PT - JOURNAL ARTICLE AU - Rachel Ambler AU - Grace L. Edmunds AU - Giulia Toti AU - David J. Morgan AU - Christoph Wülfing TI - PD-1 suppresses the maintenance of cell couples between cytotoxic T cells and tumor target cells within the tumor AID - 10.1101/443788 DP - 2018 Jan 01 TA - bioRxiv PG - 443788 4099 - http://biorxiv.org/content/early/2018/10/16/443788.short 4100 - http://biorxiv.org/content/early/2018/10/16/443788.full AB - CD8+ T cell killing of tumor cells is suppressed by the tumor microenvironment. Inhibitory receptors, prominently PD-1, are key mediators of this suppression. To discover cellular defects triggered by tumor exposure and associated PD-1 signaling, we have established an ex vivo imaging approach to investigate CD8+ tumor infiltrating lymphocytes (TILs) interacting with tumor targets. Whilst TIL:tumor cell couples formed effectively, couple stability deteriorated within 1-2 minutes. This was associated with excessive cofilin recruitment to the cellular interface, coincident deterioration of f-actin structures, increased TIL locomotion, and impaired tumor cell killing. Diminished engagement of PD-1 within the tumor, but not acute ex vivo blockade, partially restored cell couple maintenance and killing. PD-1 thus suppresses TIL function by inducing a polarization-impaired state.