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        Fig. 4. OrthoIL-2–expanded      PBS   ortho1G12
        T cells retain effector function  IL-2  ortho3A10  PBS   IL-2             PBS  IL-2  ortho1G12  ortho3A10
        and promote an antitumor    2.0 10 6                                 2.0       ****       8        ****
        response against syngeneic  + cells  ****  ****                           ****   ****       ****
        B16-F10 tumors in mice.     1.5 10 6                              PD-1 MFI   1.5   ***  TIM-3 MFI   6
        (A) Quantification of total number  1.0 10 6  *   1G12   3A10       (Fold over PBS)      (Fold over PBS)  4  ** ns
        of IFN-g–positive wild-type or  Total # of IFN  5  ns  ns            1.0                  2          ns ns
                   +
        orthoIL-2Rb CD8 T cells recov-  5.0 10
        ered from the spleen as treated in  0.0          IFN                 0.5                  0
        Fig. 3 (left) and representative  ortho          IL-2                   ortho               ortho
        flow cytometry data (right).           wild-type                             wild-type          wild-type
        (B) Cell surface expression levels
        of PD-1 (left) and TIM-3 (right)              2000
        on wild-type and orthoIL-2Rb                                  **** ****  100
           +
        CD8 T cells in the spleen after               1500                           wt T + PBS
        administration of the indicated  gp100   pMHC   Tumor volume  (mm 3 )  1000  % Survival  wt T + IL-2
                                                                                     wt T +
        cytokines. Data are means ± SD                                           50  ortho1G12
                                      YFP
        (n = 5 mice per group). *P <0.05,              500                           ortho T +   **
                                                                                     ortho1G12
        ****P < 0.0001 (ANOVA).         No T cells       0                        0
                                        ortho pmel        0  5   10  15  20        0  5  10  15  20  25
        (C) gp100 pMHC tetramer stain-
                                        **                      Days                  Days post  ACT
        ing of orthoIL-2Rb–transduced  100
                        +
        pmel-1 transgenic CD8 Tcells.                  2000                      100
        (D) In vitro cytotoxicity of orthoIL-  % Alive  1500           ****           wt T + PBS
        2Rb pmel-1 transgenic T cells  50            Tumor volume  (mm 3 )  1000  % Survival  wt T + IL-2
                                                                                      wt T +
        against antigen-positive (B16-F10)                              ****      50  MSA-3A10                      Downloaded from
        but not antigen-negative (MC38)  0              500                           ortho T +   **
        tumor cells at a 20:1 (E:T) ratio.  B16-F10  MC38  0                      0   MSA-3A10
        Data are means ± SD (n =3                          0  5   10  15  20       0  5  10  15  20  25
        biological replicates). **P <0.01                        Days                 Days post  ACT
        (Student t test). (E and F) Tumor
        growth (E) and survival (F) of C57BL/6J mice bearing subcutaneous  (H) of C57BL/6J mice bearing subcutaneous B16-F10 tumors treated
                                                                                                      +
        B16-F10 tumors treated with wild-type (wt T) or orthoIL-2Rb pmel-  with wild-type (wt T) or orthoIL-2Rb pmel-1 transgenic CD8 Tcells
                    +
        1 transgenic CD8 Tcells (ortho T) and IL-2 or orthoIL-2 1G12. Data are  (ortho T) and IL-2 or orthoIL-2 3A10 fused to MSA. Data are means
        means ± SEM (n = 5 mice per group). ****P < 0.0001 (two-way ANOVA)  ±SEM (n = 4 mice per group). ****P < 0.0001 (two-way ANOVA) (G);  http://science.sciencemag.org/
        (E); **P < 0.01 (log-rank test) (F). (G and H) Tumor growth (G) and survival  **P < 0.01 (log-rank test) (H).
