[HTML][HTML] Selective activation and expansion of regulatory T cells using lipid encapsulated mRNA encoding a long-acting IL-2 mutein

S de Picciotto, N DeVita, CJ Hsiao, C Honan… - Nature …, 2022 - nature.com
S de Picciotto, N DeVita, CJ Hsiao, C Honan, SW Tse, M Nguyen, JD Ferrari, W Zheng…
Nature Communications, 2022nature.com
Abstract Interleukin-2 (IL-2) is critical for regulatory T cell (Treg) function and homeostasis. At
low doses, IL-2 can suppress immune pathologies by expanding Tregs that constitutively
express the high affinity IL-2Rα subunit. However, even low dose IL-2, signaling through the
IL2-Rβ/γ complex, may lead to the activation of proinflammatory, non-Treg T cells, so
improving specificity toward Tregs may be desirable. Here we use messenger RNAs
(mRNA) to encode a half-life-extended human IL-2 mutein (HSA-IL2m) with mutations …
Abstract
Interleukin-2 (IL-2) is critical for regulatory T cell (Treg) function and homeostasis. At low doses, IL-2 can suppress immune pathologies by expanding Tregs that constitutively express the high affinity IL-2Rα subunit. However, even low dose IL-2, signaling through the IL2-Rβ/γ complex, may lead to the activation of proinflammatory, non-Treg T cells, so improving specificity toward Tregs may be desirable. Here we use messenger RNAs (mRNA) to encode a half-life-extended human IL-2 mutein (HSA-IL2m) with mutations promoting reliance on IL-2Rα. Our data show that IL-2 mutein subcutaneous delivery as lipid-encapsulated mRNA nanoparticles selectively activates and expands Tregs in mice and non-human primates, and also reduces disease severity in mouse models of acute graft versus host disease and experimental autoimmune encephalomyelitis. Single cell RNA-sequencing of mouse splenic CD4+ T cells identifies multiple Treg states with distinct response dynamics following IL-2 mutein treatment. Our results thus demonstrate the potential of mRNA-encoded HSA-IL2m immunotherapy to treat autoimmune diseases.
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