A human anti-IL-2 antibody that potentiates regulatory T cells by a structure-based mechanism

E Trotta, PH Bessette, SL Silveria, LK Ely, KM Jude… - Nature medicine, 2018 - nature.com
E Trotta, PH Bessette, SL Silveria, LK Ely, KM Jude, DT Le, CR Holst, A Coyle, M Potempa…
Nature medicine, 2018nature.com
Abstract Interleukin-2 (IL-2) has been shown to suppress immune pathologies by
preferentially expanding regulatory T cells (Tregs). However, this therapy has been limited
by off-target complications due to pathogenic cell expansion. Recent efforts have been
focused on developing a more selective IL-2. It is well documented that certain anti-mouse IL-
2 antibodies induce conformational changes that result in selective targeting of Tregs. We
report the generation of a fully human anti-IL-2 antibody, F5111. 2, that stabilizes IL-2 in a …
Abstract
Interleukin-2 (IL-2) has been shown to suppress immune pathologies by preferentially expanding regulatory T cells (Tregs). However, this therapy has been limited by off-target complications due to pathogenic cell expansion. Recent efforts have been focused on developing a more selective IL-2. It is well documented that certain anti-mouse IL-2 antibodies induce conformational changes that result in selective targeting of Tregs. We report the generation of a fully human anti-IL-2 antibody, F5111.2, that stabilizes IL-2 in a conformation that results in the preferential STAT5 phosphorylation of Tregs in vitro and selective expansion of Tregs in vivo. When complexed with human IL-2, F5111.2 induced remission of type 1 diabetes in the NOD mouse model, reduced disease severity in a model of experimental autoimmune encephalomyelitis and protected mice against xenogeneic graft-versus-host disease. These results suggest that IL-2–F5111.2 may provide an immunotherapy to treat autoimmune diseases and graft-versus-host disease.
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