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OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015) BIOGRAPHICAL SKETCH Provide the following information for the Senior/key personnel and other significant contributors. Follow this format for each person. DO NOT EXCEED FIVE PAGES. NAME: Kaech, Susan eRA COMMONS USER NAME (agency login): POSITION TITLE: Professor of Immunobiology EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable.) INSTITUTION AND LOCATION DEGREE (if applicable) Completion MM/YYYY University of Washington, Seattle, WA Stanford University, Stanford, CA BS PHD 05/1993 05/1998 Date FIELD OF STUDY Cellular and Molecular Biology Developmental Biology A. Personal Statement Immunological memory is one of the cardinal hallmarks of our immune system and Dr. Kaech is a leading authority in the area of effector and memory T cell development during viral and bacterial infections. Her lab elucidates basic principals underlying the development of long-lived memory T cells following infection, and has been a major leader in identifying the genetic pathways that regulate the formation of virus-specific effector and memory T cells during acute and chronic viral infection. Her labs work has provided considerable mechanistic insight into the process of generating long-lived memory T cells during infection. Dr. Kaech has extensive experience studying T cell responses to acute and chronic lymphocytic choriomeningitis virus (LCMV), Listeria and more recently influenza infection. Through this work, her lab has made several seminal discoveries on the regulation of CD8 and CD4 memory T cell differentiation. In particular, her work has distinguished cellular precursors of long-lived memory CD8 T cells and has begun to elucidate the transcriptional networks that control their differentiation. This has led to the identification of important regulators such as T-bet, Blimp-1, Zeb2, Bcl-6, FoxO1, and STAT3 in this process. Her lab has also identified key cytokines (such as IL-12, IL-10 and IL-21) that regulate effector and memory cell fate decisions. Using gene expression profiling, her lab has built gene signature databases that serve as a rich resource for the field to identify candidate signals and genetic pathways that promote the development of memory T cells and their precursors. Dr. Kaech has provided insight into the types of CD4 T cells that form during viral infection and has begun to delineate signals that regulate TH1 and TFH cell differentiation during viral infection. More recently, her lab has made a new inroads into understanding how particular types of memory T cells that reside in mucosal tissues, referred to as resident memory T cells (TRM cells), form in the lung following influenza infection. Additionally, Dr. Kaech is pioneering new work in understanding the metabolic regulation of T cells and how their differentiation and functional states are altered by nutrient availability during infection and in tumors. 1. Ho P-C, Binhuniak JD, Macintyre AN, Staron MM, Liu X, Amezquita R, Tsui Y-C, Micevic G, Perales JC, Klenstein SH, Abel ED, Insogna KL, Feske S, Locasale JW, Bosenberg MW, Rathmell JC, Kaech SM. Phosphoenolpyruvate is a metabolic checkpoint controlling Ca2+-NFAT signaling and anti-tumor T cell responses. In press, Cell (2015). 2. Cui G, Staron MM, Gray SM, Ho PC, Amezquita RA, Wu J, Kaech SM. IL-7-Induced Glycerol Transport and TAG Synthesis Promotes Memory CD8(+) T Cell Longevity. Cell. 2015 May 7;161(4):750-61. PubMed PMID: 25957683. PubMed Central PMCID: in progress. 3. Chen JH, Perry CJ, Tsui YC, Staron MM, Parish IA, Dominguez CX, Rosenberg DW, Kaech SM. Prostaglandin E2 and programmed cell death 1 signaling coordinately impair CTL function and survival during chronic viral infection. Nat Med. 2015 Apr;21(4):327-34. PubMed PMID: 25799228. PubMed Central PMCID: in progress. 4. Staron MM, Gray SM, Marshall HD, Parish IA, Chen JH, Perry CJ, Cui G, Li MO, Kaech SM. The transcription factor FoxO1 sustains expression of the inhibitory receptor PD-1 and survival of antiviral CD8(+) T cells during chronic infection. Immunity. 