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Plexin-A4 Mediates Cytotoxic T-cell Trafficking and Exclusion in Cancer

PlexinA4 reguleert cytotoxische T-cel migratie en proliferatie bij kanker
Authors: Celus, Ward; Oliveira, Ana; Rivis, Silvia; Van Acker, Heleen H.; Landeloos, Ewout; Serneels, Jens; Cafarello, Sarah Trusso; +11 Authors

Plexin-A4 Mediates Cytotoxic T-cell Trafficking and Exclusion in Cancer

Abstract

Abstract Cytotoxic T cell (CTL) infiltration of the tumor carries the potential to limit cancer progression, but their exclusion by the immunosuppressive tumor microenvironment hampers the efficiency of immunotherapy. Here, we show that expression of the axon guidance molecule Plexin-A4 (Plxna4) in CTLs, especially in effector/memory CD8+ T cells, is induced upon T-cell activation, sustained in the circulation, but reduced when entering the tumor bed. Therefore, we deleted Plxna4 and observed that Plxna4-deficient CTLs acquired improved homing capacity to the lymph nodes and to the tumor, as well as increased proliferation, both achieved through enhanced Rac1 activation. Mice with stromal or hematopoietic Plxna4 deletion exhibited enhanced CTL infiltration and impaired tumor growth. In a melanoma model, adoptive transfer of CTLs lacking Plxna4 prolonged survival and improved therapeutic outcome, which was even stronger when combined with anti–programmed cell death protein 1 (PD-1) treatment. PLXNA4 abundance in circulating CTLs was augmented in melanoma patients versus healthy volunteers but decreased after the first cycle of anti–PD-1, alone or in combination with anti–cytotoxic T-Lymphocyte Associated Protein 4 (CTLA-4), in those patients showing complete or partial response to the treatment. Altogether, our data suggest that Plxna4 acts as a “checkpoint,” negatively regulating CTL migration and proliferation through cell-autonomous mechanisms independent of the interaction with host-derived Plxna4 ligands, semaphorins. These findings pave the way toward Plxna4-centric immunotherapies and propose Plxna4 detection in circulating CTLs as a potential way to monitor the response to immune checkpoint blockade in patients with metastatic melanoma.

Countries
Italy, Belgium, Belgium
Keywords

Lung Neoplasms -- immunology -- pathology -- therapy, Lung Neoplasms, T-Lymphocytes, Programmed Cell Death 1 Receptor, Melanoma, Experimental, Nerve Tissue Proteins -- genetics -- pharmacology, CD8-Positive T-Lymphocytes, Inbred C57BL, Lymphocyte Activation, ANGIOGENESIS, ACTIVATION, Mice, Receptors, PD-1, Tumor Microenvironment, Melanoma, Research Articles, Mice, Knockout, Tumor, ROLES, TRANSMEMBRANE SEMAPHORINS, Cell Surface -- genetics, SOLID TUMORS, 3204 Immunology, Tumor Microenvironment -- immunology, Oncology, INFILTRATION, 1107 Immunology, LAMINA-RESTRICTED PROJECTION, Cytotoxic -- immunology, Immunotherapy, 1115 Pharmacology and Pharmaceutical Sciences, Life Sciences & Biomedicine, Knockout, Immunology, 610, Nerve Tissue Proteins, Receptors, Cell Surface, Cell Line, MECHANISMS, CD8-Positive T-Lymphocytes -- immunology, Experimental -- immunology -- pathology -- therapy, 3211 Oncology and carcinogenesis, Cell Line, Tumor, Immunotherapy -- methods, Animals, Humans, 1112 Oncology and Carcinogenesis, IMMUNOTHERAPY, Science & Technology, PLEXINA4; CTLs ; CELL MOTILITY; IMMUNOTHERAPY, Généralités, Programmed Cell Death 1 Receptor -- immunology, Mice, Inbred C57BL, AXON GUIDANCE MOLECULES, T-Lymphocytes, Cytotoxic

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
15
Top 10%
Average
Top 10%
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Cancer Research