Sequestration of T cells in bone marrow in the setting of glioblastoma and other intracranial tumors

P Chongsathidkiet, C Jackson, S Koyama, F Loebel… - Nature medicine, 2018 - nature.com
P Chongsathidkiet, C Jackson, S Koyama, F Loebel, X Cui, SH Farber, K Woroniecka…
Nature medicine, 2018nature.com
T cell dysfunction contributes to tumor immune escape in patients with cancer and is
particularly severe amidst glioblastoma (GBM). Among other defects, T cell lymphopenia is
characteristic, yet often attributed to treatment. We reveal that even treatment-naïve subjects
and mice with GBM can harbor AIDS-level CD4 counts, as well as contracted, T cell–
deficient lymphoid organs. Missing naïve T cells are instead found sequestered in large
numbers in the bone marrow. This phenomenon characterizes not only GBM but a variety of …
Abstract
T cell dysfunction contributes to tumor immune escape in patients with cancer and is particularly severe amidst glioblastoma (GBM). Among other defects, T cell lymphopenia is characteristic, yet often attributed to treatment. We reveal that even treatment-naïve subjects and mice with GBM can harbor AIDS-level CD4 counts, as well as contracted, T cell–deficient lymphoid organs. Missing naïve T cells are instead found sequestered in large numbers in the bone marrow. This phenomenon characterizes not only GBM but a variety of other cancers, although only when tumors are introduced into the intracranial compartment. T cell sequestration is accompanied by tumor-imposed loss of S1P1 from the T cell surface and is reversible upon precluding S1P1 internalization. In murine models of GBM, hindering S1P1 internalization and reversing sequestration licenses T cell–activating therapies that were previously ineffective. Sequestration of T cells in bone marrow is therefore a tumor-adaptive mode of T cell dysfunction, whose reversal may constitute a promising immunotherapeutic adjunct.
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