[en] Interleukin-2 (IL-2) holds promise for the treatment of cancer and autoimmune diseases, but its high-dose usage is associated with systemic immunotoxicity. Differential IL-2 receptor (IL-2R) regulation might impact function of cells upon IL-2 stimulation, possibly inducing cellular changes similar to patients with hypomorphic IL2RB mutations, presenting with multiorgan autoimmunity. Here, we show that sustained high-dose IL-2 stimulation of human lymphocytes drastically reduces IL-2Rβ surface expression especially on T cells, resulting in impaired IL-2R signaling which correlates with high IL-2Rα baseline expression. IL-2R signaling in NK cells is maintained. CD4+ T cells, especially regulatory T cells are more broadly affected than CD8+ T cells, consistent with lineage-specific differences in IL-2 responsiveness. Given the resemblance of cellular characteristics of high-dose IL-2-stimulated cells and cells from patients with IL-2Rβ defects, impact of continuous IL-2 stimulation on IL-2R signaling should be considered in the onset of clinical adverse events during IL-2 therapy.
Disciplines :
Immunology & infectious disease
Author, co-author :
Sommer, Charline; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany
Jacob, Sophie; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany
Bargmann, Tonia; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany
SHOAIB, Muhammad ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine > Clinical and Translational Informatics
ALSHAIKHDEEB, Basel M.M. ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Clinical and Translational Informatics
SATAGOPAM, Venkata ; University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > Clinical and Translational Informatics
Dehmel, Susann; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany
Neuhaus, Vanessa; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany
Braun, Armin; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany, Institute of Immunology, Hannover Medical School, Hannover, Germany
Sewald, Katherina; Fraunhofer Institute for Toxicology and Experimental Medicine ITEM, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Member of the Fraunhofer Cluster of Excellence Immune-Mediated Diseases CIMD, Hannover, Germany. Electronic address: katherina.sewald@item.fraunhofer.de
External co-authors :
yes
Language :
English
Title :
Bridging therapy-induced phenotypes and genetic immune dysregulation to study interleukin-2-induced immunotoxicology.
H2020 - 853988 - imSAVAR - Immune Safety Avatar: nonclinical mimicking of the immune system effects of immunomodulatory therapies
Name of the research project :
Immune Safety Avatar (imSAVAR)
Funders :
Innovative Medicines Initiative European Commission European Federation of Pharmaceutical Industries and Associations Juvenile Diabetes Research Foundation United States of America European Union
Funding number :
853988
Funding text :
This project is part of the imSAVAR project (https://imsavar.eu/) which has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No 853988 (principial funding recipients: AB, KS; PhD thesis of CS partly funded). The JU receives support from the European Union's Horizon 2020 research and innovation programme and EFPIA and JDRF INTERNATIONAL.
Barron, L., Dooms, H., Hoyer, K.K., Kuswanto, W., Hofmann, J., O'Gorman, W.E., Abbas, A.K., Cutting edge: mechanisms of IL-2-dependent maintenance of functional regulatory T cells. J. Immunol. 185 (2010), 6426–6430, 10.4049/jimmunol.0903940.
Liao, W., Lin, J.-X., Leonard, W.J., Interleukin-2 at the crossroads of effector responses, tolerance, and immunotherapy. Immunity 38 (2013), 13–25, 10.1016/j.immuni.2013.01.004.
Allegretti, J.R., Mitsialis, V., Canavan, J.B., Snapper, S.B., Low-dose interleukin 2 for the treatment of moderate to severe ulcerative colitis. Gastroenterology 165 (2023), 492–495.e2, 10.1053/j.gastro.2023.03.230.
Salhotra, A., Falk, L., Park, G., Sandhu, K., Ali, H., Modi, B., Hui, S., Nakamura, R., A review of low dose interleukin-2 therapy in management of chronic graft-versus-host-disease. Expert Rev. Clin. Immunol., 2023, 10.1080/1744666X.2023.2279188.
Yan, H., Yan, H., Liu, L., Su, R., Gao, C., Li, X., Wang, C., Low-dose interleukin-2 treatment increases the proportion of regulatory T cells in patients with rheumatic diseases: a meta-analysis. Autoimmun. Rev., 22, 2023, 103270, 10.1016/j.autrev.2023.103270.