2014 Nov 20;41(5):802-14. PubMed PMID: 25464856; PubMed Central PMCID: PMC4270830. B. Positions and Honors Positions and Employment 1993 - 1998 1999 - 2004 2004 - 2009 2009 - 2015 2009 - 2015 2015 - Graduate Student, Dept. of Developmental Biology, Stanford University Postdoctoral Fellow, Dept. of Microbiology and Immunology & Emory Vaccine Center, Emory University Assistant Professor, Department of Immunobiology, Yale University Howard Hughes Medical Institute Early Career Scientist, Yale University Associate Professor (with Tenure 2011), Dept. of Immunobiology, Yale University Professor of Immunobiology, Yale University, New Haven, CT Other Experience and Professional Memberships 2006 2007 - 2009 2009 2010 - 2010 2011 2012 2013 - Editorial Board Member, Journal of Immunology and Cell Biology Associate Editor, Journal of Immunology Member, American Association for the Advancement of Science BSC ad hoc Reviewer, NIA, Laboratory of Immunology Regular Member, American Assoc. of Immunologists (AAI) Permanent Member, CMI-B study section Section Editor, Journal of Immunology Honors 1999 2003 2005 2005 2007 2007 2009 Damon Runyon-Walter Winchell Cancer Research Fellowship, Damon Runyon-Walter Winchell Cancer Research Foundation Burroughs-Wellcome Foundation Award in Biomedical Science, Burroughs-Wellcome Foundation Edward Mallinckrodt Jr. Foundation Award , Edward Mallinckrodt Jr. Foundation Investigator Award , Cancer Research Institute (CRI) American Asthma Foundation Early Investigator Presidential Early Career Award for Scientists & Engineers (PECASE), NIH HHMI Early Career Scientist, Howard Hughes Medical Institute @Yale University C. Contribution to Science 1. Identification of IL-7R+ memory CD8 T cell precursors and the core transcriptional machinery that controls effector and memory T cell differentiation and metabolism. My lab has been a leader in elucidating the signaling and transcriptional pathways that govern memory T cell differentiation and specification over the past decade. I helped discover the cellular progenitors of long-lived memory CD8 T cells (i.e., memory precursor (MP) cells) that form following viral infection in mice based on increased expression of the IL-7 receptor alpha (IL-7Rα), which is functionally required for their development into mature memory CD8 T cells. My lab has profiled the transcriptional changes that occur as naïve CD8 T cells differentiate into effector cells and then into memory cells, and have identified numerous TFs that control effector and memory cell fate decisions, including T-bet, Blimp-1, Bcl-6, STAT3 and Zeb2. We developed a model that several TFs operate in a graded manner to control TE vs MP fates, which provides a mechanism for how heterogeneous effector CD8 T cell pools arise during immune responses. Likewise, we found that graded expression of T-bet controlled CD4 the balance between T helper 1 (TH1) and T follicular helper (TFH) cell specification. These findings provided a paradigm for the generation of effector and memory T cells, akin to a rheostat, in which their differentiation is influenced by graded amounts of inflammation and expression of TFs. Collectively, this work has lead to a premiere understanding of the transcriptional circuitry that underlies generation of effector and memory cell fates. We are currently investigating how epigenetic changes control the changes in gene expression associated with memory cell longevity and plasticity, and how this integrates with cellular metabolism. More recently, we have identified an essential role for IL-7 signaling in maintaining triacylglyceride (TAG) homeostasis in memory CD8 T cells to promote their long-term survival via a glycerol transporter Aquaporin-9 (Aqp9). a. Joshi NS, Cui W, Chandele A, Lee HK, Urso DR, Hagman J, Gapin L, Kaech SM. Inflammation directs memory precursor and short-lived effector CD8(+) T cell fates via the graded expression of T-bet transcription factor. Immunity. 2007 Aug;27(2):281-95. PubMed PMID: 17723218; PubMed Central PMCID: PMC2034442. b. Rutishauser RL, Martins GA, Kalachikov S, Chandele A, Parish IA, Meffre E, Jacob J, Calame K, Kaech SM. Transcriptional repressor Blimp-1 promotes CD8(+) T cell terminal differentiation and represses the acquisition of central memory T cell properties. Immunity. 2009 Aug 21;31(2):296-308. PubMed PMID: 19664941; PubMed Central PMCID: PMC2783637. c. Marshall HD, Chandele A, Jung YW, Meng H, Poholek AC, Parish IA, Rutishauser R, Cui W, Kleinstein SH, Craft J, Kaech SM. Differential expression of Ly6C and T-bet distinguish effector and memory Th1 CD4(+) cell properties during viral infection. Immunity. 2011 Oct 28;35(4):633-46. PubMed PMID: 22018471; PubMed Central PMCID: PMC3444169. d. Cui G, Staron MM, Gray SM, Ho PC, Amezquita RA, Wu J, Kaech SM. IL-7-Induced Glycerol Transport and TAG Synthesis Promotes Memory CD8(+) T Cell Longevity. Cell. 2015 May 7;161(4):750-61. PubMed PMID: 25957683. PubMed Central PMCID: in progress. 