Table 1. γδ T cells offer escape from issues limiting αβ T cell-based immunotherapies.
Phenotype relevant to immunotherapies | αβ T cells | γδ T cells |
---|---|---|
MHC-restriction limits unrestricted clinical application | Yes, for most αβ T cells | No obligate MHC restriction for γδ T cells |
Resistant to cancer cell loss of β2-microglobulin | No | Yes (function may be enhanced by this status) Yes: no evidence for widespread GVHD |
Function as allogeneic therapy off-the-shelf (a) | No: drives graft-versus-host disease (GVDH) | |
Function as allogeneic therapy off-the-shelf (b) | No: requires "cloaking" to avoid rejection | No: requires "cloaking" to avoid rejection; may also veto rejection |
Home to and function within extralymphoid tissues | Some subsets (e.g., TRM) adapt to tissues | Many subsets naturally localize to and function within tissues |
Readily recognise tumors with low neoantigen load | Only unconventional subsets (NKT, MAIT) may do this |
Yes |
Recognise a potentially vast diversity of cancer surface antigens | No | Yes |
Responds to ICB | Yes | Yes, with PD-1+ non-Vδ2 cells showing less exhaustion than PD1+ CD8+ αβ T cells |
Mostly cytolytic | No | Yes |
Adverse events | Potentially high because of CRS and cross-reactivity to normal self | Limited CRS because small fraction of CD3+ cells, and because of natural therapeutic window |
Establishing cure via immunological memory | Yes, directly | Yes, with capacity to orchestrate CD8+ αβ T cell memory |
ADCC | No, unless CAR-T engineered | Yes, naturally |
Capacity to cross-present peptide antigens to αβ T cells | No | Yes for Vγ9Vδ2 T cells |