Jiang, T., Zhou, C., Ren, S., Role of IL-2 in cancer immunotherapy. Oncoimmunology, 5, 2016, e1163462, 10.1080/2162402X.2016.1163462.
Buchbinder, E.I., Gunturi, A., Perritt, J., Dutcher, J., Aung, S., Kaufman, H.L., Ernstoff, M.S., Miletello, G.P., Curti, B.D., Daniels, G.A., Patel, S.P., Kirkwood, J.M., Hallmeyer, S., Clark, J.I., Gonzalez, R., Richart, J.M., Lutzky, J., Morse, M.A., Sullivan, R.J., McDermott, D.F., A retrospective analysis of High-Dose Interleukin-2 (HD IL-2) following Ipilimumab in metastatic melanoma. J. Immunotherapy Cancer, 4, 2016, 52, 10.1186/s40425-016-0155-8.
Dummer, R., Miller, K., Eilles, C., Burg, G., The skin: an immunoreactive target organ during interleukin-2 administration?. Dermatologica 183 (1991), 95–99, 10.1159/000247645.
Dutcher, J.P., Schwartzentruber, D.J., Kaufman, H.L., Agarwala, S.S., Tarhini, A.A., Lowder, J.N., Atkins, M.B., High dose interleukin-2 (Aldesleukin) - expert consensus on best management practices-2014. j. immunotherapy cancer, 2, 2014, 26, 10.1186/s40425-014-0026-0.
Shah, N.R., Declouette, B., Ansari-Gilani, K., Alhomoud, M.S., Hoimes, C., Ramaiya, N.H., Güler, E., High-dose interleukin-2 therapy related adverse events and implications on imaging. Diagn. Interv. Radiol. 27 (2021), 684–689, 10.5152/dir.2021.20503.
Lykhopiy, V., Malviya, V., Humblet-Baron, S., Schlenner, S.M., IL-2 immunotherapy for targeting regulatory T cells in autoimmunity. Genes Immun. 24 (2023), 248–262, 10.1038/s41435-023-00221-y.
Raeber, M.E., Sahin, D., Boyman, O., Interleukin-2-based therapies in cancer. Sci. Transl. Med., 14, 2022, eabo5409, 10.1126/scitranslmed.abo5409.
Giri, J.G., Ahdieh, M., Eisenman, J., Shanebeck, K., Grabstein, K., Kumaki, S., Namen, A., Park, L.S., Cosman, D., Anderson, D., Utilization of the beta and gamma chains of the IL-2 receptor by the novel cytokine IL-15. EMBO J. 13 (1994), 2822–2830, 10.1002/j.1460-2075.1994.tb06576.x.
Yu, A., Snowhite, I., Vendrame, F., Rosenzwajg, M., Klatzmann, D., Pugliese, A., Malek, T.R., Selective IL-2 responsiveness of regulatory T cells through multiple intrinsic mechanisms supports the use of low-dose IL-2 therapy in type 1 diabetes. Diabetes 64 (2015), 2172–2183, 10.2337/db14-1322.
Asao, H., Okuyama, C., Kumaki, S., Ishii, N., Tsuchiya, S., Foster, D., Sugamura, K., Cutting edge: the common gamma-chain is an indispensable subunit of the IL-21 receptor complex. J. Immunol. 167 (2001), 1–5, 10.4049/jimmunol.167.1.1.
Kimura, Y., Takeshita, T., Kondo, M., Ishii, N., Nakamura, M., van Snick, J., Sugamura, K., Sharing of the IL-2 receptor gamma chain with the functional IL-9 receptor complex. Int. Immunol. 7 (1995), 115–120, 10.1093/intimm/7.1.115.
Kondo, M., Takeshita, T., Ishii, N., Nakamura, M., Watanabe, S., Arai, K., Sugamura, K., Sharing of the interleukin-2 (IL-2) receptor gamma chain between receptors for IL-2 and IL-4. Science 262 (1993), 1874–1877, 10.1126/science.8266076.
Noguchi, M., Nakamura, Y., Russell, S.M., Ziegler, S.F., Tsang, M., Cao, X., Leonard, W.J., Interleukin-2 receptor gamma chain: a functional component of the interleukin-7 receptor. Science 262 (1993), 1877–1880, 10.1126/science.8266077.
