Abstract

Simple SummaryThe transcription factor T cell factor 1 (TCF1), encoded by the TCF7 gene, is a key regulator of T-cell fate, which is known to promote T cell proliferation and establish T cell stemness. Importantly, increasing evidence has demonstrated that TCF1 is a critical determinant of the success of anti-tumor immunotherapy, implicating that TCF1 is a promising biomarker and therapeutic target in cancer. In recent years, new findings have emerged to provide a clearer view of TCF1 and its role in T cell biology. In this review, we aim to provide a comprehensive outline of the most recent literature on the role of TCF1 in T cell development and to discuss the potential of TCF1 in sustaining CD8+ T lymphocyte-directed anti-tumor immunity.T cell factor 1 (TCF1) is a transcription factor that has been highlighted to play a critical role in the promotion of T cell proliferation and maintenance of cell stemness in the embryonic and CD8+ T cell populations. The regulatory nature of TCF1 in CD8+ T cells is of great significance, especially within the context of T cell exhaustion, which is linked to the tumor and viral escape in pathological contexts. Indeed, inhibitory signals, such as programmed cell death 1 (PD-1) and cytotoxic-T-lymphocyte-associated protein 4 (CTLA-4), expressed on exhausted T lymphocytes (TEX), have become major therapeutic targets in immune checkpoint blockade (ICB) therapy. The significance of TCF1 in the sustenance of CTL-mediated immunity against pathogens and tumors, as well as its recently observed necessity for an effective anti-tumor immune response in ICB therapy, presents TCF1 as a potentially significant biomarker and/or therapeutic target for overcoming CD8+ T cell exhaustion and resistance to ICB therapy. In this review, we aim to outline the recent findings on the role of TCF1 in T cell development and discuss its implications in anti-tumor immunity.

Highlights

  • In recent years, studies into the regulatory effects of the transcription factor T cell factor 1 (TCF1) have become a rising trend in the CD8+ T cell differentiation and exhaustion research area

  • New emerging studies appear to hint towards a new potential approach that utilizes cell stemness for combating T cell exhaustion while promoting effector functionality [3,4,5]

  • CD8+ T cells for maintaining cell stemness and memory cell formation could be potentially invaluable in the treatment of cancer patients who show a diminishing population of CD8+

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Summary

Introduction

Studies into the regulatory effects of the transcription factor T cell factor 1 (TCF1) have become a rising trend in the CD8+ T cell differentiation and exhaustion research area. To combat T cell exhaustion, immune checkpoint blockade (ICB) has been developed as a strategy of preventing the ligation of inhibitory receptors on CD8+ T cells using monoclonal antibody technology. Previous studies have delved into various potential strategies for delaying or preventing T cell exhaustion, including antivascular endothelial growth factor (VEGF) therapies and the transfer of engineered T cells expressing checkpoint inhibitors. Studies have found the subset of TCF1+ CD8+ T cells to be essential in mounting an effective immune response in viral infections and cancer [6,7,8]. TCF1 has been recently implicated in the regulation and determination of Foxp3+ regulatory T cells (Tregs) [9]

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