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A forced marriage of IL-2 and PD-1 antibody nurtures tumor-infiltrating T cells
Erin A. Holcomb, Weiping Zou
Erin A. Holcomb, Weiping Zou
Published February 1, 2022
Citation Information: J Clin Invest. 2022;132(3):e156628. https://doi.org/10.1172/JCI156628.
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Commentary

A forced marriage of IL-2 and PD-1 antibody nurtures tumor-infiltrating T cells

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Abstract

IL-2 is a pleiotropic cytokine. In this issue of the JCI, Ren et al. report on the development of a low-affinity IL-2 paired with anti–PD-1 (PD-1–laIL-2) that reactivates intratumoral CD8+ T cells, but not CD4+ Treg cells. PD-1–laIL-2 treatment synergized with anti–PD-L1 therapy to overcome tumor resistance to immune checkpoint blockade (ICB) in tumor-bearing mice. Rejection of rechallenged tumors following PD-1–laIL-2 therapy demonstrated the establishment of a potent T cell memory response. Furthermore, PD-1–laIL-2 therapy manifested no obvious toxicity. These findings suggest the potential of PD-1–laIL-2 therapy in treating patients with cancer.

Authors

Erin A. Holcomb, Weiping Zou

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Figure 1

Targeting IL-2 signaling for cancer therapy.

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Targeting IL-2 signaling for cancer therapy.
High-dose IL-2 may preferen...
High-dose IL-2 may preferentially target high-affinity IL-2R present on Treg cells and recently activated effector T cells. Recent strategies to target IL-2 signaling for cancer therapy include mutant IL-2 with affinity toward different IL-2R chains (alpha, or beta and gamma). Mutant IL-2 with affinity toward IL-2Rα is used to target Treg cells or recently activated effector T cells. Meanwhile, mutant IL-2 with affinity toward IL-2Rβ or IL-2Rγ subunits, rather than IL-2Rα, has been shown to target CD8+ memory T cells and NK cells with reduced binding to Treg cells. Combination of IL-2 therapy with various anti–IL-2 mAbs also differentially stimulates specific immune cell subsets. IL-2–based fusion proteins bound to antigen-specific antibodies (immunocytokines) allow for targeted delivery of IL-2 to cells/tissues expressing a protein of interest. PD-1–laIL-2, developed by Ren et al. (20), consists of low-affinity IL-2 (laIL-2) linked to an anti–PD-1 antibody. PD-1–laIL-2 selectively reactivates intratumoral PD-1+TIM-3+CD8+ T cells to enhance antitumor activity. In the future, additional IL-2–based fusion proteins may be engineered to target certain cells of interest in various disease contexts.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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