Levings, M.K., Sangregorio, R., Roncarolo, M.G., Human cd25(+)cd4(+) t regulatory cells suppress naive and memory T cell proliferation and can be expanded in vitro without loss of function. J. Exp. Med. 193 (2001), 1295–1302, 10.1084/jem.193.11.1295.
Baume, D.M., Robertson, M.J., Levine, H., Manley, T.J., Schow, P.W., Ritz, J., Differential responses to interleukin 2 define functionally distinct subsets of human natural killer cells. Eur. J. Immunol. 22 (1992), 1–6, 10.1002/eji.1830220102.
Phalke, S.P., Chiplunkar, S.V., Activation status of γδ T cells dictates their effect on osteoclast generation and bone resorption. Bone Rep. 3 (2015), 95–103, 10.1016/j.bonr.2015.10.004.
Tietze, J.K., Wilkins, D.E.C., Sckisel, G.D., Bouchlaka, M.N., Alderson, K.L., Weiss, J.M., Ames, E., Bruhn, K.W., Craft, N., Wiltrout, R.H., Longo, D.L., Lanier, L.L., Blazar, B.R., Redelman, D., Murphy, W.J., Delineation of antigen-specific and antigen-nonspecific CD8(+) memory T-cell responses after cytokine-based cancer immunotherapy. Blood 119 (2012), 3073–3083, 10.1182/blood-2011-07-369736.
Gaffen, S.L., Signaling domains of the interleukin 2 receptor. Cytokine 14 (2001), 63–77, 10.1006/cyto.2001.0862.
Hémar, A., Subtil, A., Lieb, M., Morelon, E., Hellio, R., Dautry-Varsat, A., Endocytosis of interleukin 2 receptors in human T lymphocytes: distinct intracellular localization and fate of the receptor alpha, beta, and gamma chains. J. Cell Biol. 129 (1995), 55–64, 10.1083/jcb.129.1.55.
Hernandez, J.D., Hsieh, E.W.Y., A great disturbance in the force: IL-2 receptor defects disrupt immune homeostasis. Curr. Opin. Pediatr. 34 (2022), 580–588, 10.1097/MOP.0000000000001181.
Fernandez, I.Z., Baxter, R.M., Garcia-Perez, J.E., Vendrame, E., Ranganath, T., Kong, D.S., Lundquist, K., Nguyen, T., Ogolla, S., Black, J., Galambos, C., Gumbart, J.C., Dawany, N., Kelsen, J.R., de Zoeten, E.F., Quinones, R., Eissa, H., Verneris, M.R., Sullivan, K.E., Rochford, R., Blish, C.A., Kedl, R.M., Dutmer, C.M., Hsieh, E.W.Y., A novel human IL2RB mutation results in T and NK cell-driven immune dysregulation. J. Exp. Med. 216 (2019), 1255–1267, 10.1084/jem.20182015.
Goudy, K., Aydin, D., Barzaghi, F., Gambineri, E., Vignoli, M., Ciullini Mannurita, S., Doglioni, C., Ponzoni, M., Cicalese, M.P., Assanelli, A., Tommasini, A., Brigida, I., Dellepiane, R.M., Martino, S., Olek, S., Aiuti, A., Ciceri, F., Roncarolo, M.G., Bacchetta, R., Human IL2RA null mutation mediates immunodeficiency with lymphoproliferation and autoimmunity. Clin. Immunol. 146 (2013), 248–261, 10.1016/j.clim.2013.01.004.
Vignoli, M., Ciullini Mannurita, S., Fioravanti, A., Tumino, M., Grassi, A., Guariso, G., Favre, C., D'Elios, M.M., Gambineri, E., CD25 deficiency: a new conformational mutation prevents the receptor expression on cell surface. Clin. Immunol. 201 (2019), 15–19, 10.1016/j.clim.2019.02.003.
Zhang, Z., Gothe, F., Pennamen, P., James, J.R., McDonald, D., Mata, C.P., Modis, Y., Alazami, A.M., Acres, M., Haller, W., Bowen, C., Döffinger, R., Sinclair, J., Brothers, S., Zhang, Y., Matthews, H.F., Naudion, S., Pelluard, F., Alajlan, H., Yamazaki, Y., Notarangelo, L.D., Thaventhiran, J.E., Engelhardt, K.R., Al-Mousa, H., Hambleton, S., Rooryck, C., Smith, K.G.C., Lenardo, M.J., Human interleukin-2 receptor β mutations associated with defects in immunity and peripheral tolerance. J. Exp. Med. 216 (2019), 1311–1327, 10.1084/jem.20182304.
