Mapping the evolution of T cell states during response and resistance to adoptive cellular therapy Journal Article


Authors: Bachireddy, P.; Azizi, E.; Burdziak, C.; Nguyen, V. N.; Ennis, C. S.; Maurer, K.; Park, C. Y.; Choo, Z. N.; Li, S.; Gohil, S. H.; Ruthen, N. G.; Ge, Z.; Keskin, D. B.; Cieri, N.; Livak, K. J.; Kim, H. T.; Neuberg, D. S.; Soiffer, R. J.; Ritz, J.; Alyea, E. P.; Pe'er, D.; Wu, C. J.
Article Title: Mapping the evolution of T cell states during response and resistance to adoptive cellular therapy
Abstract: To elucidate mechanisms by which T cells eliminate leukemia, we study donor lymphocyte infusion (DLI), an established immunotherapy for relapsed leukemia. We model T cell dynamics by integrating longitudinal, multimodal data from 94,517 bone marrow-derived single T cell transcriptomes in addition to chromatin accessibility and single T cell receptor sequencing from patients undergoing DLI. We find that responsive tumors are defined by enrichment of late-differentiated T cells before DLI and rapid, durable expansion of early differentiated T cells after treatment, highly similar to “terminal” and “precursor” exhausted subsets, respectively. Resistance, in contrast, is defined by heterogeneous T cell dysfunction. Surprisingly, early differentiated T cells in responders mainly originate from pre-existing and novel clonotypes recruited to the leukemic microenvironment, rather than the infusion. Our work provides a paradigm for analyzing longitudinal single-cell profiling of scenarios beyond adoptive cell therapy and introduces Symphony, a Bayesian approach to infer regulatory circuitry underlying T cell subsets, with broad relevance to exhaustion antagonists across cancers. © 2021 The Author(s)
Keywords: leukemia; immunotherapy; donor lymphocyte infusion; gene regulatory networks; exhaustion; allogeneic hematopoietic stem cell transplant; atac-seq; scrna-seq; probabilistic models; statistical machine learning
Journal Title: Cell Reports
Volume: 37
Issue: 6
ISSN: 2211-1247
Publisher: Cell Press  
Date Published: 2021-11-09
Start Page: 109992
Language: English
DOI: 10.1016/j.celrep.2021.109992
PROVIDER: scopus
PUBMED: 34758319
PMCID: PMC9035342
DOI/URL:
Notes: Article -- Export Date: 1 December 2021 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Dana Pe'er
    110 Pe'er
  2. Elham Azizi
    12 Azizi
  3. Zi-Ning Choo
    6 Choo