Perez Horta Zulmarie, Saseedhar Swetha, Rakhmilevich Alexander L, Carmichael Lakeesha, Hank Jacquelyn A, Boyden Margaret, Gillies Stephen D, Sondel Paul M
Department of Human Oncology, University of Wisconsin, Madison, WI, USA.
Department of Biostatistics and Bioinformatics, University of Wisconsin, Madison, WI, USA.
Oncoimmunology. 2018 May 7;8(6):e1238538. doi: 10.1080/2162402X.2016.1238538. eCollection 2019.
The humanized immunocytokine, hu14.18-IL2 (ICp), leads to the immune cell-mediated destruction of GD2-expressing tumors in mouse models, resulting in potent antitumor effects with negligible IL2-related toxicity. In contrast, when ICp is used clinically, antitumor activity is accompanied by dose-limiting IL2-related toxicities. These species-specific differences in ICp toxicity may be linked to differential binding to mouse vs. human IL2 receptors (IL2Rs). We evaluated immunocytokines genetically engineered to preferentially bind either high-affinity αβγ-IL2Rs or intermediate-affinity βγ-IL2Rs. These ICs have the IL2 fused to the C-terminus of the IgG light chains rather than the heavy chains. We found that IC35, containing intact huIL2, maintained activation of human and mouse αβγ-IL2Rs but exhibited a 20-fold reduction in the ability to stimulate human βγ-IL2Rs, with no activation of mouse βγ-IL2Rs at the concentrations tested. The reduced ability of IC35 to stimulate human βγ-IL2Rs (associated with IL2-toxicities) makes it a potential candidate for clinical trials where higher clinical IC doses might enable better tumor targeting and increased antitumor effects with less toxicity. Contrastingly, ICSK (IC with an IL2 mutein that has enhanced binding to the IL2R β-chain) showed increased activation over ICp on mouse βγ-IL2Rs, with a dose-response curve similar to that seen with IC35 on human βγ-IL2Rs. Our data suggest that ICSK might be used in mouse models to simulate the anticipated effects of IC35 in clinical testing. Understanding the differences in species-dependent IL2R activation should facilitate the design of reagents and mouse models that better simulate the potential activity of IL2-based immunotherapy in patients.
人源化免疫细胞因子hu14.18-IL2(ICp)可在小鼠模型中导致免疫细胞介导的、表达GD2的肿瘤的破坏,产生强大的抗肿瘤作用,且IL2相关毒性可忽略不计。相比之下,当ICp用于临床时,抗肿瘤活性伴随着剂量限制性的IL2相关毒性。ICp毒性的这些种属特异性差异可能与对小鼠和人IL2受体(IL2R)的不同结合有关。我们评估了经基因工程改造以优先结合高亲和力αβγ-IL2R或中等亲和力βγ-IL2R的免疫细胞因子。这些免疫细胞因子(IC)的IL2融合到IgG轻链的C末端而非重链。我们发现,含有完整人IL2的IC35可维持对人和小鼠αβγ-IL2R的激活,但刺激人βγ-IL2R的能力降低了20倍,在所测试的浓度下对小鼠βγ-IL2R无激活作用。IC35刺激人βγ-IL2R的能力降低(与IL2毒性相关)使其成为临床试验的潜在候选药物,更高的临床IC剂量可能实现更好的肿瘤靶向性,并在毒性较小的情况下增强抗肿瘤作用。相比之下,ICSK(具有与IL2Rβ链结合增强的IL2突变体的IC)在小鼠βγ-IL2R上的激活作用比ICp增强,其剂量反应曲线与IC35在人βγ-IL2R上的相似。我们的数据表明,ICSK可用于小鼠模型,以模拟IC35在临床测试中的预期效果。了解种属依赖性IL2R激活的差异应有助于设计能更好模拟基于IL2的免疫疗法在患者中潜在活性的试剂和小鼠模型。