%0 Journal Article %T Redirection to the bone marrow improves T cell persistence and antitumor functions %A Angelika Holler %A Anjum B. Khan %A Barry Flutter %A Ben Carpenter %A Calum Forrest %A Clare L. Bennett %A Constina Pospori %A Cristina Lo Celso %A Emma Morris %A Hans Stauss %A James Griffin %A Maryam Ahmadi %A Mathias Zech %A Pedro Santos e Sousa %A Pedro Velica %A Reema Khorshed %A Ronjon Chakraverty %A Sara Ghorashian %A Sara Gonzalez Anton %A Sharyn Thomas %A Terry K. Means %A Zaida Ramirez-Ortiz %J The Journal of Clinical Investigation %D 2018 %R 10.1172/JCI97454 %X A key predictor for the success of gene-modified T cell therapies for cancer is the persistence of transferred cells in the patient. The propensity of less differentiated memory T cells to expand and survive efficiently has therefore made them attractive candidates for clinical application. We hypothesized that redirecting T cells to specialized niches in the BM that support memory differentiation would confer increased therapeutic efficacy. We show that overexpression of chemokine receptor CXCR4 in CD8+ T cells (TCXCR4) enhanced their migration toward vascular-associated CXCL12+ cells in the BM and increased their local engraftment. Increased access of TCXCR4 to the BM microenvironment induced IL-15¨Cdependent homeostatic expansion and promoted the differentiation of memory precursor¨Clike cells with low expression of programmed death-1, resistance to apoptosis, and a heightened capacity to generate polyfunctional cytokine-producing effector cells. Following transfer to lymphoma-bearing mice, TCXCR4 showed a greater capacity for effector expansion and better tumor protection, the latter being independent of changes in trafficking to the tumor bed or local out-competition of regulatory T cells. Thus, redirected homing of T cells to the BM confers increased memory differentiation and antitumor immunity, suggesting an innovative solution to increase the persistence and functions of therapeutic T cells %U https://www.jci.org/articles/view/97454