γδ T cells modulate anti-tumor immunity in small cell lung cancer
Journal Title
Cancer Cell
Publication Type
Sep 18
Abstract
Small cell lung cancer (SCLC) is a highly aggressive neoplasm with limited sensitivity to anti-PD-(L)1 blockade, which is likely caused by the epigenetic silencing of MHC-I. Elucidating MHC-I-independent immune recognition mechanisms is therefore crucial for enhancing treatment responses and improving clinical outcomes in a greater number of patients. Leveraging single-cell approaches, we discovered γδ T cell infiltration in biospecimens from patients with SCLC. Despite PD-1 expression, γδ T cells maintained a cytotoxic transcriptional profile, suggesting an anti-tumor role. Indeed, high γδ T cell infiltration in two practice-changing clinical trials predicted improved response to anti-PD-L1 immunotherapy in patients with SCLC. Moreover, using preclinical models, we demonstrated that γδ T cells are effective at tarlatamab (delta-like ligand 3 [DLL3]-CD3 bispecific T cell engager [BiTE])-redirected SCLC killing and that zoledronate, an FDA-approved compound, can sensitize SCLC cells to γδ T cell-mediated killing. Thus, our findings suggest that engaged γδ T cells are potentially valuable targets for SCLC therapy.
Publisher
Cell Press
Keywords
immunotherapy; single-cell RNA sequencing; small cell lung cancer; tarlatamab; zoledronate; γδ T cells
Research Division(s)
Cancer Biology and Stem Cells; Personalised Oncology; Blood Cells and Blood Cancer; Clinical Discovery and Translation; Advanced Technology and Biology; Immunology; Genetics and Gene Regulation
PubMed ID
42759517
Open Access at Publisher's Site
https://doi.org/10.1016/j.ccell.2026.08.015
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2026-10-02 08:18:59
Last Modified: 2026-10-02 08:19:08
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