PT - JOURNAL ARTICLE AU - Jin, Hyung-seung AU - Ko, Minkyung AU - Choi, Da-som AU - Kim, June Hyuck AU - Lee, Dong-hee AU - Kang, Seong-Ho AU - Kim, Inki AU - Lee, Hee Jin AU - Choi, Eun Kyung AU - Kim, Kyu-pyo AU - Yoo, Changhoon AU - Park, Yoon TI - CD226<sup>hi</sup>CD8<sup>+</sup> T Cells Are a Prerequisite for Anti-TIGIT Immunotherapy AID - 10.1158/2326-6066.CIR-19-0877 DP - 2020 Jul 01 TA - Cancer Immunology Research PG - 912--925 VI - 8 IP - 7 4099 - http://cancerimmunolres.aacrjournals.org/content/8/7/912.short 4100 - http://cancerimmunolres.aacrjournals.org/content/8/7/912.full SO - Cancer Immunol Res2020 Jul 01; 8 AB - Clinical trials are evaluating the efficacy of anti-TIGIT for use as single-agent therapy or in combination with programmed death 1 (PD-1)/programmed death-ligand 1 blockade. How and whether a TIGIT blockade will synergize with immunotherapies is not clear. Here, we show that CD226loCD8+ T cells accumulate at the tumor site and have an exhausted phenotype with impaired functionality. In contrast, CD226hiCD8+ tumor-infiltrating T cells possess greater self-renewal capacity and responsiveness. Anti-TIGIT treatment selectively affects CD226hiCD8+ T cells by promoting CD226 phosphorylation at tyrosine 322. CD226 agonist antibody-mediated activation of CD226 augments the effect of TIGIT blockade on CD8+ T-cell responses. Finally, mFOLFIRINOX treatment, which increases CD226hiCD8+ T cells in patients with pancreatic ductal adenocarcinoma, potentiates the effects of TIGIT or PD-1 blockade. Our results implicate CD226 as a predictive biomarker for cancer immunotherapy and suggest that increasing numbers of CD226hiCD8+ T cells may improve responses to anti-TIGIT therapy.