Activated T cell extracellular vesicle DNA transfer enhances antigen presentation and anti-tumor immunity

Cancer Cell. 2026 May 11;44(5):965-982.e12. doi: 10.1016/j.ccell.2026.03.023. Epub 2026 Apr 30.

Abstract

Antigen processing and presentation (APP) is essential for adaptive immunosurveillance. We uncover a mechanism whereby activated T cell-derived extracellular vesicles (ATEVs) drive a positive feedback loop that enhances antigen presentation and immune responses in normal physiology and cancer. ATEV-induced immunogenicity relies on extracellular vesicular double-stranded DNA (EVDNA), which is notably abundant and primarily composed of genomic DNA enriched in immune-related genes, including those encoding APP machinery. Mechanistically, granzyme B (Gzmb) packaged by ATEVs disrupts the nuclear envelope of recipient cells, facilitating intranuclear transfer and subsequent transient expression of EVDNA encoding APP genes. DNase treatment removes most AT-EVDNA, abrogating APP upregulation and thus T cell activation and recruitment to tumors. Notably, ATEVs hold promise as an acellular immunotherapy, restoring APP and synergizing with checkpoint blockade in immunotherapy-refractory tumors. Collectively, our findings uncover a mechanism of transient, non-viral gene delivery by ATEVs that boosts APP and anti-tumor immunity while limiting autoimmunity.

Keywords: EV(DNA); acellular immunotherapy; activated T cell-derived EVs; antigen presentation; gene transfer.

MeSH terms

  • Animals
  • Antigen Presentation*
  • Cytosol / chemistry
  • DNA / metabolism
  • Dendritic Cells / cytology
  • Dendritic Cells / immunology
  • Extracellular Vesicles* / genetics
  • Female
  • Homeostasis
  • Lymphocyte Activation*
  • Major Histocompatibility Complex
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Neoplasms / immunology
  • Spleen / cytology
  • T-Lymphocytes* / cytology
  • T-Lymphocytes* / immunology
  • Tumor Escape
  • Up-Regulation

Substances

  • DNA