Investigating regulatory mechanisms of T cell effector function

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Abstract/Contents

Abstract
T cells play an important role in recognizing and eliminating malignant cells, as well as providing protection from infectious pathogens. Multiple therapeutic modalities including vaccination, immune checkpoint blockade, and adoptive T cell therapy depend on robust T cell responses. Tumor microenvironments are often characterized by local immunosuppression and decreased T cell effector function. Consequently, increasing T cell effector activity in tumors is a common objective for the development of cancer therapeutics. Conversely, autoimmune disease progression is mediated by an imbalanced effector and regulatory immune response, prompting development of therapeutics to diminish T cell effector activity. Therefore, regulatory mechanisms that control differentiation and function of T cells are relevant for applications in medicine. In this dissertation, I will describe our work to identify regulators of T cell effector function. This question is first addressed in the context of cancer using a model system that mimics chronic antigen exposure to induce T cell dysfunction. Using genome-wide CRISPR screening, we identify the Meditator kinase module as a novel regulator of T cell function. We demonstrate this finding can be leveraged through genetic engineering and pharmacological approaches to augment T cell anti-tumor activity. This study further implicates interactions between the kinase module and core Mediator as a major axis of regulation of T cell differentiation. Technologies to inactivate genes are increasingly available for emerging applications in human medicine highlighting the potential for clinical translation of these findings. In the final chapter of this dissertation, I investigate the expression of immunomodulatory receptors in T cells isolated from patients with autoimmune disease. We identify receptors that are differentially expressed between effector and regulatory T cell subsets, providing a basis for selectively targeting effector T cells while preserving the function of regulatory T cells. Collectively, these studies explore multiple mechanisms to enhance or diminish T cell effector responses, providing new avenues for development of T cell directed therapeutics.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2023; ©2023
Publication date 2023; 2023
Issuance monographic
Language English

Creators/Contributors

Author Freitas, Katherine Ann
Degree supervisor Mackall, Crystal
Thesis advisor Mackall, Crystal
Thesis advisor Engleman, Edgar G
Thesis advisor Majzner, Robbie
Thesis advisor Satpathy, Ansuman
Degree committee member Engleman, Edgar G
Degree committee member Majzner, Robbie
Degree committee member Satpathy, Ansuman
Associated with Stanford University, School of Medicine
Associated with Stanford University, Program in Immunology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Katherine Ann Freitas.
Note Submitted to the Program in Immunology.
Thesis Thesis Ph.D. Stanford University 2023.
Location https://purl.stanford.edu/kp456hd8349

Access conditions

Copyright
© 2023 by Katherine Ann Freitas

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