2. Elucidating how pro-inflammatory and anti-inflammatory cytokines regulate CD8 and CD4 effector and memory T cell fates. An important question is how particular T cell fates are specified during the course of infection in which the cells are exposed to numerous types of signals that can influence T cell differentiation and function. Which signals are key determinants to generating different types of effector and memory CD8 T cells is a central question in the field of T cell biology and immunological memory. It is well known that several pro-inflammatory cytokines, such as IL-12, IL-2 and type I IFNs enhance CTL differentiation, but our lab and others have shown that these cytokines can also influence whether effector CD8 T cells develop into memory precursor cells or terminal effector cells depending on the intensity or duration of cytokine signaling. In CD4 T cells we have identified how the such signals promote the development of TH1 cells over TFH cells. Greater exposure to such signals enhances the expression or activity of transcription factors that instruct terminal differentiation of CTLs or TH1 cells, thereby suppressing the formation of memory cells and their progenitors or TFH cells. In contrast, anti-inflammatory cytokines such as IL-10 and TGFβ enhance memory CD8 T cell development in circulation and the mucosa, respectively. We have also found that TGFβ counterbalances IL-2 signaling to promote the differentiation of T follicular helper (TFH) CD4+ T cells in the lung mucosa. Together, these findings help frame a paradigm that the balance between pro-inflammatory and anti-inflammatory signals is critical to memory CD8 T cell development. More recently we have identified that IL-10 production by Tregs is critical for generating protective circulating memory T cells, thus identifying a new role for Tregs in host defense. a. Cui W, Liu Y, Weinstein JS, Craft J, Kaech SM. An interleukin-21-interleukin-10-STAT3 pathway is critical for functional maturation of memory CD8+ T cells. Immunity. 2011 Nov 23;35(5):792-805. PubMed PMID: 22118527; PubMed Central PMCID: PMC3431922. b. Ray JP, Marshall HD, Laidlaw BJ, Staron MM, Kaech SM, Craft J. Transcription factor STAT3 and type I interferons are corepressive insulators for differentiation of follicular helper and T helper 1 cells. Immunity. 2014 Mar 20;40(3):367-77. PubMed PMID: 24631156; PubMed Central PMCID: PMC3992517. c. Laidlaw BJ, Zhang N, Marshall HD, Staron MM, Guan T, Hu Y, Cauley LS, Craft J, Kaech SM. CD4+ T cell help guides formation of CD103+ lung-resident memory CD8+ T cells during influenza viral infection. Immunity. 2014 Oct 16;41(4):633-45. PubMed PMID: 25308332; PubMed Central PMCID: PMC4324721. d. Marshall HD, Ray JP, Laidlaw BJ, Zhang N, Gawande D, Staron MM, Craft J, Kaech SM. The transforming growth factor beta signaling pathway is critical for the formation of CD4 T follicular helper cells and isotype-switched antibody responses in the lung mucosa. Elife. 2015 Jan 8;4:e04851. PubMed PMID: 25569154; PubMed Central PMCID: PMC4337607. 3. Discovering factors that control CD8 T cell exhaustion. Viruses that cause chronic infection have evolved strategies to evade immune responses and the persistence of antigen can lead to alterations in CD8 T cell proliferation, survival, effector functions and gene expression that lead to the differentiation of dysfunctional or ‘exhausted’ CD8 T cells. My lab has also made new inroads into pathways that control CTL exhaustion and PD-1 expression during chronic viral infection. We have discovered a new pathway involving PGE2 signaling that suppresses CTLs during chronic infection in concert with PD-1. Blockade of PGE2 and PD-1 signaling simultaneously augments T cell function more than either treatment alone. This may be a new combination treatment to consider for rejuvenating T cell function in chronic infection or cancer. Our lab has also shed a new perspective on T cell exhaustion by finding that decreased PI3K, AKT and mTOR activity enhances activity of the transcription factor FoxO1 and promotes T cell exhaustion. Increased FoxO1 activity serves two vital purposes in the activated CD8 T cells: one, to sustain expression of Bcl-2 and to keep the activated T cells alive, and two, to sustain PD-1 expression and limit TCR signaling and immunopathology. Thus, maintenance of a FoxO1hi PD-1hi state is a necessary adaptation that sustains CTL responses during chronic infection and prevents “holes” in the T cell repertoire from forming. In this manner, FoxO1 regulates T cell stress resistance by helping them cope with alterations in their external stimuli. Collectively, these findings are of fundamental importance to our understanding T cell dysfunction during chronic diseases such as HIV and cancer, and serve as a foundation for the development of novel therapeutics. a. Wherry EJ, Ha SJ, Kaech SM, Haining WN, Sarkar S, Kalia V, Subramaniam S, Blattman JN, Barber DL, Ahmed R. Molecular signature of CD8+ T cell exhaustion during chronic viral infection. Immunity. 