Abstract 162: Early CD8+T and NK cell interactions orchestrate preemptive immunosurveillance to potentiate optimal cytotoxicity that blocks tumor antigen-escape variants.

Abstract Background: Tumor antigen-escape variants pose a major barrier to immunotherapy by disrupting lymphocyte effector pathways and reconfiguring tumor-immune landscapes. A deeper understanding of immune networks during tumor development is required. We assessed whether homeostatic CD8+ T cell-NK cell interactions can preemptively block tumor antigen escape. Methods: Adoptive CD8+ T cell transfers were performed either before tumor implantation (D-7, homeostatic pre-priming) or after tumor establishment (D+1) in Rag1-/- and Rag1-/-γc-/- mice. Antigen presentation, immune activation, proliferation, cytotoxicity, and memory differentiation were quantified using multiparameter flow cytometry, live bioluminescence imaging, and high-resolution confocal microscopy. Intercellular interactions were modeled through monoculture, co-culture, and a 3D silica nanofiber carpet that recapitulates basement-membrane-like architecture. Phospho-signaling arrays and cellular motion metrics (Speed-Distance Index, deceleration) were employed to assess activation dynamics and coordination. Human ligand-receptor pairs implicated in CD8+ T-NK cell crosstalk were identified through in silico analyses. Results and Discussion: Our study shows that pre-tumor (D-7) CD8+ T cell transfer establishes a preemptive immune surveillance network by orchestrating NK cell activation and effector function. These early T cells enhance NK cytotoxicity (CD25, CD69, CD107a, T-bet, GzmB) and promote CD62L+CD44+ central-memory CD8+ T (TCM) precursors, providing immediate and long-term protection. Spatial analyses reveal that early T cells reposition NK cells toward tumors, increasing synapse formation and infiltration effects absent in post-tumor (D+1) transfers that allow antigen-loss variants despite potent T cell cytotoxicity. Mechanistically, CD8+ T-NK interactions via pseudopodial nanotubes enable bidirectional membrane/vesicle exchange and coordinated STAT, Akt, AMPK, and mTOR signaling, enhancing NK metabolic fitness, mitochondrial potential, and TCM differentiation. In silico analyses identify conserved human adhesion and co-signaling networks (CD200-CD200R, PD-L1-PD-1, CD18/CD11a-DNAM-1, TIGIT-PVR, NTB-A/SLAM) regulating adhesion, activation thresholds, and cooperative effector functions, with translational relevance. Precise molecular signaling remains under investigation. Conclusion: Early CD8+ T-NK crosstalk establishes preemptive immunosurveillance by integrating metabolic, cytokine, and adhesion signals to potentiate optimal cytotoxicity blocking tumor antigen escape. This axis represents a targetable checkpoint and a framework for next-generation preventive immunotherapies against antigen-loss tumors. Citation Format: Thanigaivelan Kanagasabai, Salvador Gonzalez Ochoa, Roman V. Uzhachenko, Maria Teresa P. de Aquino, Harshana Rajakaruna, Muna A. Mohammed, Jane Tonello, Maria Johnson Irudayam, Alla V. Ivanova, Anil Shanker. Early CD8+T and NK cell interactions orchestrate preemptive immunosurveillance to potentiate optimal cytotoxicity that blocks tumor antigen-escape variants abstract. In: Proceedings of the American Association for Cancer Research Annual Meeting 2026; Part 1 (Regular Abstracts); 2026 Apr 17-22; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2026;86(7 Suppl):Abstract nr 162.