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The power of help: mechanistic insights into CD4⁺ T cell differentiation in vaccination and cancer
This thesis investigates CD4⁺ T cell biology, a key component of adaptive immunity, focusing on differentiation, function, and their role in shaping immune responses in vaccination and cancer. Using a mouse DNA vaccination model, we identified a Th1/Tfh precursor state from which CD4⁺ T cells clonally differentiate into Th1 or Tfh cells. Formation of these precursors requires CD28 signaling, while differentiation to Th1 or Tfh cells depends on CD40-CD40L or ICOS-ICOSL interactions, respectively, with cDC1s and B cells mediating this process.
We show that activated CD4⁺ T cells amplify monocyte-derived dendritic cell responses, creating a feedforward loop that enhances both CD4⁺ and CD8⁺ T cell effector differentiation. Additionally, we demonstrate that CD4⁺ T cell help is critical for full CD8⁺ T cell effector differentiation derived from stem-like cells, while insufficient help leads to differentiation stop in the stem-like state, potentially...
This thesis investigates CD4⁺ T cell biology, a key component of adaptive immunity, focusing on differentiation, function, and their role in shaping immune responses in vaccination and cancer. Using a mouse DNA vaccination model, we identified a Th1/Tfh precursor state from which CD4⁺ T cells clonally differentiate into Th1 or Tfh cells. Formation of these precursors requires CD28 signaling, while differentiation to Th1 or Tfh cells depends on CD40-CD40L or ICOS-ICOSL interactions, respectively, with cDC1s and B cells mediating this process.
We show that activated CD4⁺ T cells amplify monocyte-derived dendritic cell responses, creating a feedforward loop that enhances both CD4⁺ and CD8⁺ T cell effector differentiation. Additionally, we demonstrate that CD4⁺ T cell help is critical for full CD8⁺ T cell effector differentiation derived from stem-like cells, while insufficient help leads to differentiation stop in the stem-like state, potentially contributing to T cell exhaustion. In cancer models, radiotherapy combined with immune checkpoint blockade can inadvertently promote Treg activation, dampening anti-tumor immunity; blockade of CD86 improved outcomes.
Overall, this work elucidates mechanisms regulating CD4⁺ T cell differentiation, their crosstalk with myeloid cells and CD8⁺ T cells, and highlights costimulatory pathways as potential therapeutic targets to optimize vaccination and cancer immunotherapy.
- All authors
- Bosma, D.M.T.
- Supervisor
- Borst, J.G.
- Co-supervisor
- Salerno, F.
- Committee
- Ossendorp, F.A.; Burg, S.H. van der; Visser, K.E. de; Haan, J. den; Peperzak, V.
- Qualification
- Doctor (dr.)
- Awarding Institution
- Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
- Date
- 2026-04-22
- ISBN (print)
- 9789465372891