VISTA is an acidic pH-selective ligand for PSGL-1

RJ Johnston, LJ Su, J Pinckney, D Critton, E Boyer… - Nature, 2019 - nature.com
RJ Johnston, LJ Su, J Pinckney, D Critton, E Boyer, A Krishnakumar, M Corbett, AL Rankin…
Nature, 2019nature.com
Co-inhibitory immune receptors can contribute to T cell dysfunction in patients with cancer,.
Blocking antibodies against cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and
programmed cell death 1 (PD-1) partially reverse this effect and are becoming standard of
care in an increasing number of malignancies. However, many of the other axes by which
tumours become inhospitable to T cells are not fully understood. Here we report that V-
domain immunoglobulin suppressor of T cell activation (VISTA) engages and suppresses T …
Abstract
Co-inhibitory immune receptors can contribute to T cell dysfunction in patients with cancer,. Blocking antibodies against cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and programmed cell death 1 (PD-1) partially reverse this effect and are becoming standard of care in an increasing number of malignancies. However, many of the other axes by which tumours become inhospitable to T cells are not fully understood. Here we report that V-domain immunoglobulin suppressor of T cell activation (VISTA) engages and suppresses T cells selectively at acidic pH such as that found in tumour microenvironments. Multiple histidine residues along the rim of the VISTA extracellular domain mediate binding to the adhesion and co-inhibitory receptor P-selectin glycoprotein ligand-1 (PSGL-1). Antibodies engineered to selectively bind and block this interaction in acidic environments were sufficient to reverse VISTA-mediated immune suppression in vivo. These findings identify a mechanism by which VISTA may engender resistance to anti-tumour immune responses, as well as an unexpectedly determinative role for pH in immune co-receptor engagement.
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