Cancer Immunology Discovery, Pfizer Inc., San Diego, California.
Gastroenterology and Hepatology, Erasmus Medical Center, Rotterdam, the Netherlands.
Cancer Immunol Res. 2021 Oct;9(10):1141-1157. doi: 10.1158/2326-6066.CIR-21-0058. Epub 2021 Aug 10.
The use of cytokines for immunotherapy shows clinical efficacy but is frequently accompanied by severe adverse events caused by excessive and systemic immune activation. Here, we set out to address these challenges by engineering a fusion protein of a single, potency-reduced, IL15 mutein and a PD1-specific antibody (anti-PD1-IL15m). This immunocytokine was designed to deliver PD1-mediated, avidity-driven IL2/15 receptor stimulation to PD1 tumor-infiltrating lymphocytes (TIL) while minimally affecting circulating peripheral natural killer (NK) cells and T cells. Treatment of tumor-bearing mice with a mouse cross-reactive fusion, anti-mPD1-IL15m, demonstrated potent antitumor efficacy without exacerbating body weight loss in B16 and MC38 syngeneic tumor models. Moreover, anti-mPD1-IL15m was more efficacious than an IL15 superagonist, an anti-mPD-1, or the combination thereof in the B16 melanoma model. Mechanistically, anti-PD1-IL15m preferentially targeted CD8 TILs and single-cell RNA-sequencing analyses revealed that anti-mPD1-IL15m treatment induced the expansion of an exhausted CD8 TIL cluster with high proliferative capacity and effector-like signatures. Antitumor efficacy of anti-mPD1-IL15m was dependent on CD8 T cells, as depletion of CD8 cells resulted in the loss of antitumor activity, whereas depletion of NK cells had little impact on efficacy. The impact of anti-hPD1-IL15m on primary human TILs from patients with cancer was also evaluated. Anti-hPD1-IL15m robustly enhanced the proliferation, activation, and cytotoxicity of CD8 and CD4 TILs from human primary cancers , whereas tumor-derived regulatory T cells were largely unaffected. Taken together, our findings showed that anti-PD1-IL15m exhibits a high translational promise with improved efficacy and safety of IL15 for cancer immunotherapy via targeting PD1 TILs..
细胞因子在免疫治疗中的应用显示出临床疗效,但常伴随着由过度和全身免疫激活引起的严重不良反应。在这里,我们着手通过工程化一种单效降低的 IL15 突变体和 PD1 特异性抗体(抗 PD1-IL15m)的融合蛋白来解决这些挑战。这种免疫细胞因子旨在将 PD1 介导的、亲合力驱动的 IL2/15 受体刺激传递给 PD1 肿瘤浸润淋巴细胞(TIL),同时对循环外周自然杀伤(NK)细胞和 T 细胞的影响最小。用一种小鼠交叉反应融合物(抗 mPD1-IL15m)治疗荷瘤小鼠,在 B16 和 MC38 同源肿瘤模型中,证明了其强大的抗肿瘤疗效,而不会加剧体重减轻。此外,抗 mPD1-IL15m 在 B16 黑色素瘤模型中比 IL15 超激动剂、抗 mPD-1 或它们的组合更有效。在机制上,抗 PD1-IL15m 优先靶向 CD8 TILs,单细胞 RNA 测序分析表明,抗 mPD1-IL15m 治疗诱导了具有高增殖能力和效应样特征的耗尽 CD8 TIL 簇的扩增。抗 mPD1-IL15m 的抗肿瘤疗效依赖于 CD8 T 细胞,因为 CD8 细胞的耗竭导致抗肿瘤活性丧失,而 NK 细胞的耗竭对疗效几乎没有影响。还评估了抗 hPD1-IL15m 对来自癌症患者的原发性人 TIL 的影响。抗 hPD1-IL15m 可显著增强来自人原发性癌症的 CD8 和 CD4 TIL 的增殖、激活和细胞毒性,而肿瘤衍生的调节性 T 细胞则基本不受影响。总之,我们的研究结果表明,抗 PD1-IL15m 通过靶向 PD1 TILs,为癌症免疫治疗提供了一种具有高转化潜力的治疗方法,提高了 IL15 的疗效和安全性。
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