Suzuki, H., Kündig, T.M., Furlonger, C., Wakeham, A., Timms, E., Matsuyama, T., Schmits, R., Simard, J.J., Ohashi, P.S., Griesser, H., Deregulated T cell activation and autoimmunity in mice lacking interleukin-2 receptor beta. Science 268 (1995), 1472–1476, 10.1126/science.7770771.
Suzuki, H., Duncan, G.S., Takimoto, H., Mak, T.W., Abnormal development of intestinal intraepithelial lymphocytes and peripheral natural killer cells in mice lacking the IL-2 receptor beta chain. J. Exp. Med. 185 (1997), 499–505, 10.1084/jem.185.3.499.
Kim, D.W., Zloza, A., Broucek, J., Schenkel, J.M., Ruby, C., Samaha, G., Kaufman, H.L., Interleukin-2 alters distribution of CD144 (VE-cadherin) in endothelial cells. J. Transl. Med., 12, 2014, 113, 10.1186/1479-5876-12-113.
Konrad, M.W., Hemstreet, G., Hersh, E.M., Mansell, P.W., Mertelsmann, R., Kolitz, J.E., Bradley, E.C., Pharmacokinetics of recombinant interleukin 2 in humans. Cancer Res. 50 (1990), 2009–2017.
Gratama, J.W., Bruin, R.J., Lamers, C.H., Oosterom, R., Braakman, E., Stoter, G., Bolhuis, R.L., Activation of the immune system of cancer patients by continuous i.v. recombinant IL-2 (rIL-2) therapy is dependent on dose and schedule of rIL-2. Clin. Exp. Immunol. 92 (1993), 185–193, 10.1111/j.1365-2249.1993.tb03378.x.
Hirakawa, M., Matos, T., Liu, H., Koreth, J., Kim, H.T., Paul, N.E., Murase, K., Whangbo, J., Alho, A.C., Nikiforow, S., Cutler, C., Ho, V.T., Armand, P., Alyea, E.P., Antin, J.H., Blazar, B.R., Lacerda, J.F., Soiffer, R.J., Ritz, J., Low-dose IL-2 selectively activates subsets of CD4+ Tregs and NK cells. JCI Insight, 1, 2016, 10.1172/jci.insight.89278.
Ahmadzadeh, M., Rosenberg, S.A., IL-2 administration increases CD4+ CD25(hi) Foxp3+ regulatory T cells in cancer patients. Blood 107 (2006), 2409–2414, 10.1182/blood-2005-06-2399.
Hermann, G.G., Geertsen, P.F., von der Maase, H., Zeuthen, J., Interleukin-2 dose, blood monocyte and CD25+ lymphocyte counts as predictors of clinical response to interleukin-2 therapy in patients with renal cell carcinoma. Cancer Immunol. Immunother. 34 (1991), 111–114, 10.1007/BF01741344.
Kehrl, J.H., Dukovich, M., Whalen, G., Katz, P., Fauci, A.S., Greene, W.C., Novel interleukin 2 (IL-2) receptor appears to mediate IL-2-induced activation of natural killer cells. J. Clin. Invest. 81 (1988), 200–205, 10.1172/JCI113295.
Smith, G.A., Taunton, J., Weiss, A., IL-2Rβ abundance differentially tunes IL-2 signaling dynamics in CD4+ and CD8+ T cells. Sci. Signal., 10, 2017, 10.1126/scisignal.aan4931.
Roser, L.A., Luckhardt, S., Ziegler, N., Thomas, D., Wagner, P.V., Damm, G., Scheffschick, A., Hewitt, P., Parnham, M.J., Schiffmann, S., Immuno-inflammatory in vitro hepatotoxicity models to assess side effects of biologicals exemplified by aldesleukin. Front. Immunol., 14, 2023, 1275368, 10.3389/fimmu.2023.1275368.
