Mechanistic convergence of the TIGIT and PD-1 inhibitory pathways necessitates co-blockade to optimize anti-tumor CD8+ T cell responses
Mechanistic convergence of the TIGIT and PD-1 inhibitory pathways necessitates co-blockade to optimize anti-tumor CD8+ T cell responses
Dual blockade of the PD-1 and TIGIT coinhibitory receptors on T cells shows promising early results in cancer patients. Here, we studied the mechanisms whereby PD-1 and/or TIGIT blockade modulate anti-tumor CD8+ T cells. Although PD-1 and TIGIT are thought to regulate different costimulatory receptors (CD28 and CD226), effectiveness of PD-1 or TIGIT inhibition in preclinical tumor models was reduced in the absence of CD226. CD226 expression associated with clinical benefit in patients with non-small cell lung carcinoma (NSCLC) treated with anti-PD-L1 antibody atezolizumab. CD226 and CD28 were co-expressed on NSCLC infiltrating CD8+ T cells poised for expansion. Mechanistically, PD-1 inhibited phosphorylation of both CD226 and CD28 via its ITIM-containing intracellular domain (ICD); TIGIT's ICD was dispensable, with TIGIT restricting CD226 co-stimulation by blocking interaction with their common ligand PVR (CD155). Thus, full restoration of CD226 signaling, and optimal anti-tumor CD8+ T cell responses, requires blockade of TIGIT and PD-1, providing a mechanistic rationale for combinatorial targeting in the clinic.
- GENENTECH INC United States
- University of California System United States
- University of California, San Francisco United States
- University of California, San Diego United States
- Genentech Inc. United States
Antigens, Differentiation, T-Lymphocyte, Immunology, Programmed Cell Death 1 Receptor, 610, costimulatory receptor TIGIT, CD8-Positive T-Lymphocytes, Article, CD28 Antigens, Immunologic, Neoplasms, Receptors, Humans, Antigens, Receptors, Immunologic, Lung, Cancer, cancer immunotherapy, Lung Cancer, immune checkpoint blockade, CD226, T-Lymphocyte, Differentiation
Antigens, Differentiation, T-Lymphocyte, Immunology, Programmed Cell Death 1 Receptor, 610, costimulatory receptor TIGIT, CD8-Positive T-Lymphocytes, Article, CD28 Antigens, Immunologic, Neoplasms, Receptors, Humans, Antigens, Receptors, Immunologic, Lung, Cancer, cancer immunotherapy, Lung Cancer, immune checkpoint blockade, CD226, T-Lymphocyte, Differentiation
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