IL2 靶向 CD8+ T 细胞可促进强大的效应 T 细胞反应和有效的抗肿瘤免疫。

IL2 Targeted to CD8+ T Cells Promotes Robust Effector T-cell Responses and Potent Antitumor Immunity.

机构信息

Asher Biotherapeutics, Inc., South San Francisco, California.

Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri.

出版信息

Cancer Discov. 2024 Jul 1;14(7):1206-1225. doi: 10.1158/2159-8290.CD-23-1266.

Abstract

IL2 signals pleiotropically on diverse cell types, some of which contribute to therapeutic activity against tumors, whereas others drive undesired activity, such as immunosuppression or toxicity. We explored the theory that targeting of IL2 to CD8+ T cells, which are key antitumor effectors, could enhance its therapeutic index. To this aim, we developed AB248, a CD8 cis-targeted IL2 that demonstrates over 500-fold preference for CD8+ T cells over natural killer and regulatory T cells (Tregs), which may contribute to toxicity and immunosuppression, respectively. AB248 recapitulated IL2's effects on CD8+ T cells in vitro and induced selective expansion of CD8+T cells in primates. In mice, an AB248 surrogate demonstrated superior antitumor activity and enhanced tolerability as compared with an untargeted IL2Rβγ agonist. Efficacy was associated with the expansion and phenotypic enhancement of tumor-infiltrating CD8+ T cells, including the emergence of a "better effector" population. These data support the potential utility of AB248 in clinical settings. Significance: The full potential of IL2 therapy remains to be unlocked. We demonstrate that toxicity can be decoupled from antitumor activity in preclinical models by limiting IL2 signaling to CD8+ T cells, supporting the development of CD8+ T cell-selective IL2 for the treatment of cancer. See related article by Kaptein et al. p. 1226.

摘要

IL2 信号在多种细胞类型上具有多效性,其中一些有助于对抗肿瘤的治疗活性,而另一些则导致不期望的活性,如免疫抑制或毒性。我们探讨了这样一种理论,即靶向 CD8+ T 细胞的 IL2,CD8+ T 细胞是关键的抗肿瘤效应细胞,可能会提高其治疗指数。为此,我们开发了 AB248,这是一种 CD8 顺式靶向 IL2,它对 CD8+ T 细胞的亲和力超过自然杀伤细胞和调节性 T 细胞(Tregs)超过 500 倍,这可能分别有助于毒性和免疫抑制。AB248 在体外重现了 IL2 对 CD8+ T 细胞的作用,并在灵长类动物中诱导了 CD8+T 细胞的选择性扩增。在小鼠中,AB248 替代物与未靶向的 IL2Rβγ 激动剂相比,具有更好的抗肿瘤活性和更高的耐受性。疗效与肿瘤浸润 CD8+ T 细胞的扩增和表型增强有关,包括出现“更好的效应物”群体。这些数据支持 AB248 在临床环境中的潜在应用。意义:IL2 治疗的全部潜力仍有待释放。我们证明,通过将 IL2 信号限制在 CD8+ T 细胞上,可以在临床前模型中使毒性与抗肿瘤活性脱钩,支持开发用于治疗癌症的 CD8+ T 细胞选择性 IL2。见 Kaptein 等人的相关文章,第 1226 页。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5e6/11215410/2050b28d96b2/cd-23-1266f1.jpg

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