CD5 expression by dendritic cells directs T cell immunity and sustains immunotherapy responses

Science. 2023 Feb 17;379(6633):eabg2752. doi: 10.1126/science.abg2752. Epub 2023 Feb 17.

Abstract

The induction of proinflammatory T cells by dendritic cell (DC) subtypes is critical for antitumor responses and effective immune checkpoint blockade (ICB) therapy. Here, we show that human CD1c+CD5+ DCs are reduced in melanoma-affected lymph nodes, with CD5 expression on DCs correlating with patient survival. Activating CD5 on DCs enhanced T cell priming and improved survival after ICB therapy. CD5+ DC numbers increased during ICB therapy, and low interleukin-6 (IL-6) concentrations promoted their de novo differentiation. Mechanistically, CD5 expression by DCs was required to generate optimally protective CD5hi T helper and CD8+ T cells; further, deletion of CD5 from T cells dampened tumor elimination in response to ICB therapy in vivo. Thus, CD5+ DCs are an essential component of optimal ICB therapy.

MeSH terms

  • CD5 Antigens* / metabolism
  • CD8-Positive T-Lymphocytes* / immunology
  • Cell Differentiation
  • Dendritic Cells* / immunology
  • Humans
  • Immune Checkpoint Inhibitors* / therapeutic use
  • Immunotherapy*
  • Melanoma* / drug therapy
  • T-Lymphocytes, Helper-Inducer* / immunology

Substances

  • CD5 Antigens
  • Immune Checkpoint Inhibitors