Pipkin, M.E., Sacks, J.A., Cruz-Guilloty, F., Lichtenheld, M.G., Bevan, M.J., Rao, A., Interleukin-2 and inflammation induce distinct transcriptional programs that promote the differentiation of effector cytolytic T cells. Immunity 32 (2010), 79–90, 10.1016/j.immuni.2009.11.012.
Xue, H.-H., Kovanen, P.E., Pise-Masison, C.A., Berg, M., Radovich, M.F., Brady, J.N., Leonard, W.J., IL-2 negatively regulates IL-7 receptor alpha chain expression in activated T lymphocytes. Proc. Natl. Acad. Sci. U. S. A. 99 (2002), 13759–13764, 10.1073/pnas.212214999.
da Silva, I.P., Gallois, A., Jimenez-Baranda, S., Khan, S., Anderson, A.C., Kuchroo, V.K., Osman, I., Bhardwaj, N., Reversal of NK-cell exhaustion in advanced melanoma by Tim-3 blockade, Cancer. Immunol. Res. 2 (2014), 410–422, 10.1158/2326-6066.CIR-13-0171.
Erkers, T., Solders, M., Verleng, L., Bergström, C., Stikvoort, A., Rane, L., Nava, S., Ringdén, O., Kaipe, H., Frontline science: placenta-derived decidual stromal cells alter IL-2R expression and signaling in alloantigen-activated T cells. J. Leukoc. Biol. 101 (2017), 623–632, 10.1189/jlb.5HI0616-284R.
Todorov, P.V., Gyori, B.M., Bachman, J.A., Sorger, P.K., INDRA-IPM: interactive pathway modeling using natural language with automated assembly. Bioinformatics 35 (2019), 4501–4503, 10.1093/bioinformatics/btz289.
Dmoszyńska, A., Kandefer-Szerszeń, M., Roliński, J., Legieć, W., Kamińska, T., Influence of low dose rIL-2 treatment on endogenous cytokine production, expression of surface IL-2R and the level of soluble IL-2R in patients with minimal residual disease. Leuk. Lymphoma 35 (1999), 355–366, 10.3109/10428199909145740.
Adachi, T., Kobayashi, T., Sugihara, E., Yamada, T., Ikuta, K., Pittaluga, S., Saya, H., Amagai, M., Nagao, K., Hair follicle-derived IL-7 and IL-15 mediate skin-resident memory T cell homeostasis and lymphoma. Nat. Med. 21 (2015), 1272–1279, 10.1038/nm.3962.
Gratz, I.K., Rosenblum, M.D., Maurano, M.M., Paw, J.S., Truong, H.-A., Marshak-Rothstein, A., Abbas, A.K., Cutting edge: self-antigen controls the balance between effector and regulatory T cells in peripheral tissues. J. Immunol. 192 (2014), 1351–1355, 10.4049/jimmunol.1301777.
Kennedy, M.K., Glaccum, M., Brown, S.N., Butz, E.A., Viney, J.L., Embers, M., Matsuki, N., Charrier, K., Sedger, L., Willis, C.R., Brasel, K., Morrissey, P.J., Stocking, K., Schuh, J.C., Joyce, S., Peschon, J.J., Reversible defects in natural killer and memory CD8 T cell lineages in interleukin 15-deficient mice. J. Exp. Med. 191 (2000), 771–780, 10.1084/jem.191.5.771.
Mackay, L.K., Wynne-Jones, E., Freestone, D., Pellicci, D.G., Mielke, L.A., Newman, D.M., Braun, A., Masson, F., Kallies, A., Belz, G.T., Carbone, F.R., T-box transcription factors combine with the cytokines TGF-β and IL-15 to control tissue-resident memory T cell fate. Immunity 43 (2015), 1101–1111, 10.1016/j.immuni.2015.11.008.
Overacre-Delgoffe, A.E., Hand, T.W., Regulation of tissue-resident memory T cells by the microbiota. Mucosal Immunol. 15 (2022), 408–417, 10.1038/s41385-022-00491-1.
Schenkel, J.M., Fraser, K.A., Casey, K.A., Beura, L.K., Pauken, K.E., Vezys, V., Masopust, D., IL-15-independent maintenance of tissue-resident and boosted effector memory CD8 T cells. The Journal of Immunology 196 (2016), 3920–3926, 10.4049/jimmunol.1502337.
