DOI: 10.1084/jem.20261199 ISSN: 0022-1007

Colorectal cancers with distinct metastatic potential trigger divergent early T cell responses

Marwa Saad, Alexandra Thoms, Yue S. Yin, Izabela Mamede, Afsana Rahman, Ruonan Chen, Sebastián E. Carrasco, Patrick W. Darcy, Norihiro Goto, Sohail F. Tavazoie, Angelina M. Bilate, Daniel Mucida

Colorectal cancer (CRC) remains a leading cause of mortality, with most cases refractory to immunotherapy. Distinguishing tumor-induced from steady-state mucosal T cell responses represents a critical barrier to understanding CRC immunity. Using orthotopic transplantation of CRC organoids with and without metastatic potential, combined with T cell fate-mapping, we show that nonmetastatic tumors elicit early recruitment of CD8αβ+ and CD4+ T cells with cytotoxic and Th1-like programs, whereas pro-metastatic (pro-Met) tumors induce a naïve-like, hypoactivated state. Tumor-infiltrating CD4+ T cells underwent clonal expansion, including clones recognizing microbial and dietary antigens. T cells physically interacting with tumors, identified by universal LIPSTIC, were enriched for expanded and cytotoxic clones. Fate-mapped T cells from nonmetastatic tumors suppressed tumor growth in an IFN-γ–dependent manner. Mechanistically, pro-Met tumors downregulated MHCII, and Ciita targeting in nonmetastatic organoids reduced CD4+ clonal expansion and led to tumor progression. Together, these findings define divergent early T cell trajectories associated with CRC metastasis, indicating that ineffective local immune engagement precedes metastatic dissemination.

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