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An IL-2-grafted antibody immunotherapy with potent efficacy against metastatic cancer

Dilara Sahin, Natalia Arenas-Ramirez, Matthias Rath, Ufuk Karakus, Monika Hümbelin, Merel Gogh, Lubor Borsig and Onur Boyman ()
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Dilara Sahin: University Hospital Zurich
Natalia Arenas-Ramirez: University Hospital Zurich
Matthias Rath: University Hospital Zurich
Ufuk Karakus: University Hospital Zurich
Monika Hümbelin: University Hospital Zurich
Merel Gogh: University of Zurich
Lubor Borsig: University of Zurich
Onur Boyman: University Hospital Zurich

Nature Communications, 2020, vol. 11, issue 1, 1-12

Abstract: Abstract Modified interleukin-2 (IL-2) formulations are being tested in cancer patients. However, IL-2 immunotherapy damages IL-2 receptor (IL-2R)-positive endothelial cells and stimulates IL-2Rα (CD25)-expressing lymphocytes that curtail anti-tumor responses. A first generation of IL-2Rβ (CD122)-biased IL-2s addressed some of these drawbacks. Here, we present a second-generation CD122-biased IL-2, developed by splitting and permanently grafting unmutated human IL-2 (hIL-2) to its antigen-binding groove on the anti-hIL-2 monoclonal antibody NARA1, thereby generating NARA1leukin. In comparison to hIL-2/NARA1 complexes, NARA1leukin shows a longer in vivo half-life, completely avoids association with CD25, and more potently stimulates CD8+ T and natural killer cells. These effects result in strong anti-tumor responses in various pre-clinical cancer models, whereby NARA1leukin consistently surpasses the efficacy of hIL-2/NARA1 complexes in controlling metastatic disease. Collectively, NARA1leukin is a CD122-biased single-molecule construct based on unmutated hIL-2 with potent efficacy against advanced malignancies.

Date: 2020
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DOI: 10.1038/s41467-020-20220-1

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