Epigenetic regulators of clonal hematopoiesis control CD8 T cell stemness during immunotherapy

Science. 2024 Oct 11;386(6718):eadl4492. doi: 10.1126/science.adl4492. Epub 2024 Oct 11.

Abstract

Epigenetic reinforcement of T cell exhaustion is known to be a major barrier limiting T cell responses during immunotherapy. However, the core epigenetic regulators restricting antitumor immunity during prolonged antigen exposure are not clear. We investigated three commonly mutated epigenetic regulators that promote clonal hematopoiesis to determine whether they affect T cell stemness and response to checkpoint blockade immunotherapy. CD8 T cells lacking Dnmt3a, Tet2, or Asxl1 preserved a progenitor-exhausted (Tpex) population for more than 1 year during chronic antigen exposure without undergoing malignant transformation. Asxl1 controlled the self-renewal capacity of T cells and reduced CD8 T cell differentiation through H2AK119 ubiquitination and epigenetic modification of the polycomb group-repressive deubiquitinase pathway. Asxl1-deficient T cells synergized with anti-PD-L1 immunotherapy to improve tumor control in experimental models and conferred a survival advantage to mutated T cells from treated patients.

MeSH terms

  • Animals
  • B7-H1 Antigen / genetics
  • B7-H1 Antigen / metabolism
  • CD8-Positive T-Lymphocytes* / immunology
  • Cell Differentiation
  • Clonal Hematopoiesis*
  • DNA (Cytosine-5-)-Methyltransferases / genetics
  • DNA (Cytosine-5-)-Methyltransferases / metabolism
  • DNA Methyltransferase 3A*
  • DNA-Binding Proteins* / genetics
  • DNA-Binding Proteins* / metabolism
  • Dioxygenases*
  • Epigenesis, Genetic*
  • Histones / metabolism
  • Humans
  • Immune Checkpoint Inhibitors / therapeutic use
  • Immunotherapy*
  • Mice
  • Proto-Oncogene Proteins* / genetics
  • Proto-Oncogene Proteins* / metabolism
  • Repressor Proteins* / genetics
  • Repressor Proteins* / metabolism

Substances

  • Dioxygenases
  • DNA Methyltransferase 3A
  • Repressor Proteins
  • DNA-Binding Proteins
  • Proto-Oncogene Proteins
  • Dnmt3a protein, mouse
  • Tet2 protein, mouse
  • DNA (Cytosine-5-)-Methyltransferases
  • Immune Checkpoint Inhibitors
  • Histones
  • DNMT3A protein, human
  • ASXL1 protein, human
  • TET2 protein, human
  • B7-H1 Antigen