雷帕霉素纳米粒增加了工程化白细胞介素-2 的治疗窗口,并驱动抗原特异性调节性 T 细胞扩增,以预防自身免疫性疾病。

Rapamycin nanoparticles increase the therapeutic window of engineered interleukin-2 and drive expansion of antigen-specific regulatory T cells for protection against autoimmune disease.

机构信息

Selecta Biosciences, Watertown, MA, 02472, USA.

Selecta Biosciences, Watertown, MA, 02472, USA.

出版信息

J Autoimmun. 2023 Nov;140:103125. doi: 10.1016/j.jaut.2023.103125. Epub 2023 Oct 14.

Abstract

Interleukin-2 (IL-2) therapies targeting the high affinity IL-2 receptor expressed on regulatory T cells (Tregs) have shown promising therapeutic benefit in autoimmune diseases through nonselective expansion of pre-existing Treg populations, but are potentially limited by the inability to induce antigen-specific Tregs, as well as by dose-limiting activation of effector immune cells in settings of inflammation. We recently developed biodegradable nanoparticles encapsulating rapamycin, called ImmTOR, which induce selective immune tolerance to co-administered antigens but do not increase total Treg numbers. Here we demonstrate that the combination of ImmTOR and an engineered Treg-selective IL-2 variant (termed IL-2 mutein) increases the number and durability of total Tregs, as well as inducing a profound synergistic increase in antigen-specific Tregs when combined with a target antigen. We demonstrate that the combination of ImmTOR and an IL-2 mutein leads to durable inhibition of antibody responses to co-administered AAV gene therapy capsid, even at sub-optimal doses of ImmTOR, and provides protection in autoimmune models of type 1 diabetes and primary biliary cholangitis. Importantly, ImmTOR also increases the therapeutic window of engineered IL-2 molecules by mitigating effector immune cell expansion and preventing exacerbation of disease in a model of graft-versus-host-disease. At the same time, IL-2 mutein shows potential for dose-sparing of ImmTOR. Overall, these results establish that the combination of ImmTOR and an IL-2 mutein show synergistic benefit on both safety and efficacy to provide durable antigen-specific immune tolerance to mitigate drug immunogenicity and to treat autoimmune diseases.

摘要

白细胞介素-2(IL-2)疗法针对调节性 T 细胞(Tregs)表达的高亲和力 IL-2 受体,通过非选择性扩增预先存在的 Treg 群体,在自身免疫性疾病中显示出有希望的治疗益处,但由于无法诱导抗原特异性 Tregs,以及在炎症情况下效应免疫细胞的剂量限制激活,其应用可能受到限制。我们最近开发了一种包封雷帕霉素的可生物降解纳米颗粒,称为 ImmTOR,它可诱导对共给药抗原的选择性免疫耐受,但不会增加总 Treg 数量。在这里,我们证明 ImmTOR 与工程 Treg 选择性 IL-2 变体(称为 IL-2 mutein)的组合可增加总 Treg 的数量和耐久性,并与靶抗原联合使用时可诱导抗原特异性 Treg 的协同显著增加。我们证明,ImmTOR 和 IL-2 mutein 的组合可导致对共给药 AAV 基因治疗衣壳的抗体反应的持久抑制,即使在 ImmTOR 的亚最佳剂量下也是如此,并在 1 型糖尿病和原发性胆汁性胆管炎的自身免疫模型中提供保护。重要的是,ImmTOR 还通过减轻效应免疫细胞扩增并防止移植物抗宿主病模型中的疾病恶化,增加了工程化 IL-2 分子的治疗窗口。同时,IL-2 mutein 显示出 ImmTOR 剂量节省的潜力。总的来说,这些结果表明,ImmTOR 和 IL-2 mutein 的组合在安全性和疗效方面都具有协同益处,可提供持久的抗原特异性免疫耐受,以减轻药物免疫原性并治疗自身免疫性疾病。

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