RT Journal Article SR Electronic T1 The CD58:CD2 axis is co-regulated with PD-L1 via CMTM6 and governs anti-tumor immunity JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.03.21.485049 DO 10.1101/2022.03.21.485049 A1 Patricia Ho A1 Johannes C. Melms A1 Meri Rogava A1 Chris J. Frangieh A1 Shivem B. Shah A1 Zachary Walsh A1 Oleksandr Kyrysyuk A1 Amit Dipak Amin A1 Lindsay Caprio A1 Benjamin T. Fullerton A1 Rajesh Soni A1 Casey R. Ager A1 Jana Biermann A1 Yiping Wang A1 Michael Mu A1 Hijab Fatima A1 Emily K. Moore A1 Neil Vasan A1 Samuel F. Bakhoum A1 Steven L. Reiner A1 Chantale Bernatchez A1 Emily M. Mace A1 Kai W. Wucherpfennig A1 Dirk Schadendorf A1 Gary K. Schwartz A1 Benjamin Izar YR 2022 UL http://biorxiv.org/content/early/2022/03/23/2022.03.21.485049.abstract AB The cell autonomous balance of immune-inhibitory and -stimulatory signals is a critical yet poorly understood process in cancer immune evasion. Using patient-derived co-culture models and humanized mouse models, we show that an intact CD58:CD2 interaction is necessary for anti-tumor immunity. Defects in this axis lead to multi-faceted immune evasion through impaired CD2-dependent T cell polyfunctionality, T cell exclusion, impaired intra-tumoral proliferation, and concurrent protein stabilization of PD-L1. We performed genome-scale CRISPR-Cas9 and CD58 coimmunoprecipitation mass spectrometry screens identifying CMTM6 as a key stabilizer of CD58, and show that CMTM6 is required for concurrent upregulation of PD-L1 in CD58 loss. Single-cell RNA-seq analysis of patient melanoma samples demonstrates that most TILs lack expression of primary costimulatory signals required for response to PD-1 blockade (e.g. CD28), but maintain strong CD2 expression, thus providing an opportunity to mobilize a so far therapeutically untapped pool of TILs for anti-tumor immunity. We identify two potential therapeutic avenues, including rescued activation of human CD2-expressing TILs using recombinant CD58 protein, and targeted disruption of PD-L1/CMTM6 interactions. Our work identifies an underappreciated yet critical axis at the nexus of cancer immunity and evasion, uncovers a fundamental mechanism of co-inhibitory and -stimulatory signal balancing, and provides new approaches to improving cancer immunotherapies.Competing Interest StatementThe authors have declared no competing interest.