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        Fig. 2. OrthoIL-2 signals                                           ortho T cells         wild-type
        through the orthoIL-2R      Activated         Transduced                IL-2  ortho1G12  ortho3A10
        expressed in primary mouse
        lymphocyte subsets, resulting                                  100                   100
        in specific expansion of
        CD4 and CD8 Tcells in vitro.  SSC-A          SSC-A           pSTAT5 MFI  (% of IL-2)  50  pSTAT5 MFI  (% of IL-2)  50
        (A) Flow cytometry data of
        mouse T cells transduced with  YFP            YFP
                                                                         0                     0
        the orthoIL-2Rb and a YFP     CD25     IL-2R    IL-2R              -2  0   2   4         -2  0   2   4
        reporter (top panels) and asso-                                 Concentration (Log [nM])   Concentration (Log [nM])
        ciated cell surface levels of                                                10                    10
        CD25, IL-2Rb,and IL-2Rg.(B to F)                                    ortho T cells         wild-type
        Dose-response curves of (B)                                     150
        STAT5 phosphorylation after                                                          100
        20 min of stimulation and (C)    Iso   wt T cell   ortho T cell   Cell Growth  (% of IL-2)  100  Cell Growth  (% of IL-2)
        proliferation of wild-type (open                                50                    50
        circles) and orthoIL-2Rb (solid
                +
        circles) CD8 Tcells cultured for  pSTAT5       Proliferation     0                     0
        4days inIL-2or orthoIL-2; (D)  WT  ORTHO  RATIO  WT  ORTHO  RATIO   -2  0  2   4         -2  0   2   4
                                                                                     10
                                                                                                           10
        table of respective pSTAT5 and  EC 50   EC 50    (WT/  EC 50   EC 50   (WT/   Concentration (Log [nM])   Concentration (Log [nM])
        proliferation EC 50 from data in  (pM)    (pM)    ortho)  (pM)    (pM)    ortho)   WT   ortho   IL-2   ortho3A10
        (B) and (C). Representative his-  IL-2  80  85  1   30  130  0.2               Ctrl
        tograms of (E) STAT5 phospho-  1G12 5000  930   5   3500  50  70               IL-2
        rylation and (F) scatterplots of  3A10   18000 ortho   11000 ortho             ortho1G12   SSC-A
                      –
           +
        CD8 wild-type (YFP ) and                                                       ortho3A10                    Downloaded from
                    +
        orthoIL-2Rb (YFP ) T cells ex-                               pSTAT5                     YFP
                                     orthoIL-2R    wild-type
        panded in IL-2. Data are means ±                                            B cells   CD25   IL-2R  IL-2R
                                      IL-2       IL-2
        SD (n = 3 biological replicates).  ortho3A10  ortho3A10        EC 50
        Dashed lines represent curves fit                              27 nM
                                          EC 50
        to a log (agonist) versus re-  100  400 pM   EC 50       100  EC 50
        sponse (three parameters)                   32 nM      70 pM               CD19
        model in Prism. (G)Dose-  CD4 T reg  pSTAT5 MFI  (% of IL-2)  CD4 T reg  Growth  (% of IL-2)  YFP   Iso   wt B cell   ortho B cell
        response curves of STAT5 phos-  50                  50                        WT    ortho
        phorylation (left) and proliferation                                        i         i      Ctrl           http://science.sciencemag.org/
        (right) of wild-type and orthoIL-                                                             IL-2
              +
        2Rb CD4 T regs cultured in IL-2 or  0                0                                        ortho1G12
                                      -4  -2  0   2   4       -4  -2  0   2   4
        orthoIL-2. Data are means ± SD
                                      Concentration (Log [nM])   Concentration (Log [nM])             ortho3A10
        (n = 3 biological replicates).             10                      10      pSTAT5
        (H) Representative histograms
        of primary mouse B cells transduced with the orthoIL-2Rb and stimulated with the indicated cytokines for quantification of intracellular pSTAT5 as in fig. S9.
