Intratumoral Treg cell ablation elicits NK cell-mediated control of CD8 T cell-resistant tumors

Sci Immunol. 2026 Apr 10;11(118):eadx4411. doi: 10.1126/sciimmunol.adx4411. Epub 2026 Apr 10.

Abstract

Cancer cells frequently lose major histocompatibility complex class I (MHC I) to evade CD8 T cell recognition. Natural killer (NK) cells are poised to target MHC I-deficient cancer cells, but MHC I loss alone is often insufficient to unleash fully effective NK cell responses. Here, we show that selective intratumoral (IT) ablation of regulatory T cells (Treg cells) elicited potent antitumor NK cell responses that controlled MHC I-deficient and even MHC I+ cancers that expressed NKG2D ligands. Treg cells controlled the activation, maturation, and antitumor cytotoxic activity of NK cells within the tumor microenvironment. Mechanistically, depletion of IT-Treg cells relieved the inhibition of cDC2-dependent induction of IL-2 production by conventional CD4 T cells that was necessary for NK cell activation. Systemically administered antibodies that selectively depleted IT-Treg cells similarly empowered NK cell-dependent tumor control. These findings expand the breadth of Treg cell-mediated cancer immunosuppression to encompass antitumor NK cells and suggest that therapeutic targeting of Treg cells in tumors can control CD8 T cell-resistant cancers.

MeSH terms

  • Animals
  • CD8-Positive T-Lymphocytes* / immunology
  • Cell Line, Tumor
  • Histocompatibility Antigens Class I / immunology
  • Humans
  • Killer Cells, Natural* / immunology
  • Mice
  • Mice, Inbred C57BL
  • Neoplasms* / immunology
  • T-Lymphocytes, Regulatory* / immunology
  • Tumor Microenvironment / immunology

Substances

  • Histocompatibility Antigens Class I