Evidence map›Paper›PMID 42406997›Full record

ArticleCancer research2026

TLR9 Agonists Potentiate Adoptive T-cell Therapy in Cancer through a B-cell-CD2 Costimulatory Axis.

Ayana T Ruffin, Vasili Toliopoulos, Aubrey S Smith, Soundharya Kumaresan, Megan M Wyatt, Meredith Salzinger, Anna C Cole, Megen C Wittling, Rachel L Mason, James H Carmouche and 5 more

Abstract read
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In one paragraph

Article in Cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Ayana T RuffinDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0002-5837-5871
Vasili ToliopoulosDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0009-0004-4069-9570
Aubrey S SmithDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0003-3693-4262
Soundharya KumaresanDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0001-5946-1678
Megan M WyattDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0003-1316-260X
Meredith SalzingerDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0009-0006-3512-7054
Anna C ColeDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0002-2832-2824
Megen C WittlingDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0002-3631-4955
Rachel L MasonDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0009-0006-1547-5588
James H CarmoucheDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0009-0001-5289-7732
Mahmoud A AbdelbaryDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0002-6989-5194
Yuan LiuDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia.ORCID 0000-0001-8926-3058
Avery D PoseyDepartment of Systems Pharmacology and Translational Therapeutics, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-8711-629X
Gregory B LesinskiDepartment of Hematology and Medical Oncology, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0002-8787-7678
Chrystal M PaulosDepartment of Surgery, Winship Cancer Institute of Emory University, Atlanta, Georgia.ORCID 0000-0002-0784-2601

Funding

Burroughs Wellcome Fund (BWF) 1271742Cancer Research Institute (CRI) CRI5296National Cancer Institute (NCI) R01CA275199National Cancer Institute (NCI) R01CA287866National Cancer Institute (NCI) R01CA300792
6 · The paper itself

Abstract

Adoptive T-cell transfer (ACT) therapy offers curative potential for some patients with cancer. Toll-like receptor (TLR) agonists improve the efficacy of ACT therapy, and elucidating the underlying mechanism of potency could help determine the best way to maximize the benefits of TLR agonists. In this study, we identified an innate-adaptive circuit in which TLR9-activated B cells augment CD8+ T-cell fitness and antitumor activity through CD2-dependent costimulation. Among multiple TLR agonists tested, class B CpG uniquely programmed murine and human CD8+ T cells for superior effector differentiation, metabolic fitness, and antitumor control. Disruption of CD2 signaling blunted the benefits of TLR9 agonism, including impaired glycolytic capacity and reduced tumor control. Independently, blocking other costimulatory molecules, such as CD86, CD80, CD28, or inducible T-cell costimulator (ICOS), did not impair the antitumor activity of CpG-conditioned T cells. Gain-of-function experiments revealed that CD2 stimulation recapitulated the effect of TLR9 agonism, bolstering the effector function of tumor-infiltrating lymphocytes and chimeric antigen receptor (CAR) T cells. Consistent with these findings, elevated CD2 expression in human tumors correlated with improved overall survival across multiple patient cohorts with cancer, underscoring the clinical importance of this signaling cue. Together, these data uncover a noncanonical B-cell-CD2 costimulation axis through which TLR9 agonists potentiate ACT, revealing a targetable pathway to overcome resistance to cell therapy in solid tumors. SIGNIFICANCE: B cells activated with TLR9 agonist cross-talk with CD8+ T cells via CD2, which enhances their fitness, cytotoxic function, and antitumor activity against solid tumors.

Indexed as

B-LymphocytesCD2 AntigensImmunotherapy, AdoptiveNeoplasmsToll-Like Receptor 9AnimalsCD8-Positive T-LymphocytesCell Line, TumorFemaleHumansLymphocyte ActivationMiceOligodeoxyribonucleotidesSignal TransductionToll-Like Receptor AgonistsCD2 AntigensOligodeoxyribonucleotidesToll-Like Receptor 9Toll-Like Receptor Agonists

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.