Abstract: |
How naturally arising human CD4 T helper subsets affect cancer immunotherapy is unclear. We reported that human CD4CD26 T cells elicit potent immunity against solid tumors. As CD26 T cells are often categorized as T17 cells for their IL-17 production and high CD26 expression, we posited these populations would have similar molecular properties. Here, we reveal that CD26 T cells are epigenetically and transcriptionally distinct from T17 cells. Of clinical importance, CD26 and T17 cells engineered with a chimeric antigen receptor (CAR) regressed large human tumors to a greater extent than enriched T1 or T2 cells. Only human CD26 T cells mediated curative responses, even when redirected with a suboptimal CAR and without aid by CD8 CAR T cells. CD26 T cells cosecreted effector cytokines, produced cytotoxic molecules, and persisted long term. Collectively, our work underscores the promise of CD4 T cell populations to improve durability of solid tumor therapies. |