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Flow cytometry data mining by cytoChain identifies determinants of exhaustion and stemness in TCR-engineered T cells
Authors:Francesco Manfredi  Danilo Abbati  Beatrice Claudia Cianciotti  Lorena Stasi  Alessia Potenza  Eliana Ruggiero  Zulma Magnani  Erica Carnevale  Matteo Doglio  Maddalena Noviello  Elena Tassi  Chiara Balestrieri  Silvia Buonanno  Francesca Clemente  Claudia De Lalla  Maria Pia Protti  Anna Mondino  Giulia Casorati  Paolo Dellabona  Chiara Bonini
Affiliation:1. Experimental Hematology Unit, San Raffaele Scientific Institute, Milan, Italy;2. Experimental Hematology Unit, San Raffaele Scientific Institute, Milan, Italy

Francesco Manfredi and Danilo Abbati equally contributed as a first author.;3. Vita Salute San Raffaele University, Milan, Italy;4. Experimental Hematology Unit, San Raffaele Scientific Institute, Milan, Italy

School of Medicine and Surgery, University of Milano–Bicocca, Milan, Italy;5. Experimental Hematology Unit, San Raffaele Scientific Institute, Milan, Italy

Vita Salute San Raffaele University, Milan, Italy;6. Tumor Immunology Unit, San Raffaele Scientific Institute, Milan, Italy;7. Experimental Immunology Unit, San Raffaele Scientific Institute, Milan, Italy;8. Lymphocyte Activation Unit, San Raffaele Scientific Institute, Milan, Italy

Abstract:The phenotype of infused cells is a major determinant of Adoptive T-cell therapy (ACT) efficacy. Yet, the difficulty in deciphering multiparametric cytometry data limited the fine characterization of cellular products. To allow the analysis of dynamic and complex flow cytometry samples, we developed cytoChain, a novel dataset mining tool and a new analytical workflow. CytoChain was challenged to compare state-of-the-art and innovative culture conditions to generate stem-like memory cells (TSCM) suitable for ACT. Noticeably, the combination of IL-7/15 and superoxides scavenging sustained the emergence of a previously unidentified nonexhausted Fit-TSCM signature, overlooked by manual gating and endowed with superior expansion potential. CytoChain proficiently traced back this population in independent datasets, and in T-cell receptor engineered lymphocytes. CytoChain flexibility and function were then further validated on a published dataset from circulating T cells in COVID-19 patients. Collectively, our results support the use of cytoChain to identify novel, functionally critical immunophenotypes for ACT and patients immunomonitoring.
Keywords:Adoptive T-cell therapy  COVID-19  Flow Cytometry  High-dimensional analysis  Immune exhaustion
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