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Human CD4 T cells coordinate antitumor immunity through indirect antigen presentation

Roy, G.; Ruterbusch, M.; Bakhtiari, J.; Shasha, C.; Lee, S. M.; Moshiri, A. S.; Wood, C.; Hopwo, K.; Witkowski, M.; Szeto, J.; Singhi, N.; Iuliano, M.; Guenette, S.; McKenna, K. M.; Newell, E.; Rongvaux, A.; Veatch, J. R.

2026-10-07 immunology
10.64898/2026.09.30.755788 bioRxiv
Show abstract

Whether human tumor-specific CD4 T cells can drive antitumor immunity in cancers lacking tumor-cell MHC class II expression has not been established. In MHC class II-negative melanoma and breast cancer, CD4 T cells with a transcriptional signature of tumor specificity correlated with myeloid and CD8 T cell activation. Using a patient-derived NY-ESO-specific, HLA-DP04-restricted TCR, we tested whether human CD4 T cells could control tumors through indirect antigen presentation. In vitro, CD4 T cells inhibited HLA-DP-negative melanoma growth through recognition of tumor-derived antigen on antigen presenting cells (APC). In humanized mice, CD4 T cell transfer induced regression of HLA-DP-negative tumors, and control required HLA-matched human APCs. CD4 T cell transfer induced endogenous CD8 T cell proliferation and myeloid activation that mirrored immune programs correlated with the presence of these cells in patients. These findings establish that human tumor-specific CD4 T cells coordinate antitumor immunity through APC without direct tumor recognition, supporting their therapeutic relevance in MHC class II-negative cancers.

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