2007 Oct;27(4):670-84. PubMed PMID: 17950003. b. Hand TW, Cui W, Jung YW, Sefik E, Joshi NS, Chandele A, Liu Y, Kaech SM. Differential effects of STAT5 and PI3K/AKT signaling on effector and memory CD8 T-cell survival. Proc Natl Acad Sci U S A. 2010 Sep 21;107(38):16601-6. PubMed PMID: 20823247; PubMed Central PMCID: PMC2944719. c. Staron MM, Gray SM, Marshall HD, Parish IA, Chen JH, Perry CJ, Cui G, Li MO, Kaech SM. The transcription factor FoxO1 sustains expression of the inhibitory receptor PD-1 and survival of antiviral CD8(+) T cells during chronic infection. Immunity. 2014 Nov 20;41(5):802-14. PubMed PMID: 25464856; PubMed Central PMCID: PMC4270830. d. Chen JH, Perry CJ, Tsui YC, Staron MM, Parish IA, Dominguez CX, Rosenberg DW, Kaech SM. Prostaglandin E2 and programmed cell death 1 signaling coordinately impair CTL function and survival during chronic viral infection. Nat Med. 2015 Apr;21(4):327-34. PubMed PMID: 25799228. 4. Elucidating mechanisms of T cell regulation in cancer. The tumor microenvironment is notoriously immunosuppressive and the holy grail of tumor immunology is to devise methods to restimulate the immune cells to reject tumor cells and halt tumor progression and death. Through the study of genetically engineered models of melanoma and lung cancer in mice, we are characterizing the changes that occur in the immune cells, particularly the tumor associated macrophages (TAMs) and T cells, during chemo- and immuno-therapies. This work is necessary to understand the action of anti-cancer drugs and identify targeted therapies that work best in conjunction with immunotherapies, such as PD-1 or CTLA-4 blockade. We have found that vemurafenib, a targeted inhibitor of the BRafV600E oncogene commonly used to treat B-RafV600E-mutated melanomas, had robust immunostimulatory properties, specifically on the immune cells localized in the tumors. We also found that stimulating CD40 alone, using anti-CD40 agonist mAbs, sufficiently suppressed tumor growth and this occurs in a T cell independent manner by modulating TAMs. Other new work from the lab is investigating the metabolic control of T cells in the tumor microenvironment and how this may be an underlying feature of T cell exhaustion in tumors. Together, my lab is making insight into how the immune microenvironment is regulating tumor growth and contributes to efficacy of new therapies. a. Ho P-C, Binhuniak JD, Macintyre AN, Staron MM, Liu X, Amezquita R, Tsui Y-C, Micevic G, Perales JC, Klenstein SH, Abel ED, Insogna KL, Feske S, Locasale JW, Bosenberg MW, Rathmell JC, Kaech SM. Phosphoenolpyruvate is a metabolic checkpoint controlling Ca2+-NFAT signaling and anti-tumor T cell responses. In press, Cell (2015). b. Ho PC, Meeth KM, Tsui YC, Srivastava B, Bosenberg MW, Kaech SM. Immune-based antitumor effects of BRAF inhibitors rely on signaling by CD40L and IFNγ. Cancer Res. 2014 Jun 15;74(12):320517. PubMed PMID: 24736544; PubMed Central PMCID: PMC4063281. D. Research Support Ongoing Research Support 2015/04/01-2018/03/31 1R01CA195720-01, NIH/NCI Politi, Katerina and Kaech, Susan (Co-PI) Targeting the Immune System in Mouse Models of Lung Adenocarcinoma The goal of this work is to gain a comprehensive understanding of the immune microenvioronment in genetically engineered mouse modes of mutant EGFR lung adenocarcinoma. Role: CPI 2013/02/01-2018/01/31 R37 AI066232-11, National Institute of Allergy and Infectious Diseases (NIAID) Kaech, Susan M (PI) Regulation of memory CD8 T cell development Role: PI 2014/07/01-2016/06/30 Clinical Laboratory Integration Program , Cancer Research Institute Kaech, Susan (PI) Enhancing immunotherapy-based cancer treatments through CD40-dependent immunomodulation of the tumor microenvironment. The goal of this work is to determine how agonistic anti-CD40 mAb treatment promotes anti-tumor immune responses through modulation of T cells and macrophages in tumors. Role: PI 2015/04/01-2016/03/31 Co-Pilot Project, Yale Cancer Center Kathryn Miller-Jensen and Susan Kaech (Co-PI) Single-cell analysis of tumor-associated macrophage function during melanoma Progression The goal of this work is to characterize the phenotypic and functional affects on tumor associated macrophages as melanomas progress and during treatments with agonistic CD40 mAb or CSF1R inhibitors. Role: CPI