Presence of Tertiary Lymphoid Structures and Exhausted Tissue-Resident T Cells Determines Clinical Response to PD-1 Blockade in Renal Cell Carcinoma

肾细胞癌中三级淋巴结构和耗竭的组织驻留T细胞的存在决定了PD-1阻断疗法的临床疗效

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作者:Miya B Hugaboom # ,Lena V Wirth # ,Kelly Street # ,Neil Ruthen # ,Opeyemi A Jegede ,Nicholas R Schindler ,Valisha Shah ,Jacob P Zaemes ,Nourhan El Ahmar ,Sayed Matar ,Varunika Savla ,Toni K Choueiri ,Thomas Denize ,Destiny J West ,David F McDermott ,Elizabeth R Plimack ,Jeffrey A Sosman ,Naomi B Haas ,Mark N Stein ,Robert Alter ,Mehmet A Bilen ,Michael E Hurwitz ,Hans Hammers ,Sabina Signoretti ,Michael B Atkins # ,Catherine J Wu # ,David A Braun #
We describe a paradigm wherein combined high TLS and low tissue-resident exhausted CD8+ T cells are required for optimal response to PD-1 blockade in RCC. This analysis identifies key determinants of response to PD-1 blockade in advanced RCC and suggests avenues for future immune modulation through rational combination therapy strategies.

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