Absence of Grail promotes CD8 + T cell anti-tumour activity

T-cell tolerance is a major obstacle to successful cancer immunotherapy; thus, developing strategies to break immune tolerance is a high priority. Here we show that expression of the E3 ubiquitin ligase Grail is upregulated in CD8 + T cells that have infiltrated into transplanted lymphoma tumours, and Grail deficiency confers long-term tumour control. Importantly, therapeutic transfer of Grail-deficient CD8 + T cells is sufficient to repress established tumours. Mechanistically, loss of Grail enhances anti-tumour reactivity and functionality of CD8 + T cells. In addition, Grail-deficient CD8 + T cells have increased IL-21 receptor (IL-21R) expression and hyperresponsiveness to IL-21 signalling as Grail promotes IL-21R ubiquitination and degradation. Moreover, CD8 + T cells isolated from lymphoma patients express higher levels of Grail and lower levels of IL-21R, compared with CD8 + T cells from normal donors. Our data demonstrate that Grail is a crucial factor controlling CD8 + T-cell function and is a potential target to improve cytotoxic T-cell activity.