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Peer-reviewedCC BY-NC 4.0Journal for Immunotherapy of Cancer

Promoting tumor antigen presentation unleashes therapeutic efficacy of Tgfbr2-deficient TCR-engineered T cells in pancreatic ductal adenocarcinoma

8 more authors
9 affiliations
  1. 1Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota, USA
  2. 2Center for Immunology, University of Minnesota, Minneapolis, Minnesota, USA
  3. 3Department of Microbiology and Immunology, University of Minnesota, Minneapolis, Minnesota, USA
  4. 4Program in Immunology and Translational Science and Therapeutics Division, Fred Hutchinson Cancer Center, Seattle, Washington, USA
  5. 5Department of Biomedical Engineering, University of Minnesota, Minneapolis, Minnesota, USA
  6. 6Center for Multiparametric Imaging of Tumor Immune Microenvironments, University of Minnesota, Minneapolis, Minnesota, USA
  7. 7Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA
  8. 8Pancreatic Cancer Center of Excellence, University of Nebraska Medical Center, Omaha, Nebraska, USA
  9. 9Departments of Immunology and Medicine/Oncology, University of Washington, Seattle, Washington, USA

Abstract

Background: Pancreatic ductal adenocarcinoma (PDA) is a lethal malignancy with limited therapeutic options. Adoptive cell therapy (ACT) using tumor-reactive T cell receptor-engineered T cells (TCR-T) is a promising therapeutic modality for targeting PDA. However, additional strategies are needed to overcome the suppressive tumor microenvironment (TME) that impairs T cell persistence and function. Tumor growth factor-β (TGFβ) is a prominent immunosuppressive component of the TME, but is also believed to be critical for T cell memory.

Methods: We develop aggressive immunocompetent orthotopic KrasLSL-G12D/+;Trp53LSL-R172H/+;p48-Cre (KPC) PDA mouse models to identify obstacles to sustained activity of TCR-T cell therapy targeting the native tumor antigen, mesothelin (Msln). During ACT, we track TCR-T cell fate, function, antitumor effects, and interactions with type I dendritic cells using flow cytometry, two-photon microscopy, and live-cell imaging. Based on an abundance of TGFβ and a halt in TCR-T cell differentiation in orthotopic tumors, TCR-T cells with defective Tgfbr2 are tested in a new model, where peptide-major histocompatibility complex-I (pMHC-I) is incrementally augmented on KPC tumor cells.

Results: TCR-T cells accumulated in orthotopic PDA but were rendered dysfunctional despite lacking features of exhaustion. KPC tumor cells express minimal constitutive MHC-I, resulting in suboptimal recognition by TCR-T cells. Modestly increasing pMHC-I on KPC tumor cells restored canonical differentiation of TCR-T cells into PD-1+ progenitor exhausted (TPEX) in PDA, but failed to rescue interferon-γ (IFNγ) production. TGFβ was enriched in tumor nests, and deletion of Tgfbr2 in TCR-T cells enhanced dendritic cell interactions, reduced intratumoral TGFβ deposition, restored IFNγ production, and improved therapeutic efficacy without compromising TCR-T cell longevity or tissue residency.

Conclusions: Modestly enhancing tumor-intrinsic pMHC-I unleashes therapeutic efficacy and functionality of Tgfbr2-disrupted TCR-T cells in PDA.

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BibTeX
@article{tsai2026promoting,
  title = {{Promoting tumor antigen presentation unleashes therapeutic efficacy of Tgfbr2-deficient TCR-engineered T cells in pancreatic ductal adenocarcinoma}},
  author = {Alexander K Tsai and Meagan R Rollins and Madeline A Ellefson and Zoe C Schmiechen and Adam L Burrack and Ayaka Hulbert and Guhan Qian and Hongrong Zhang and Eduardo Cruz-Hinojoza and Jonah Z Butler and Jason S Mitchell and Olivia C Ghirardelli Smith and Stephen D O’Flanagan and Jenny Krause and Grant H Hickok and Paolo P Provenzano and David Masopust and Sunil R Hingorani and Philip D Greenberg and Ingunn M Stromnes},
  journal = {Journal for Immunotherapy of Cancer},
  year = {2026},
  month = oct,
  doi = {10.1136/jitc-2026-015489},
  url = {https://doi.org/10.1136/jitc-2026-015489},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Promoting tumor antigen presentation unleashes therapeutic efficacy of Tgfbr2-deficient TCR-engineered T cells in pancreatic ductal adenocarcinoma
AU  - Alexander K Tsai
AU  - Meagan R Rollins
AU  - Madeline A Ellefson
AU  - Zoe C Schmiechen
AU  - Adam L Burrack
AU  - Ayaka Hulbert
AU  - Guhan Qian
AU  - Hongrong Zhang
AU  - Eduardo Cruz-Hinojoza
AU  - Jonah Z Butler
AU  - Jason S Mitchell
AU  - Olivia C Ghirardelli Smith
AU  - Stephen D O’Flanagan
AU  - Jenny Krause
AU  - Grant H Hickok
AU  - Paolo P Provenzano
AU  - David Masopust
AU  - Sunil R Hingorani
AU  - Philip D Greenberg
AU  - Ingunn M Stromnes
PY  - 2026
DA  - 2026/10/29
JO  - Journal for Immunotherapy of Cancer
DO  - 10.1136/jitc-2026-015489
UR  - https://doi.org/10.1136/jitc-2026-015489
AB  - Background: Pancreatic ductal adenocarcinoma (PDA) is a lethal malignancy with limited therapeutic options. Adoptive cell therapy (ACT) using tumor-reactive T cell receptor-engineered T cells (TCR-T) is a promising therapeutic modality for targeting PDA. However, additional strategies are needed to overcome the suppressive tumor microenvironment (TME) that impairs T cell persistence and function. Tumor growth factor-β (TGFβ) is a prominent immunosuppressive component of the TME, but is also believed to be critical for T cell memory.  Methods: We develop aggressive immunocompetent orthotopic KrasLSL-G12D/+;Trp53LSL-R172H/+;p48-Cre (KPC) PDA mouse models to identify obstacles to sustained activity of TCR-T cell therapy targeting the native tumor antigen, mesothelin (Msln). During ACT, we track TCR-T cell fate, function, antitumor effects, and interactions with type I dendritic cells using flow cytometry, two-photon microscopy, and live-cell imaging. Based on an abundance of TGFβ and a halt in TCR-T cell differentiation in orthotopic tumors, TCR-T cells with defective Tgfbr2 are tested in a new model, where peptide-major histocompatibility complex-I (pMHC-I) is incrementally augmented on KPC tumor cells.  Results: TCR-T cells accumulated in orthotopic PDA but were rendered dysfunctional despite lacking features of exhaustion. KPC tumor cells express minimal constitutive MHC-I, resulting in suboptimal recognition by TCR-T cells. Modestly increasing pMHC-I on KPC tumor cells restored canonical differentiation of TCR-T cells into PD-1+ progenitor exhausted (TPEX) in PDA, but failed to rescue interferon-γ (IFNγ) production. TGFβ was enriched in tumor nests, and deletion of Tgfbr2 in TCR-T cells enhanced dendritic cell interactions, reduced intratumoral TGFβ deposition, restored IFNγ production, and improved therapeutic efficacy without compromising TCR-T cell longevity or tissue residency.  Conclusions: Modestly enhancing tumor-intrinsic pMHC-I unleashes therapeutic efficacy and functionality of Tgfbr2-disrupted TCR-T cells in PDA.
SN  - 2051-1426
ER  -