        (Fig. 2H and fig. S9, E and F). Transduction of  The selectivity of orthoIL-2 1G12 for orthoIL-2Rb  The two different orthoIL-2 variants exhibited  on March 1, 2018
        the orthoIL-Rb into activated B cells rendered  T cells was dose-dependent, with increased activ-  specificities in vivo that mirrored their relative
        them responsive to orthoIL-2 (Fig. 2H and fig. S9,  ity on wild-type cells at increased dose amounts  specificities in vitro. Despite its ability to activate
        E and F), but with reduced potency and increased  and/or frequency of treatment (Fig. 3, B and C,  wild-type IL-2Rb signaling, albeit with about one
        specificity relative to T cells. Specificity was due  and figs. S10 to S12). These results were consistent  order of magnitude less potency than orthoIL-2Rb
        to the lack of appreciable wild-type IL-2Rb on  with the in vitro selectivity of orthoIL-2 1G12,  signaling, orthoIL-2 1G12 administration was rela-
        B cells (fig. S9E).                 although it remained possible that orthoIL-2 1G12  tively specific for orthoIL-2Rb T cells in vivo (Fig. 3,
          In a hostwith anintactimmune system,adop-  signaling through the orthoIL-2Rb could trigger  B to H, and figs. S10 to S12). In mice treated twice
                                                                                                        +
        tively transferred T cells must compete with host  endogenous IL-2 production by the orthoIL-2Rb  daily with orthoIL-2 1G12 only, CD4 T regs were
        cells for survival signals such as IL-2 (16). How-  T cells, leading to indirect signaling through the  elevated to a substantially lower degree than
        ever,unlikewild-typeIL-2, thereshouldbeminimal  wild-type IL-2R in cis or trans.  observed in IL-2–treated mice (Fig. 3F). How-
        competition from endogenous cells for orthoIL-2  At high doses and twice-daily administration,  ever, the orthoIL-2 3A10 variant, consistent with
        consumption. Thus, we determined the in vivo  orthoIL-2 3A10 resulted in the substantial expan-  the lack of wild-type IL-2Rb signaling, had no
        activity of orthoIL-2 and orthoIL-2Rb T cells in  sion of orthoIL-2Rb T cells with high specificity  detectable activity on host cell subset numbers
        mice with intact immune systems. A mixture of  and no wild-type T cell expansion (Fig. 3, B and C,  (fig. S11) or expression of CD25, PD-1, and TIM-3,
                             +
        wild-type and orthoIL-2Rb CD8 Tcells was adop-  and figs. S11 and S12). This finding suggests that  which are up-regulated by early or late IL-2R
        tively transferred into wild-type mice, and the  the effects of high-dose orthoIL-2 1G12 treatment  signaling (fig. S13).
        impact of IL-2 and orthoIL-2 administration  were due not to induction of endogenous IL-2  To improve in vivo half-life and enable more
                                                          +
        on transplanted T cells and the host immune  by orthoIL-2Rb CD8 T cells, but rather to low-  convenient dosing, we fused IL-2 and orthoIL-2
        system was quantified (Fig. 3A). OrthoIL-2 1G12  level cross-reactivity with the wild-type IL-2Rb  to mouse serum albumin (17)(MSA),which has
                           +
        significantly expanded CD8 T cells transduced  by this molecule. The orthoIL-2 variants also pro-  been shown to extend the half-life of mouse IL-2
        with the orthoIL-2Rb at doses equivalent to or  moted the in vivo expansion of orthoIL-2Rb CD4 +  from 5 hours to 50 hours (18). Fusion to MSA had
        lower than wild-type IL-2, which acted through  effector T cell (T eff ) (Fig. 3I and fig. S12) and  littleto no impact onIL-2–ororthoIL-2–dependent
                                                        +
        the endogenous IL-2Rb expressed in both wild-  orthoIL-2Rb CD4 T reg (fig. S9, C and D) cell sub-  T cell proliferation in vitro (fig. S14); however, the
                                                                       +
        type and orthoIL-2Rb T cells (Fig. 3B and fig. S10).  sets with specificity similar to that in CD8 T cells.  in vivo activity was greatly enhanced. Fusion of
        Sockolosky et al., Science 359, 1037–1042 (2018)  2 March 2018                                      3of 6
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