TMEM33 deletion potentiates anti-tumor CD8 <sup>+</sup> T cell immunity

Improving responses to cancer immunotherapies requires deeper insight into the cellular mechanisms governing T cell-mediated anti-tumor immunity. TMEM33 is an endoplasmic reticulum-resident transmembrane protein enriched across multiple tumor types, with reported functions in anti-viral immunity as well as calcium and lipid homeostasis, yet its role in tumor immunosurveillance remains unknown. Using murine genetic models, we demonstrate that host TMEM33 constrains anti-tumor CD8<sup>+</sup> T cell responses. Constitutive <i>Tmem33</i> <sup><i>-/-</i></sup> mice exhibited delayed melanoma tumor growth and increased CD8<sup>+</sup> T cell infiltration. Antigen-specific CD8<sup>+</sup> compartments in tumors of <i>Tmem33</i> <sup><i>-/-</i></sup> mice showed TCF-1<sup>+</sup>PD-1<sup>+</sup> progenitor-exhausted cell (Tpex) enrichment, elevated effector function and reduced exhaustion, alongside improved effector memory expansion and T-bet expression in draining lymph nodes. We highlight that TMEM33 functions intrinsically within the T cell compartment, as TMEM33 deletion (1) enhanced polyclonal activation of naive CD8<sup>+</sup> T cells <i>ex vivo</i>, (2) promoted preferential Tpex accumulation among adoptively transferred naive OT-I cells in B16F10-OVA tumors and draining lymph nodes, and (3) improved the potency of <i>ex vivo</i>-expanded OT-I cells in controlling tumor growth during adoptive cell therapy. Finally, in a large, prospectively recruited metastatic melanoma cohort, lower <i>TMEM33</i> expression in patient CD8<sup>+</sup> T cells significantly correlated with improved survival and elevated <i>TCF-7</i> (encoding TCF-1). Collectively, our findings define TMEM33 as a formerly unrecognized intrinsic determinant of tumor-directed CD8<sup>+</sup> T cell fate that limits Tpex maintenance, and restrains cell therapy responses, suggesting that its modulation may strengthen immunotherapeutic efficacy.

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Publication Details

Journal
bioRxiv (Cold Spring Harbor Laboratory)
Published
2026-01-02
DOI
https://doi.org/10.64898/2026.01.01.697288
Primary Topic
Cancer Immunotherapy and Biomarkers
Type
article
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article

TMEM33 deletion potentiates anti-tumor CD8 + T cell immunity

E.N. Honore, Bruno Beernaert, Maria Aggelakopoulou, Dmitry I. Gabrilovich et al.
bioRxiv (Cold Spring Harbor Laboratory)
Cancer Immunotherapy and Biomarkers
article

TMEM33 deletion potentiates anti-tumor CD8 + T cell immunity

E.N. Honore, Bruno Beernaert, Maria Aggelakopoulou, Dmitry I. Gabrilovich, Eleni Adamopoulou, Amit Grover, Tim Elliott, Hala Estephan, J. Kwon, Matthew Jackson, Claire Willis, T. Zhao, Christian Zierhut, Silvia Panetti, Gusztav Milotay, John C. Christianson, Vinnycius Pereira Almeida, Benjamin P Fairfax, Isabela Pedroza-Pacheco, Yanshu Cai, Eileen E Parkes, Malcolm JW Sim, Jan Rehwinkel, David R Withers, Su M Phyu
article en

Abstract

Improving responses to cancer immunotherapies requires deeper insight into the cellular mechanisms governing T cell-mediated anti-tumor immunity. TMEM33 is an endoplasmic reticulum-resident transmembrane protein enriched across multiple tumor types, with reported functions in anti-viral immunity as well as calcium and lipid homeostasis, yet its role in tumor immunosurveillance remains unknown. Using murine genetic models, we demonstrate that host TMEM33 constrains anti-tumor CD8<sup>+</sup> T cell responses. Constitutive <i>Tmem33</i> <sup><i>-/-</i></sup> mice exhibited delayed melanoma tumor growth and increased CD8<sup>+</sup> T cell infiltration. Antigen-specific CD8<sup>+</sup> compartments in tumors of <i>Tmem33</i> <sup><i>-/-</i></sup> mice showed TCF-1<sup>+</sup>PD-1<sup>+</sup> progenitor-exhausted cell (Tpex) enrichment, elevated effector function and reduced exhaustion, alongside improved effector memory expansion and T-bet expression in draining lymph nodes. We highlight that TMEM33 functions intrinsically within the T cell compartment, as TMEM33 deletion (1) enhanced polyclonal activation of naive CD8<sup>+</sup> T cells <i>ex vivo</i>, (2) promoted preferential Tpex accumulation among adoptively transferred naive OT-I cells in B16F10-OVA tumors and draining lymph nodes, and (3) improved the potency of <i>ex vivo</i>-expanded OT-I cells in controlling tumor growth during adoptive cell therapy. Finally, in a large, prospectively recruited metastatic melanoma cohort, lower <i>TMEM33</i> expression in patient CD8<sup>+</sup> T cells significantly correlated with improved survival and elevated <i>TCF-7</i> (encoding TCF-1). Collectively, our findings define TMEM33 as a formerly unrecognized intrinsic determinant of tumor-directed CD8<sup>+</sup> T cell fate that limits Tpex maintenance, and restrains cell therapy responses, suggesting that its modulation may strengthen immunotherapeutic efficacy.

bioRxiv (Cold Spring Harbor Laboratory)
Institute of Cancer Research (GB), Chinese Academy of Medical Sciences & Peking Union Medical College (CN), Nuffield Orthopaedic Centre (GB), University of Oxford (GB), Ludwig Cancer Research (GB), MRC Weatherall Institute of Molecular Medicine (GB), AstraZeneca (Netherlands) (NL), AstraZeneca (Singapore) (SG), Institut de Pharmacologie Moléculaire et Cellulaire (FR)
Openalex Percentile: Top 99%
Cancer Immunotherapy and Biomarkers
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