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Gutwillig, A.

Publications and source records attributed to Gutwillig, A..

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Successful dendritic cell vaccines require lasting in-situ TNF α secretion to license antitumor CD8 + T cell cytotoxicity

Dendritic cells (DCs) are central to activating cytotoxic CD8 T cells, yet DC-based vaccines have achieved limited success against established tumors. To address this gap, we analyzed the transcriptomic and functional changes CD8 T cells undergo following interactions with DC subsets in lymphoid organs and tumor sites. This approach allowed us to map their trajectory from naive to fully cytotoxic effector cells. We found that classical DCs in lymphoid organs provide essential antigen presentation but fail to elicit cytotoxicity. Instead, antigenexperienced CD8 T cells require additional inflammatory signals, primarily through TNF, delivered at tumor sites by infiltrating myeloid DCs. Effective cytotoxic responses therefore depend on the synchronization of these distinct, temporally separated signals. Notably, tumor antigen-pulsed DC vaccines rapidly lose TNF expression after infiltrating tumors, limiting their efficacy. These findings establish a sequential model of T cell activation and suggest strategies to enhance the potency of DC-based immunotherapies.

immunology↗

Expression of modified FcγRI enables myeloid cells to elicit robust tumor-specific cytotoxicity

Despite the central role of T cells in tumor immunity, attempts to harness their cytotoxic capacity as a therapy have met limited efficacy, partially as a result of the suppressive microenvironment which limits their migration and activation. In contrast, myeloid cells massively infiltrate tumors and are well adapted to survive these harsh conditions. While they are equipped with cell-killing abilities, they often adopt an immunosuppressive phenotype upon migration to tumors. Therefore, the questions of how to modify their activation programming against cancer, and what signaling cascades should be activated in myeloid cells to elicit their cytotoxicity have remained unclear. Here, we found that activation of IgM-induced signaling in myeloid cells results in secretion of lytic granules and massive tumor cell death. These findings open venues for designing novel immunotherapy by equipping monocytes with chimeric receptors that target tumor antigens and consequently, signal through IgM receptor. Nonetheless, we found that myeloid cells do not express the antibody-derived portion used to recognize the tumor antigen due to the induction of an ER stress response. To overcome this limitation, we designed chimeric receptors that are based on the high-affinity Fc{gamma}RI for IgG. Incubation of macrophages expressing these receptors along with tumor-binding IgG induced massive tumor cell killing and secretion of reactive oxygen species and Granzyme B. Overall, this work highlights the challenges involved in genetically reprogramming the signaling in myeloid cells and provides a framework for endowing myeloid cells with antigen-specific cytotoxicity.

immunology↗

A novel deep learning pipeline for cell typing and phenotypic marker quantification in multiplex imaging

BackgroundMultiplex immunofluorescence (mIF) can provide invaluable insights into spatial biology and the complexities of the immune tumor microenvironment (iTME). However, existing analysis approaches are both laborious and highly user-dependent. In order to overcome these limitations we developed a novel, end-to-end deep learning (DL) pipeline for rapid and accurate analysis of both tumor-microarray (TMA) and whole slide mIF images. MethodsOur pipeline consists of two DL models: a multi-classifier for classifying multi-channel cell images into 12 different cell types, and a binary classifier for determining the positivity of a given marker in single-channel images. The DL multi-classifier was trained on 7,000 tiles labeled with cell annotations from a publicly available CODEX dataset, consisting of 140 tissue cores from 35 colorectal cancer (CRC) patients. For the binary classifier training, the multi-channel tiles were further split into [~]100,000 single-channel tiles, for which the ground truth was inferred from the known expression of these markers in each cell-type. This DL binary classifier was then utilized to quantify the positivity of various cell state (phenotypic) markers. In addition, the binary classifier was exploited as a cell-typing tool, by predicting the positivity of individual lineage cell markers. The performance of our DL models was evaluated on 1,800 annotations from 14 test tissue cores. The models were further evaluated on a new 6-plex melanoma cohort, stained with PhenoImager(R), and were compared to the performance of clustering, manual thresholding or machine learning-based cell-typing methods applied on the same test sets. ResultsOur DL multi-classifier achieved highly accurate results, outperforming all of the tested cell-typing methods, including clustering, manual-thresholding and ML-based approaches, in both CODEX CRC and PhenoImager melanoma cohorts (accuracy of 91% and 87%, respectively), with F1-scores above 80% in the vast majority of cell types. Our DL binary classifier, which was trained solely on the lineage markers of the CRC dataset, also outperformed existing methods, demonstrating excellent F1-scores (>80%) for determining the positivity of unseen phenotypic and lineage markers across the two tumor types and imaging modalities. Notably, as little as 20 annotations were required in order to boost the performance on an unseen dataset to above 85% accuracy and 80% F1-scores. As a result, the DL binary classifier could successfully be used as a cell-typing model, in a manner that is transferable between experimental approaches. ConclusionsWe present a novel state-of-the-art DL-based framework for multiplex imaging analysis, that enables accurate cell typing and phenotypic marker quantification, which is robust across markers, tumor indications, and imaging modalities.

immunology↗

Transient cell-in-cell formation underlies tumor resistance to immunotherapy

Despite the remarkable success of immunotherapy in cancer, most patients will develop resistant tumors. While the main conceptual paradigm suggests that relapsed clones emerge through a process of clonal selection and immunoediting, currently little evidence directly demonstrates this process in epithelial cancers. To study this process, we established several mouse models in which tumors drastically regress following immunotherapy, yet resistant tumors relapse within a few weeks of treatment cessation. Whole exome analyses indicated that relapsed tumors share hundreds of neo-antigens with the primary tumors and are comparably killed by reactive T cells. Examination of tumor cells that survive immunotherapies revealed that they structure a transient cell-in-cell formation, which is impenetrable to immune-derived cytotoxic compounds and to chemotherapies. This formation is mediated predominantly by a cell-membrane protein on activated T cells, which subsequently induces epidermal growth factor receptors and STAT3 phosphorylation in tumors cells. In contrast to previous reports on cell-in-cell formations, here both cells remain alive and can disseminate into single tumor cells once T cells are no longer present. Overall, this work highlights a powerful resistance mechanism which enable tumor cells to survive immune pressure and provides a new theoretical framework for combining chemotherapies and immunotherapies.

immunology↗