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. Author manuscript; available in PMC: 2024 Dec 2.
Published in final edited form as: Science. 2024 Oct 4;386(6717):eabq7248. doi: 10.1126/science.abq7248

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