PMID- 20819923 OWN - NLM STAT- MEDLINE DCOM- 20110110 LR - 20220331 IS - 1540-9538 (Electronic) IS - 0022-1007 (Print) IS - 0022-1007 (Linking) VI - 207 IP - 10 DP - 2010 Sep 27 TI - Upregulation of Tim-3 and PD-1 expression is associated with tumor antigen-specific CD8+ T cell dysfunction in melanoma patients. PG - 2175-86 LID - 10.1084/jem.20100637 [doi] AB - The paradoxical coexistence of spontaneous tumor antigen-specific immune responses with progressive disease in cancer patients furthers the need to dissect the molecular pathways involved in tumor-induced T cell dysfunction. In patients with advanced melanoma, we have previously shown that the cancer-germline antigen NY-ESO-1 stimulates spontaneous NY-ESO-1-specific CD8(+) T cells that up-regulate PD-1 expression. We also observed that PD-1 regulates NY-ESO-1-specific CD8(+) T cell expansion upon chronic antigen stimulation. In the present study, we show that a fraction of PD-1(+) NY-ESO-1-specific CD8(+) T cells in patients with advanced melanoma up-regulates Tim-3 expression and that Tim-3(+)PD-1(+) NY-ESO-1-specific CD8(+) T cells are more dysfunctional than Tim-3(-)PD-1(+) and Tim-3(-)PD-1(-) NY-ESO-1-specific CD8(+) T cells, producing less IFN-gamma, TNF, and IL-2. Tim-3-Tim-3L blockade enhanced cytokine production by NY-ESO-1-specific CD8(+) T cells upon short ex vivo stimulation with cognate peptide, thus enhancing their functional capacity. In addition, Tim-3-Tim-3L blockade enhanced cytokine production and proliferation of NY-ESO-1-specific CD8(+) T cells upon prolonged antigen stimulation and acted in synergy with PD-1-PD-L1 blockade. Collectively, our findings support the use of Tim-3-Tim-3L blockade together with PD-1-PD-L1 blockade to reverse tumor-induced T cell exhaustion/dysfunction in patients with advanced melanoma. FAU - Fourcade, Julien AU - Fourcade J AD - Department of Medicine and Division of Hematology/Oncology, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15213, USA. FAU - Sun, Zhaojun AU - Sun Z FAU - Benallaoua, Mourad AU - Benallaoua M FAU - Guillaume, Philippe AU - Guillaume P FAU - Luescher, Immanuel F AU - Luescher IF FAU - Sander, Cindy AU - Sander C FAU - Kirkwood, John M AU - Kirkwood JM FAU - Kuchroo, Vijay AU - Kuchroo V FAU - Zarour, Hassane M AU - Zarour HM LA - eng GR - UL1 TR000005/TR/NCATS NIH HHS/United States GR - R01 CA090360/CA/NCI NIH HHS/United States GR - R01CA112198/CA/NCI NIH HHS/United States GR - R01 CA157467/CA/NCI NIH HHS/United States GR - R01CA90360/CA/NCI NIH HHS/United States GR - R01 CA112198/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100906 PL - United States TA - J Exp Med JT - The Journal of experimental medicine JID - 2985109R RN - 0 (Antigens, CD) RN - 0 (Antigens, Neoplasm) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (CTAG1B protein, human) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HAVCR2 protein, human) RN - 0 (Hepatitis A Virus Cellular Receptor 2) RN - 0 (Interleukin-2) RN - 0 (Membrane Proteins) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (Tumor Necrosis Factor-alpha) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Antigens, CD/biosynthesis/*immunology MH - Antigens, Neoplasm/immunology MH - Apoptosis Regulatory Proteins/biosynthesis/*immunology MH - CD8-Positive T-Lymphocytes/*immunology/metabolism/pathology MH - Epitopes, T-Lymphocyte/immunology MH - Hepatitis A Virus Cellular Receptor 2 MH - Humans MH - Immunity, Cellular MH - Interferon-gamma/biosynthesis/immunology MH - Interleukin-2/biosynthesis/immunology MH - Melanoma/*immunology/pathology MH - Membrane Proteins/biosynthesis/*immunology MH - Programmed Cell Death 1 Receptor MH - Tumor Necrosis Factor-alpha/biosynthesis/immunology MH - Up-Regulation PMC - PMC2947081 EDAT- 2010/09/08 06:00 MHDA- 2011/01/11 06:00 PMCR- 2011/03/27 CRDT- 2010/09/08 06:00 PHST- 2010/09/08 06:00 [entrez] PHST- 2010/09/08 06:00 [pubmed] PHST- 2011/01/11 06:00 [medline] PHST- 2011/03/27 00:00 [pmc-release] AID - jem.20100637 [pii] AID - 20100637 [pii] AID - 10.1084/jem.20100637 [doi] PST - ppublish SO - J Exp Med. 2010 Sep 27;207(10):2175-86. doi: 10.1084/jem.20100637. Epub 2010 Sep 6.