[HTML][HTML] Retargeting IL-2 signaling to NKG2D-expressing tumor-infiltrating leukocytes improves adoptive transfer immunotherapy

A Banerjee, D Li, Y Guo, B Mahgoub… - The Journal of …, 2021 - journals.aai.org
A Banerjee, D Li, Y Guo, B Mahgoub, L Paragas, J Slobin, Z Mei, A Manafi, A Hata, K Li…
The Journal of Immunology, 2021journals.aai.org
Ex vivo expansion followed by reinfusion of tumor-infiltrating leukocytes (TILs) has been
used successfully for the treatment of multiple malignancies. Most protocols rely on the use
of the cytokine IL-2 to expand TILs prior to reinfusion. In addition, TIL administration relies on
systemic administration of IL-2 after reinfusion to support transferred cell survival. The use of
IL-2, however, can be problematic because of its preferential expansion of regulatory T and
myeloid cells as well as its systemic side effects. In this study, we describe the use of a novel …
Abstract
Ex vivo expansion followed by reinfusion of tumor-infiltrating leukocytes (TILs) has been used successfully for the treatment of multiple malignancies. Most protocols rely on the use of the cytokine IL-2 to expand TILs prior to reinfusion. In addition, TIL administration relies on systemic administration of IL-2 after reinfusion to support transferred cell survival. The use of IL-2, however, can be problematic because of its preferential expansion of regulatory T and myeloid cells as well as its systemic side effects. In this study, we describe the use of a novel IL-2 mutant retargeted to NKG2D rather than the high-affinity IL-2R for TIL-mediated immunotherapy in a murine model of malignant melanoma. We demonstrate that the NKG2D-retargeted IL-2 (called OMCPmutIL-2) preferentially expands TIL-resident CTLs, such as CD8+ T cells, NK cells, and γδT cells, whereas wild-type IL-2 provides a growth advantage for CD4+ Foxp3+ T cells as well as myeloid cells. OMCPmutIL-2–expanded CTLs express higher levels of tumor-homing receptors, such as LFA-1, CD49a, and CXCR3, which correlate with TIL localization to the tumor bed after iv injection. Consistent with this, OMCPmutIL-2–expanded TILs provided superior tumor control compared with those expanded in wild-type IL-2. Our data demonstrate that adoptive transfer immunotherapy can be improved by rational retargeting of cytokine signaling to NKG2D-expressing CTLs rather than indiscriminate expansion of all TILs.
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