        IFN-g than IL-2–expanded cells (Fig. 4A). PD-1 levels  the B16-F10 specific ortholog of human gp100 (19),  negligible toxicity. Engineering orthogonal mo-
        were similar on orthoIL-2Rb T cells from both IL-2–  a self antigen overexpressed in human melanoma  lecular recognition at a protein–small molecule
        and orthoIL-2–treated mice (Fig. 4B). Interestingly,  (Fig. 4, C and D). Adoptive transfer of pmel-1 T cells  or protein-protein interface has resulted in
        TIM-3 levels were significantly lower on orthoIL-  in combination with lymphocyte depletion and  synthetic enzymes, kinases, transcription fac-  on March 1, 2018
        2Rb T cells from mice treated with orthoIL-2 rela-  IL-2 administration can model ACT approaches  tors, and receptors with controllable biological
        tive to those treated with IL-2 (Fig. 4B).  to treat human cancer. Adoptive transfer of pmel-1  functions, but here we apply this concept to
          The differential activity of orthoIL-2 on both  T cells accompanied by five daily injections of IL-2  protein interactions with cell surface receptors
        T cell expansion and function may be due to in-  significantly delayed tumor growth in mice and  to control signaling specificity and downstream
        creased bioavailability of orthoIL-2 for orthoIL-2Rb  increased survival relative to mice treated only  cellular functions (21–28). Orthogonal IL-2/IL-
        T cells as the result of a reduced antigen sink or  with T cells and saline (Fig. 4, E to G). Transfer  2R pairs may be useful not only as a research
        alternative host factors influenced by IL-2 but not  of orthoIL-2Rb pmel-1 T cells followed by treat-  tool but in the clinic to specifically enrich trans-
        orthoIL-2, which in turn may influence the func-  ment with native orthoIL-2 1G12 at a dose that  duced T cells that express a target gene of inter-
        tion of transplanted T cells. For instance, IL-2 but  had minimal activity on wild-type IL-2R cells  est, such as a CAR or engineered TCR, when
                                     +
        not orthoIL-2 treatment increased host CD4 and  (fig. S10) produced a significant tumor growth  coupled with expression of the orthoIL-2Rb.Our
           +
        CD8 TcellIFN-g production upon ex vivo restim-  delay and survival advantage that mirrored the  approach, and variations of this orthogonaliza-
        ulation (Fig. 3, M to O) and increased the serum  IL-2 treatment group (Fig. 4, E and F). Similar  tion strategy, may be applicable to other cytokines,
        concentration of numerous inflammatory cyto-  antitumorresponseswere observedinmice treated  growth factors, hormones, and ligand-receptor
        kines, including IFN-g, IL-4, IL-5, IL-6, and IL-13  with orthoIL-2Rb pmel-1 T cells and MSA–orthoIL-2  interactions to decipher and manipulate other-
        (Fig.3, P andQ,and fig. S17).The abilitytodecou-  3A10 (Fig. 4, G and H). There was no therapeutic  wise complex biological systems.
        ple direct IL-2 activity on transplanted T cells from  benefit of orthoIL-2 in mice that received wild-
        indirect host bystander effects using orthoIL-2/  type pmel-1 T cells, indicating that orthoIL-2  REFERENCES AND NOTES
        IL-2R pairs may have important therapeutic  activity is dependent on expression of the orthoIL-  1. M. Kalos, C. H. June, Immunity 39,49–60 (2013).
        implications.                       2Rb in pmel-1 T cells.              2. S. A. Rosenberg, N. P. Restifo, Science 348,62–68 (2015).
          To investigate prospective clinical applications  Our results constitute an approach to redirect  3. C. Yee et al., Proc. Natl. Acad. Sci. U.S.A. 99, 16168–16173
        of orthogonal IL-2/IL-2R pairs, we determined  the specificity of IL-2 toward engineered T cells  (2002).
                                                                                4. R. Andersen et al., Clin. Cancer Res. 22, 3734–3745 (2016).
        theefficacyoftumor-specific orthoIL-2Rb Tcells  using orthogonal IL-2 cytokine-receptor pairs,  5. S. A. Rosenberg, J. Immunol. 192, 5451–5458 (2014).
        in the B16-F10 mouse model of melanoma. Trans-  which enables the selective expansion of de-  6. X. Wang, M. Rickert, K. C. Garcia, Science 310, 1159–1163
        genic pmel-1 T cell receptor (TCR) cells (pmel-1  sired T cell subsets in settings of adoptive cell  (2005).
        T cells) express a high-affinity TCR that recognizes  therapy, but with limited off-target activity and  7. A. M. Levin et al., Nature 484, 529–533 (2012).

        Sockolosky et al., Science 359, 1037–1042 (2018)  2 March 2018                                      5of6
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