Dendritic cell-targeted therapy expands CD8 T cell responses to bona-fide neoantigens in lung tumors

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López, Lucía | Morosi, Luciano, Gastón | La Terza, Federica | Bourdely, Pierre | Rospo, Giuseppe | Amadio, Roberto | Piperno, Giulia, Maria | Russo, Valentina | Volponi, Camilla | Vodret, Simone | Joshi, Sonal | Giannese, Francesca | Lazarevic, Dejan | Germano, Giovanni | Stoitzner, Patrizia | Bardelli, Alberto | Dalod, Marc | Pace, Luigia | Caronni, Nicoletta | Guermonprez, Pierre | Benvenuti, Federica

Edité par CCSD ; Nature Publishing Group -

International audience. Cross-presentation by type 1 DCs (cDC1) is critical to induce and sustain antitumoral CD8 T cell responses to model antigens, in various tumor settings. However, the impact of cross-presenting cDC1 and the potential of DC-based therapies in tumors carrying varied levels of bona-fide neoantigens (neoAgs) remain unclear. Here we develop a hypermutated model of non-small cell lung cancer in female mice, encoding genuine MHC-I neoepitopes to study neoAgs-specific CD8 T cell responses in spontaneous settings and upon Flt3L + αCD40 (DC-therapy). We find that cDC1 are required to generate broad CD8 responses against a range of diverse neoAgs. DC-therapy promotes immunogenicity of weaker neoAgs and strongly inhibits the growth of high tumor-mutational burden (TMB) tumors. In contrast, low TMB tumors respond poorly to DC-therapy, generating mild CD8 T cell responses that are not sufficient to block progression. scRNA transcriptional analysis, immune profiling and functional assays unveil the changes induced by DC-therapy in lung tissues, which comprise accumulation of cDC1 with increased immunostimulatory properties and less exhausted effector CD8 T cells. We conclude that boosting cDC1 activity is critical to broaden the diversity of anti-tumoral CD8 T cell responses and to leverage neoAgs content for therapeutic advantage.

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