%0 Journal Article %T ZNF683 marks a CD8+ T cell population associated with anti-tumor immunity following anti-PD-1 therapy for Richter syndrome. %A Parry EM %A Lemvigh CK %A Deng S %A Dangle N %A Ruthen N %A Knisbacher BA %A Broséus J %A Hergalant S %A Guièze R %A Li S %A Zhang W %A Johnson C %A Long JM %A Yin S %A Werner L %A Anandappa A %A Purroy N %A Gohil S %A Oliveira G %A Bachireddy P %A Shukla SA %A Huang T %A Khoury JD %A Thakral B %A Dickinson M %A Tam C %A Livak KJ %A Getz G %A Neuberg D %A Feugier P %A Kharchenko P %A Wierda W %A Olsen LR %A Jain N %A Wu CJ %J Cancer Cell %V 41 %N 10 %D 2023 10 9 %M 37738974 %F 38.585 %R 10.1016/j.ccell.2023.08.013 %X Unlike many other hematologic malignancies, Richter syndrome (RS), an aggressive B cell lymphoma originating from indolent chronic lymphocytic leukemia, is responsive to PD-1 blockade. To discover the determinants of response, we analyze single-cell transcriptome data generated from 17 bone marrow samples longitudinally collected from 6 patients with RS. Response is associated with intermediate exhausted CD8 effector/effector memory T cells marked by high expression of the transcription factor ZNF683, determined to be evolving from stem-like memory cells and divergent from terminally exhausted cells. This signature overlaps with that of tumor-infiltrating populations from anti-PD-1 responsive solid tumors. ZNF683 is found to directly target key T cell genes (TCF7, LMO2, CD69) and impact pathways of T cell cytotoxicity and activation. Analysis of pre-treatment peripheral blood from 10 independent patients with RS treated with anti-PD-1, as well as patients with solid tumors treated with anti-PD-1, supports an association of ZNF683high T cells with response.