bioRxiv · 10.64898/2026.09.18.751292
B cells sustain tumor-specific CD4 T cells to promote response to PD-1 targeted therapy
Abstract
Immunotherapy transformed cancer treatment, yet precise correlates of response remain to be defined. While intratumoral follicular helper like (Tfhl) CD4 T cells and IgG1+ B cells have been associated with improved outcomes to PD-1 blockade for hepatocellular carcinoma (HCC), their mechanisms contributing to response are unclear. To address this question, we developed a murine model of HCC and examined CD8, CD4 and B cell responses. Increasing CD4-help sensitizes mice to PD-1 blockade, in a CD4- and CD8-dependent manner. Tumor-specific CD4 T cells contained Tfhl and Th1 populations, and both Bcl6 and T-bet were required for efficacy. Antigen-specific B cells were essential for CD4-helper expansion, yet secretion of antibodies was not required for long-term survival. Thus, B cells are critical for effective immunotherapy, but secreted antibodies are not.
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Vaidya, A., Humblin, E., Prokhnevska, N., van der Heide, V., Binet, L., Harwood, J., Mattiuz, R., Lozano, A., Hamon, P., Cogliati, B., Goldstein, S., Korpas, I., Lindblad, K. E., Sriram, S., Hartweger, H., Furtado, G., Gnjatic, S., Gonzalez-Kozlova, E., Rosenberg, B. R., Lujambio, A., Merad, M., Nussenzweig, M. C., Kamphorst, A. O.. 2026-09-24. B cells sustain tumor-specific CD4 T cells to promote response to PD-1 targeted therapy. https://doi.org/10.64898/2026.09.18.751292
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