610 OWN - NLM STAT- MEDLINE DCOM- 20230201 LR - 20230531 IS - 1476-4687 (Electronic) IS - 0028-0836 (Print) IS - 0028-0836 (Linking) VI - 613 IP - 7945 DP - 2023 Jan TI - gammadelta T cells are effectors of immunotherapy in cancers with HLA class I defects. PG - 743-750 LID - 10.1038/s41586-022-05593-1 [doi] AB - DNA mismatch repair-deficient (MMR-d) cancers present an abundance of neoantigens that is thought to explain their exceptional responsiveness to immune checkpoint blockade (ICB)(1,2). Here, in contrast to other cancer types(3-5), we observed that 20 out of 21 (95%) MMR-d cancers with genomic inactivation of beta2-microglobulin (encoded by B2M) retained responsiveness to ICB, suggesting the involvement of immune effector cells other than CD8(+) T cells in this context. We next identified a strong association between B2M inactivation and increased infiltration by gammadelta T cells in MMR-d cancers. These gammadelta T cells mainly comprised the Vdelta1 and Vdelta3 subsets, and expressed high levels of PD-1, other activation markers, including cytotoxic molecules, and a broad repertoire of killer-cell immunoglobulin-like receptors. In vitro, PD-1(+) gammadelta T cells that were isolated from MMR-d colon cancers exhibited enhanced reactivity to human leukocyte antigen (HLA)-class-I-negative MMR-d colon cancer cell lines and B2M-knockout patient-derived tumour organoids compared with antigen-presentation-proficient cells. By comparing paired tumour samples from patients with MMR-d colon cancer that were obtained before and after dual PD-1 and CTLA-4 blockade, we found that immune checkpoint blockade substantially increased the frequency of gammadelta T cells in B2M-deficient cancers. Taken together, these data indicate that gammadelta T cells contribute to the response to immune checkpoint blockade in patients with HLA-class-I-negative MMR-d colon cancers, and underline the potential of gammadelta T cells in cancer immunotherapy. CI - (c) 2023. The Author(s). FAU - de Vries, Natasja L AU - de Vries NL AUID- ORCID: 0000-0003-4966-7036 AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. AD - Department of Immunology, Leiden University Medical Center, Leiden, The Netherlands. FAU - van de Haar, Joris AU - van de Haar J AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. AD - Division of Molecular Carcinogenesis, Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Veninga, Vivien AU - Veninga V AUID- ORCID: 0000-0002-5166-5075 AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - Chalabi, Myriam AU - Chalabi M AUID- ORCID: 0000-0002-8607-6174 AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Gastrointestinal Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Ijsselsteijn, Marieke E AU - Ijsselsteijn ME AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. FAU - van der Ploeg, Manon AU - van der Ploeg M AUID- ORCID: 0000-0001-7150-3068 AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. FAU - van den Bulk, Jitske AU - van den Bulk J AUID- ORCID: 0000-0002-2056-9478 AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Ruano, Dina AU - Ruano D AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. FAU - van den Berg, Jose G AU - van den Berg JG AD - Department of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Haanen, John B AU - Haanen JB AUID- ORCID: 0000-0001-5884-7704 AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands. FAU - Zeverijn, Laurien J AU - Zeverijn LJ AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - Geurts, Birgit S AU - Geurts BS AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - de Wit, Gijs F AU - de Wit GF AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - Battaglia, Thomas W AU - Battaglia TW AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - Gelderblom, Hans AU - Gelderblom H AUID- ORCID: 0000-0001-9270-8636 AD - Department of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Verheul, Henk M W AU - Verheul HMW AD - Department of Medical Oncology, Erasmus MC, Rotterdam, The Netherlands. FAU - Schumacher, Ton N AU - Schumacher TN AUID- ORCID: 0000-0003-0517-8804 AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. AD - Department of Hematology, Leiden University Medical Center, Leiden, The Netherlands. FAU - Wessels, Lodewyk F A AU - Wessels LFA AUID- ORCID: 0000-0002-1656-6995 AD - Oncode Institute, Utrecht, The Netherlands. AD - Division of Molecular Carcinogenesis, Netherlands Cancer Institute, Amsterdam, The Netherlands. AD - Faculty of EEMCS, Delft University of Technology, Delft, The Netherlands. FAU - Koning, Frits AU - Koning F AD - Department of Immunology, Leiden University Medical Center, Leiden, The Netherlands. FAU - de Miranda, Noel F C C AU - de Miranda NFCC AUID- ORCID: 0000-0001-6122-1024 AD - Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands. n.f.de_miranda@lumc.nl. FAU - Voest, Emile E AU - Voest EE AUID- ORCID: 0000-0001-8249-9586 AD - Department of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands. e.voest@nki.nl. AD - Oncode Institute, Utrecht, The Netherlands. e.voest@nki.nl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230111 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Immune Checkpoint Inhibitors) RN - 0 (Receptors, Antigen, T-Cell, gamma-delta) RN - 0 (beta 2-Microglobulin) RN - 0 (PDCD1 protein, human) RN - 0 (Receptors, KIR) RN - 0 (CTLA4 protein, human) RN - Turcot syndrome SB - IM CIN - Nat Rev Immunol. 2023 Mar;23(3):137. PMID: 36726035 CIN - Nat Immunol. 2023 Mar;24(3):387-388. PMID: 36781987 CIN - Med. 2023 Mar 10;4(3):141-142. PMID: 36905925 MH - Humans MH - *Colonic Neoplasms/drug therapy/genetics/immunology/therapy MH - *Histocompatibility Antigens Class I/genetics/immunology MH - *Immune Checkpoint Inhibitors/pharmacology/therapeutic use MH - *Immunotherapy MH - *Receptors, Antigen, T-Cell, gamma-delta/immunology MH - *T-Lymphocytes/immunology MH - beta 2-Microglobulin/deficiency/genetics MH - DNA Mismatch Repair/genetics MH - Receptors, KIR MH - Cell Line, Tumor MH - Organoids MH - Antigen Presentation MH - *Genes, MHC Class I/genetics PMC - PMC9876799 COIS- M.C. has performed an advisory role or offered expert testimony for BMS, MSD and NUMAB; has received honoraria from BMS and Roche; and has received financing of scientific research from Roche, BMS and MSD. J.B.H. has received research funding from BMS; and has performed an advisory role for BMS. EDAT- 2023/01/12 06:00 MHDA- 2023/01/28 06:00 PMCR- 2023/01/11 CRDT- 2023/01/11 23:21 PHST- 2021/07/16 00:00 [received] PHST- 2022/11/24 00:00 [accepted] PHST- 2023/01/12 06:00 [pubmed] PHST- 2023/01/28 06:00 [medline] PHST- 2023/01/11 23:21 [entrez] PHST- 2023/01/11 00:00 [pmc-release] AID - 10.1038/s41586-022-05593-1 [pii] AID - 5593 [pii] AID - 10.1038/s41586-022-05593-1 [doi] PST - ppublish SO - Nature. 2023 Jan;613(7945):743-750. doi: 10.1038/s41586-022-05593-1. Epub 2023 Jan 11.