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

  • Nat Cell Biol. 2024 Mar;26(3):478-489. doi: 10.1038/s41556-024-01358-2.
Tobias Roider  #  1  2  3 Marc A Baertsch  #  1  4 Donnacha Fitzgerald  1  2  3 Harald Vöhringer  1  2  3 Berit J Brinkmann  1  2  3  5 Felix Czernilofsky  1  2  3 Mareike Knoll  3 Laura Llaó-Cid  6  7 Anna Mathioudaki  3 Bianca Faßbender  8 Maxime Herbon  8 Tobias Lautwein  9 Peter-Martin Bruch  1  2  3  8 Nora Liebers  3  8  10  11 Christian M Schürch  4  12 Verena Passerini  13 Marc Seifert  8 Alexander Brobeil  14 Gunhild Mechtersheimer  14 Carsten Müller-Tidow  1  2 Oliver Weigert  11  13  15 Martina Seiffert  6 Garry P Nolan  16 Wolfgang Huber  17  18 Sascha Dietrich  19  20  21  22  23
Affiliations
  • 1. Department of Medicine V, Hematology, Oncology and Rheumatology, University of Heidelberg, Heidelberg, Germany.
  • 2. Molecular Medicine Partnership Unit, Heidelberg, Germany.
  • 3. European Molecular Biology Laboratory, Heidelberg, Germany.
  • 4. Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA.
  • 5. Clinical Cooperation Unit Molecular Hematology/Oncology, German Cancer Research Center, Heidelberg, Germany.
  • 6. Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany.
  • 7. Molecular Pathology of Lymphoid Neoplasms, Fundació de Recerca Clinic Barcelona-Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), Barcelona, Spain.
  • 8. Department of Hematology and Oncology, University Hospital Düsseldorf, Düsseldorf, Germany.
  • 9. Genomics and Transcriptomics Laboratory, University of Düsseldorf, Düsseldorf, Germany.
  • 10. National Center for Tumor Diseases, Heidelberg, Germany.
  • 11. German Cancer Research Center, Heidelberg, Germany.
  • 12. Department of Pathology and Neuropathology, University Hospital and Comprehensive Cancer Center Tübingen, Tübingen, Germany.
  • 13. Department of Medicine III, Laboratory for Experimental Leukemia and Lymphoma Research, Ludwig-Maximilians-University Hospital, Munich, Germany.
  • 14. Department of Pathology, University of Heidelberg, Heidelberg, Germany.
  • 15. German Cancer Consortium, Munich, Germany.
  • 16. Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.
  • 17. Molecular Medicine Partnership Unit, Heidelberg, Germany. [email protected].
  • 18. European Molecular Biology Laboratory, Heidelberg, Germany. [email protected].
  • 19. Department of Medicine V, Hematology, Oncology and Rheumatology, University of Heidelberg, Heidelberg, Germany. [email protected].
  • 20. Molecular Medicine Partnership Unit, Heidelberg, Germany. [email protected].
  • 21. European Molecular Biology Laboratory, Heidelberg, Germany. [email protected].
  • 22. Department of Hematology and Oncology, University Hospital Düsseldorf, Düsseldorf, Germany. [email protected].
  • 23. Center for Integrated Oncology Aachen-Bonn-Cologne-Düsseldorf (CIO ABCD), Aachen Bonn Cologne Düsseldorf, Germany. [email protected].
  • # Contributed equally.
Abstract

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.