“…One explanation for the limited efficacy of PD-1/PD-L1 blockade relates to its inability to reverse the exhaustion-associated epigenetic imprint (Pauken et al, 2016). Recent studies have identified TOX, TOX2, and AP-1 family members as central regulators of human T cell exhaustion that promote widespread transcriptional and epigenetic dysregulation (Alfei et al, 2019;Khan et al, 2019;Scott et al, 2019;Seo et al, 2019;Wang et al, 2019;Yao et al, 2019). These findings have enabled new approaches to mitigate exhaustion, including enforced expression of c-Jun or CRISPR-mediated deletion of TOX, TOX2, or NR4A family TFs (Chen et al, 2019a;Seo et al, 2019).…”