[HTML][HTML] Potent antitumour activity of interleukin-2-Fc fusion proteins requires Fc-mediated depletion of regulatory T-cells

R Vazquez-Lombardi, C Loetsch, D Zinkl… - Nature …, 2017 - nature.com
R Vazquez-Lombardi, C Loetsch, D Zinkl, J Jackson, P Schofield, EK Deenick, C King
Nature communications, 2017nature.com
Abstract Interleukin-2 (IL-2) is an established therapeutic agent used for cancer
immunotherapy. Since treatment efficacy is mediated by CD8+ and NK cell activity at the
tumour site, considerable efforts have focused on generating variants that expand these
subsets systemically, as exemplified by IL-2/antibody complexes and 'superkines'. Here we
describe a novel determinant of antitumour activity using fusion proteins consisting of IL-2
and the antibody fragment crystallizable (Fc) region. Generation of long-lived IL-2-Fc …
Abstract
Interleukin-2 (IL-2) is an established therapeutic agent used for cancer immunotherapy. Since treatment efficacy is mediated by CD8+ and NK cell activity at the tumour site, considerable efforts have focused on generating variants that expand these subsets systemically, as exemplified by IL-2/antibody complexes and ‘superkines’. Here we describe a novel determinant of antitumour activity using fusion proteins consisting of IL-2 and the antibody fragment crystallizable (Fc) region. Generation of long-lived IL-2-Fc variants in which CD25 binding is abolished through mutation effectively prevents unwanted activation of CD25+ regulatory T-cells (Tregs) and results in strong expansion of CD25 cytotoxic subsets. Surprisingly, however, such variants are less effective than wild-type IL-2-Fc in mediating tumour rejection. Instead, we report that efficacy is crucially dependent on depletion of Tregs through Fc-mediated immune effector functions. Our results underpin an unexpected mechanism of action and provide important guidance for the development of next generation IL-2 therapeutics.
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