- Heckler, Max;
- Ali, Lestat R;
- Clancy-Thompson, Eleanor;
- Qiang, Li;
- Ventre, Katherine S;
- Lenehan, Patrick;
- Roehle, Kevin;
- Luoma, Adrienne;
- Boelaars, Kelly;
- Peters, Vera;
- McCreary, Julia;
- Boschert, Tamara;
- Wang, Eric S;
- Suo, Shengbao;
- Marangoni, Francesco;
- Mempel, Thorsten R;
- Long, Henry W;
- Wucherpfennig, Kai W;
- Dougan, Michael;
- Gray, Nathanael S;
- Yuan, Guo-Cheng;
- Goel, Shom;
- Tolaney, Sara M;
- Dougan, Stephanie K
CDK4/6 inhibitors are approved to treat breast cancer and are in trials for other malignancies. We examined CDK4/6 inhibition in mouse and human CD8+ T cells during early stages of activation. Mice receiving tumor-specific CD8+ T cells treated with CDK4/6 inhibitors displayed increased T-cell persistence and immunologic memory. CDK4/6 inhibition upregulated MXD4, a negative regulator of MYC, in both mouse and human CD8+ T cells. Silencing of Mxd4 or Myc in mouse CD8+ T cells demonstrated the importance of this axis for memory formation. We used single-cell transcriptional profiling and T-cell receptor clonotype tracking to evaluate recently activated human CD8+ T cells in patients with breast cancer before and during treatment with either palbociclib or abemaciclib. CDK4/6 inhibitor therapy in humans increases the frequency of CD8+ memory precursors and downregulates their expression of MYC target genes, suggesting that CDK4/6 inhibitors in patients with cancer may augment long-term protective immunity. SIGNIFICANCE: CDK4/6 inhibition skews newly activated CD8+ T cells toward a memory phenotype in mice and humans with breast cancer. CDK4/6 inhibitors may have broad utility outside breast cancer, particularly in the neoadjuvant setting to augment CD8+ T-cell priming to tumor antigens prior to dosing with checkpoint blockade.This article is highlighted in the In This Issue feature, p. 2355.