Article
作者: Dudgeon, Drew ; Olson, William C ; Wu, Jiaxi ; Amatulli, Michael ; Wang, Qingqing ; Bhavsar, Ramandeep ; Antao, Olivia Q ; Lin, John C. ; Murphy, Andrew J. ; Ni, Min ; Vazzana, Kristin ; Yancopoulos, George D ; Murphy, Andrew J ; Wei, Yi ; Antao, Olivia Q. ; Olson, William C. ; Chang, Aaron Y. ; Patel, Supriya ; Garg, Vidur ; Yancopoulos, George D. ; Huang, Tammy ; Chang, Aaron Y ; Crawford, Alison ; DiLillo, David J ; Ahmed, Hassan ; Ullman, Erica ; Bloch, Nicolin ; Krueger, Pamela ; Lin, John C ; Zhang, Tong ; Davis, Samuel ; Ramos, Willy ; Wang, Shunhai ; Macdonald, Lynn ; Adler, Christina ; Smith, Eric ; Mohrs, Katja ; Yan, Yuetian ; Guo, Chunguang ; DiLillo, David J. ; Hermann, Aynur
The clinical use of interleukin-2 (IL-2) for cancer immunotherapy is limited by severe toxicity. Emerging IL-2 therapies with reduced IL-2 receptor alpha (IL-2Rα) binding aim to mitigate toxicity and regulatory T cell (Treg) expansion but have had limited clinical success. Here, we show that IL-2Rα engagement is critical for the anti-tumor activity of systemic IL-2 therapy. A "non-α" IL-2 mutein induces systemic expansion of CD8+ T cells and natural killer (NK) cells over Tregs but exhibits limited anti-tumor efficacy. We develop a programmed cell death protein 1 (PD-1)-targeted, receptor-masked IL-2 immunocytokine, PD1-IL2Ra-IL2, which attenuates systemic IL-2 activity while maintaining the capacity to engage IL-2Rα on PD-1+ T cells. Mice treated with PD1-IL2Ra-IL2 show no systemic toxicities observed with unmasked IL-2 treatment yet achieve robust tumor growth control. Furthermore, PD1-IL2Ra-IL2 can be effectively combined with other T cell-mediated immunotherapies to enhance anti-tumor responses. These findings highlight the therapeutic potential of PD1-IL2Ra-IL2 as a targeted, receptor-masked, and "α-maintained" IL-2 therapy for cancer.