A Spatial Multi-Omic Framework Identifies Gliomas Permissive to TIL Expansion.

A Spatial Multi-Omic Framework Identifies Gliomas Permissive to TIL Expansion.

Khasraw, Mustafa; Hotchkiss, Kelly; Zhang, Kenan; Corcoran, Anna; Owens, Elizabeth; Noldner, Pamela; Railton, Chelsea; Batavia, Kyra Van; Zhou, Ying; Jepson, Jodie; Singh, Kirit; McLendon, Roger; Batich, Kristen; Patel, Anoop; Ayasoufi, Katayoun; Brown, Michael; Calabrese, Evan; Xie, Jichun; Conejo-Garcia, Jose; Shaz, Beth; Hickey, John
Research square 2025
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khasraw2025a

Abstract

Tumor-infiltrating lymphocyte (TIL) therapy, recently approved by the FDA for melanoma, is an emerging modality for cell-based immunotherapy. However, its application in immunologically "cold" tumors such as glioblastoma remains limited due to sparse T cell infiltration, antigenic heterogeneity, and a suppressive tumor microenvironment. To identify genomic and spatial determinants of TIL expandability, we performed integrated, multimodal profiling of high-grade gliomas using spectral flow cytometry, TCR sequencing, single-cell RNA-seq, Xenium transcriptomics, and CODEX spatial proteomics. Comparative analysis of TIL-generating (TIL⁺) versus non-generating (TIL⁻) tumors revealed that expression, structured perivascular immune clustering, and tumor-intrinsic metabolic programs such as were associated with successful TIL expansion. In contrast, TIL⁻tumors were enriched for neuronal lineage signatures, immunosuppressive transcripts including and , and tumor-connected macrophages. This study defines spatial and molecular correlates of TIL manufacturing success and establishes a genomics-enabled selection platform for adoptive T cell therapy. The profiling approach is now being prospectively implemented in the GIANT clinical trial (NCT06816927), supporting its translational relevance and scalability across glioblastoma and other immune-excluded cancers.

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