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  2. Immunotherapy-activated T cells recruit and skew late-stage activated M1-like macrophages that are critical for therapeutic efficacy

Immunotherapy-activated T cells recruit and skew late-stage activated M1-like macrophages that are critical for therapeutic efficacy

  • Cancer Cell. 2024 May 16:S1535-6108(24)00135-1. doi: 10.1016/j.ccell.2024.04.011.
Marit J van Elsas 1 Jim Middelburg 1 Camilla Labrie 1 Jessica Roelands 2 Gaby Schaap 1 Marjolein Sluijter 1 Ruxandra Tonea 3 Vitalijs Ovcinnikovs 4 Katy Lloyd 4 Janine Schuurman 4 Samantha J Riesenfeld 5 Thomas F Gajewski 6 Noel F C C de Miranda 2 Thorbald van Hall 1 Sjoerd H van der Burg 7
Affiliations

Affiliations

  • 1 Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden 2333ZA, the Netherlands.
  • 2 Department of Pathology, Leiden University Medical Center, Leiden 2333ZA, the Netherlands.
  • 3 Department of Pathology, University of Chicago, Chicago, IL 60637, USA; Pritzker School of Molecular Engineering, Chicago, IL 60637, USA.
  • 4 Genmab, Utrecht 3584CT, the Netherlands.
  • 5 Pritzker School of Molecular Engineering, Chicago, IL 60637, USA.
  • 6 Department of Pathology, University of Chicago, Chicago, IL 60637, USA.
  • 7 Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden 2333ZA, the Netherlands. Electronic address: shvdburg@lumc.nl.
Abstract

Total tumor clearance through immunotherapy is associated with a fully coordinated innate and adaptive immune response, but knowledge on the exact contribution of each immune cell subset is limited. We show that therapy-induced intratumoral CD8+ T cells recruited and skewed late-stage activated M1-like macrophages, which were critical for effective tumor control in two different murine models of Cancer Immunotherapy. The activated CD8+ T cells summon these macrophages into the tumor and their close vicinity via CCR5 signaling. Exposure of non-polarized macrophages to activated T cell supernatant and tumor lysate recapitulates the late-stage activated and tumoricidal phenotype in vitro. The transcriptomic signature of these macrophages is also detected in a similar macrophage population present in human tumors and coincides with clinical response to Immune Checkpoint inhibitors. The requirement of a functional co-operation between CD8+ T cells and effector macrophages for effective immunotherapy gives warning to combinations with broad macrophage-targeting strategies.

Keywords

CCR5 attraction; CXCL9/CXCL10; M1 macrophages; T cell-macrophage interactions; cancer immunotherapy; coordinated immunity; effector macrophages; immune checkpoint inhibition; macrophage skewing.

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