Desai, Nidhi Nitin

Abstract The role of Bcl6 expression in different immune compartments in regulating anti-tumor immunity is relatively unknown. Previous studies have linked Bcl6 expression in PBMC with poor prognosis in non-small cell lung cancer. We found that high expression of Bcl6 in tumor predicts survival in gastric and ovarian cancers. Using cell type specific conditional knockouts, we were able to investigate the contribution of Bcl6 expression in different lineages in modulating immune response to subcutaneously implanted B16-ova melanoma tumors. Myeloid deficiency of Bcl6 results in decreased tumor growth and metastasis. This is accompanied by enrichment of antigen specific T cells within the tumor. These tumor infiltrating T cells show an increased expression of exhausted markers such as PD-1, Lag-3 and Tim-3. Tumor associated innate cells also upregulate PD-L1. Furthermore, the TILs display an enhanced effector profile measured by robust production of granzyme B, interferon gamma and CCL3 on ex vivo stimulation. This is accompanied by increase in poly-functional CD8 T cells. Our result suggests that Bcl6 expression in the monocyte/macrophage lineage dampens the development of effective anti-tumor immunity and augments immunosuppressive tumor microenvironment. We will elucidate the exact underlying mechanisms and evaluate the translational potential of Bcl6 inhibitors in conjunction with immune checkpoint blockade in the future.