The AICL-KLRF1 axis supports CD4-CD8 T cell communication and cytokine competence in pre-exhausted CD8(+) T cells

Memory-like or precursor exhausted (Tpex) CD8(+) T cells are a critical reservoir in chronic infections and cancer, yet the signals sustaining their cytokine production remain unclear. Here, we identify KLRF1 as part of a CD4-CD8 communication axis that supports cytokine production in late-differentiated human CD8(+) T cells. KLRF1 is upregulated in late-differentiated CD8(+) T cells, and neutralizing KLRF1 reduces TNF and IFN-γ production. Differentiated CD4(+) T cells express the KLRF1 ligand AICL, and in co-culture only AICL(+) - not AICL(-) - CD4(+) T cells enhance cytokine output in CD8(+) T cells. Using spatial proteomics of lung adenocarcinoma and adjacent tissue, we found that CD4(+) AICL(+) and CD8(+) KLRF1(+) T cells are enriched and spatially interacting in non-tumor regions, whereas both populations are reduced within tumor tissue. Single-cell RNA-seq of tissue samples and scRNA/ATAC analyses of circulating immune cells further showed that CD8(+)KLRF1(+) T cells display a Tpex-like transcriptional and chromatin-accessibility profile. Together, these data identify the AICL-KLRF1 axis as a CD4(+)-CD8(+) communication pathway that supports cytokine competence in late-differentiated CD8(+) T cells.