Article
Author: Lin, John C ; Ullman, Erica ; Antao, Olivia Q. ; Krueger, Pamela ; Yancopoulos, George D. ; Murphy, Andrew J ; Wang, Qingqing ; Ahmed, Hassan ; Garg, Vidur ; Chang, Aaron Y. ; Dudgeon, Drew ; DiLillo, David J ; Yan, Yuetian ; Olson, William C ; DiLillo, David J. ; Davis, Samuel ; Bhavsar, Ramandeep ; Wei, Yi ; Olson, William C. ; Mohrs, Katja ; Patel, Supriya ; Huang, Tammy ; Zhang, Tong ; Antao, Olivia Q ; Amatulli, Michael ; Yancopoulos, George D ; Hermann, Aynur ; Wang, Shunhai ; Ramos, Willy ; Vazzana, Kristin ; Ni, Min ; Wu, Jiaxi ; Murphy, Andrew J. ; Adler, Christina ; Smith, Eric ; Bloch, Nicolin ; Chang, Aaron Y ; Guo, Chunguang ; Macdonald, Lynn ; Crawford, Alison ; Lin, John C.
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.