Cohen, J.N., Gouirand, V., Macon, C.E., Lowe, M.M., Boothby, I.C., Moreau, J.M., Gratz, I.K., Stoecklinger, A., Weaver, C.T., Sharpe, A.H., Ricardo-Gonzalez, R.R., Rosenblum, M.D., Regulatory T cells in skin mediate immune privilege of the hair follicle stem cell niche. Sci. Immunol., 9, 2024, eadh0152, 10.1126/sciimmunol.adh0152.
Sumida, T.S., Cheru, N.T., Hafler, D.A., The regulation and differentiation of regulatory T cells and their dysfunction in autoimmune diseases. Nat. Rev. Immunol., 2024, 1–15, 10.1038/s41577-024-00994-x.
Au-Yeung, B.B., Smith, G.A., Mueller, J.L., Heyn, C.S., Jaszczak, R.G., Weiss, A., Zikherman, J., IL-2 modulates the TCR signaling threshold for CD8 but not CD4 T cell proliferation on a single-cell level. The Journal of Immunology 198 (2017), 2445–2456, 10.4049/jimmunol.1601453.
Chinen, T., Kannan, A.K., Levine, A.G., Fan, X., Klein, U., Zheng, Y., Gasteiger, G., Feng, Y., Fontenot, J.D., Rudensky, A.Y., An essential role for the IL-2 receptor in Treg cell function. Nat. Immunol. 17 (2016), 1322–1333, 10.1038/ni.3540.
Rickert, M., Boulanger, M.J., Goriatcheva, N., Garcia, K.C., Compensatory energetic mechanisms mediating the assembly of signaling complexes between interleukin-2 and its alpha, beta, and gamma(c) receptors. J. Mol. Biol. 339 (2004), 1115–1128, 10.1016/j.jmb.2004.04.038.
Charych, D., Khalili, S., Dixit, V., Kirk, P., Chang, T., Langowski, J., Rubas, W., Doberstein, S.K., Eldon, M., Hoch, U., Zalevsky, J., Modeling the receptor pharmacology, pharmacokinetics, and pharmacodynamics of NKTR-214, a kinetically-controlled interleukin-2 (IL2) receptor agonist for cancer immunotherapy. PloS One, 12, 2017, e0179431, 10.1371/journal.pone.0179431.
Duprez, V., Cornet, V., Dautry-Varsat, A., Down-regulation of high affinity interleukin 2 receptors in a human tumor T cell line. Interleukin 2 increases the rate of surface receptor decay. J. Biol. Chem. 263 (1988), 12860–12865, 10.1016/S0021-9258(18)37640-3.
Sommer, C., Cohen, J.N., Dehmel, S., Neuhaus, V., Schaudien, D., Braun, A., Sewald, K., Rosenblum, M.D., Interleukin-2-induced skin inflammation. Eur. J. Immunol., 2350580, 2024, 10.1002/eji.202350580.
Lopes, J.E., Fisher, J.L., Flick, H.L., Wang, C., Sun, L., Ernstoff, M.S., Alvarez, J.C., Losey, H.C., ALKS 4230: a novel engineered IL-2 fusion protein with an improved cellular selectivity profile for cancer immunotherapy. J. Immunotherapy cancer, 8, 2020, 10.1136/jitc-2020-000673.
Rosen, D.B., Kvarnhammar, A.M., Laufer, B., Knappe, T., Karlsson, J.J., Hong, E., Lee, Y.-C., Thakar, D., Zúñiga, L.A., Bang, K., Sabharwal, S.S., Uppal, K., Olling, J.D., Kjaergaard, K., Kurpiers, T., Schnabel, M., Reich, D., Glock, P., Zettler, J., Krusch, M., Bernhard, A., Heinig, S., Konjik, V., Wegge, T., Hehn, Y., Killian, S., Viet, L., Runz, J., Faltinger, F., Tabrizi, M., Abel, K.L., Breinholt, V.M., Singel, S.M., Sprogøe, K., Punnonen, J., TransCon IL-2 β/γ: a novel long-acting prodrug with sustained release of an IL-2Rβ/γ-selective IL-2 variant with improved pharmacokinetics and potent activation of cytotoxic immune cells for the treatment of cancer. Immunotherapy Cancer, 10, 2022, 10.1136/jitc-2022-004991.