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Multimodal and spatially resolved profiling identifies distinct patterns of T cell infiltration in nodal B cell lymphoma entities

  • Tobias Roider,
  • Marc A. Baertsch,
  • Donnacha Fitzgerald,
  • Harald Vöhringer,
  • Berit J. Brinkmann,
  • Felix Czernilofsky,
  • Mareike Knoll,
  • Laura Llaó-Cid,
  • Anna Mathioudaki,
  • Bianca Faßbender,
  • Maxime Herbon,
  • Tobias Lautwein,
  • Peter-Martin Bruch,
  • Nora Liebers,
  • Christian M. Schürch,
  • Verena Passerini,
  • Marc Seifert,
  • Alexander Brobeil,
  • Gunhild Mechtersheimer,
  • Carsten Müller-Tidow,
  • Oliver Weigert,
  • Martina Seiffert,
  • Garry P. Nolan,
  • Wolfgang Huber,
  • Sascha Dietrich

摘要

The redirection of T cells has emerged as an attractive therapeutic principle in B cell non-Hodgkin lymphoma (B-NHL). However, a detailed characterization of lymphoma-infiltrating T cells across B-NHL entities is missing. Here we present an in-depth T cell reference map of nodal B-NHL, based on cellular indexing of transcriptomes and epitopes, T cell receptor sequencing, flow cytometry and multiplexed immunofluorescence applied to 101 lymph nodes from patients with diffuse large B cell, mantle cell, follicular or marginal zone lymphoma, and from healthy controls. This multimodal resource revealed quantitative and spatial aberrations of the T cell microenvironment across and within B-NHL entities. Quantitative differences in PD1+ TCF7 cytotoxic T cells, T follicular helper cells or IKZF3+ regulatory T cells were linked to their clonal expansion. The abundance of PD1+ TCF7 cytotoxic T cells was associated with poor survival. Our study portrays lymphoma-infiltrating T cells with unprecedented comprehensiveness and provides a unique resource for the investigation of lymphoma biology and prognosis.