Targeting REGNASE-1 programs long-lived effector T cells for cancer therapy

J Wei, L Long, W Zheng, Y Dhungana, SA Lim, C Guy… - Nature, 2019 - nature.com
J Wei, L Long, W Zheng, Y Dhungana, SA Lim, C Guy, Y Wang, YD Wang, C Qian, B Xu
Nature, 2019nature.com
Adoptive cell therapy represents a new paradigm in cancer immunotherapy, but it can be
limited by the poor persistence and function of transferred T cells. Here we use an in vivo
pooled CRISPR–Cas9 mutagenesis screening approach to demonstrate that, by targeting
REGNASE-1, CD8+ T cells are reprogrammed to long-lived effector cells with extensive
accumulation, better persistence and robust effector function in tumours. REGNASE-1-
deficient CD8+ T cells show markedly improved therapeutic efficacy against mouse models …
Abstract
Adoptive cell therapy represents a new paradigm in cancer immunotherapy, but it can be limited by the poor persistence and function of transferred T cells. Here we use an in vivo pooled CRISPR–Cas9 mutagenesis screening approach to demonstrate that, by targeting REGNASE-1, CD8+ T cells are reprogrammed to long-lived effector cells with extensive accumulation, better persistence and robust effector function in tumours. REGNASE-1-deficient CD8+ T cells show markedly improved therapeutic efficacy against mouse models of melanoma and leukaemia. By using a secondary genome-scale CRISPR–Cas9 screening, we identify BATF as the key target of REGNASE-1 and as a rheostat that shapes antitumour responses. Loss of BATF suppresses the increased accumulation and mitochondrial fitness of REGNASE-1-deficient CD8+ T cells. By contrast, the targeting of additional signalling factors—including PTPN2 and SOCS1—improves the therapeutic efficacy of REGNASE-1-deficient CD8+ T cells. Our findings suggest that T cell persistence and effector function can be coordinated in tumour immunity and point to avenues for improving the efficacy of adoptive cell therapy for cancer.
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