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Peer-reviewedCC BY 4.0Frontiers in Immunology

Anti-PD-L1 antibody limits the survival of activated CAR T cells by disrupting the PD-L1/CD80 cis-heterodimer

Abstract

Chimeric antigen receptor (CAR) T cells have revolutionized the treatment of hematologic malignancies but remain less efficacious in solid tumors. While PD-L1 blockade is widely used to counter tumor immune evasion, its direct effects on activated T cells, which also express PD-L1 and may engage in PD-L1/CD80 cis-interactions, remain largely unexplored. To investigate this, we blocked PD-L1 by engineering CAR T cells that secrete PD-L1-blocking single-chain variable fragment (scFv) antibodies derived from atezolizumab. Secretion of the scFv conferred no benefit: 4-1BB-based CAR T cells accumulated less upon repeated antigen stimulation, and CD28-based CAR T cells killed less efficiently when effector cells were limiting. Mechanistically, PD-L1 and CD80 form a cis-heterodimer on T cells that is disrupted by PD-L1 blockade, rendering CD80 susceptible to CTLA-4-mediated depletion and impairing CD28 co-stimulation. Consistent with this model, exogenous atezolizumab reduced CD80 expression and T cell viability, while CTLA-4 blockade with ipilimumab restored CD80 levels and rescued survival. These findings were corroborated by structural modeling demonstrating that atezolizumab disrupts the PD-L1/CD80 complex, and were reproduced in unmodified T cells and across both CD28- and 4-1BB-based CARs. Together, our findings uncover a T cell-intrinsic vulnerability to PD-L1 inhibitors that warrants consideration when PD-L1 blockade is combined with adoptive T cell therapy.

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BibTeX
@article{li2026antipdl1,
  title = {{Anti-PD-L1 antibody limits the survival of activated CAR T cells by disrupting the PD-L1/CD80 cis-heterodimer}},
  author = {Sin-Syue Li and Markus Barden and Hong Pan and Dennis Christoph Harrer and Marcell Kaljanac and Valerie Bezler and Moritz Ertelt and Clara Schoeder and Tsai-Yun Chen and Hinrich Abken},
  journal = {Frontiers in Immunology},
  year = {2026},
  month = nov,
  doi = {10.3389/fimmu.2026.1906848},
  url = {https://www.frontiersin.org/articles/10.3389/fimmu.2026.1906848},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Anti-PD-L1 antibody limits the survival of activated CAR T cells by disrupting the PD-L1/CD80 cis-heterodimer
AU  - Sin-Syue Li
AU  - Markus Barden
AU  - Hong Pan
AU  - Dennis Christoph Harrer
AU  - Marcell Kaljanac
AU  - Valerie Bezler
AU  - Moritz Ertelt
AU  - Clara Schoeder
AU  - Tsai-Yun Chen
AU  - Hinrich Abken
PY  - 2026
DA  - 2026/11/02
JO  - Frontiers in Immunology
DO  - 10.3389/fimmu.2026.1906848
UR  - https://www.frontiersin.org/articles/10.3389/fimmu.2026.1906848
AB  - Chimeric antigen receptor (CAR) T cells have revolutionized the treatment of hematologic malignancies but remain less efficacious in solid tumors. While PD-L1 blockade is widely used to counter tumor immune evasion, its direct effects on activated T cells, which also express PD-L1 and may engage in PD-L1/CD80 cis-interactions, remain largely unexplored. To investigate this, we blocked PD-L1 by engineering CAR T cells that secrete PD-L1-blocking single-chain variable fragment (scFv) antibodies derived from atezolizumab. Secretion of the scFv conferred no benefit: 4-1BB-based CAR T cells accumulated less upon repeated antigen stimulation, and CD28-based CAR T cells killed less efficiently when effector cells were limiting. Mechanistically, PD-L1 and CD80 form a cis-heterodimer on T cells that is disrupted by PD-L1 blockade, rendering CD80 susceptible to CTLA-4-mediated depletion and impairing CD28 co-stimulation. Consistent with this model, exogenous atezolizumab reduced CD80 expression and T cell viability, while CTLA-4 blockade with ipilimumab restored CD80 levels and rescued survival. These findings were corroborated by structural modeling demonstrating that atezolizumab disrupts the PD-L1/CD80 complex, and were reproduced in unmodified T cells and across both CD28- and 4-1BB-based CARs. Together, our findings uncover a T cell-intrinsic vulnerability to PD-L1 inhibitors that warrants consideration when PD-L1 blockade is combined with adoptive T cell therapy.
SN  - 1664-3224
ER  -