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Bempegaldesleukin selectively depletes intratumoral Tregs and potentiates T cell-mediated cancer therapy

Author

Listed:
  • Meenu Sharma

    (University of Texas MD Anderson Cancer Center)

  • Hiep Khong

    (University of Texas MD Anderson Cancer Center)

  • Faisal Fa’ak

    (University of Texas MD Anderson Cancer Center)

  • Salah-Eddine Bentebibel

    (University of Texas MD Anderson Cancer Center)

  • Louise M. E. Janssen

    (University of Texas MD Anderson Cancer Center)

  • Brent C. Chesson

    (University of Texas MD Anderson Cancer Center)

  • Caitlin A. Creasy

    (University of Texas MD Anderson Cancer Center)

  • Marie-Andrée Forget

    (University of Texas MD Anderson Cancer Center)

  • Laura Maria S. Kahn

    (University of Texas MD Anderson Cancer Center)

  • Barbara Pazdrak

    (University of Texas MD Anderson Cancer Center)

  • Binisha Karki

    (University of Texas MD Anderson Cancer Center)

  • Yared Hailemichael

    (University of Texas MD Anderson Cancer Center)

  • Manisha Singh

    (University of Texas MD Anderson Cancer Center)

  • Christina Vianden

    (University of Texas MD Anderson Cancer Center)

  • Srinivas Vennam

    (Nektar Therapeutics)

  • Uddalak Bharadwaj

    (The University of Texas MD Anderson Cancer Center)

  • David J. Tweardy

    (The University of Texas MD Anderson Cancer Center)

  • Cara Haymaker

    (University of Texas MD Anderson Cancer Center)

  • Chantale Bernatchez

    (University of Texas MD Anderson Cancer Center)

  • Shixia Huang

    (Baylor College of Medicine
    Dan L. Duncan Cancer Center)

  • Kimal Rajapakshe

    (Baylor College of Medicine)

  • Cristian Coarfa

    (Baylor College of Medicine)

  • Michael E. Hurwitz

    (Yale Comprehensive Cancer Center)

  • Mario Sznol

    (Yale University Cancer Center, Yale University)

  • Patrick Hwu

    (University of Texas MD Anderson Cancer Center)

  • Ute Hoch

    (Nektar Therapeutics)

  • Murali Addepalli

    (Nektar Therapeutics)

  • Deborah H. Charych

    (Nektar Therapeutics)

  • Jonathan Zalevsky

    (Nektar Therapeutics)

  • Adi Diab

    (University of Texas MD Anderson Cancer Center)

  • Willem W. Overwijk

    (University of Texas MD Anderson Cancer Center
    Nektar Therapeutics
    The University of Texas MD Anderson Cancer Center UT Health Graduate School of Biomedical Sciences
    University of Texas MD Anderson Cancer Center)

Abstract

High dose interleukin-2 (IL-2) is active against metastatic melanoma and renal cell carcinoma, but treatment-associated toxicity and expansion of suppressive regulatory T cells (Tregs) limit its use in patients with cancer. Bempegaldesleukin (NKTR-214) is an engineered IL-2 cytokine prodrug that provides sustained activation of the IL-2 pathway with a bias to the IL-2 receptor CD122 (IL-2Rβ). Here we assess the therapeutic impact and mechanism of action of NKTR-214 in combination with anti-PD-1 and anti-CTLA-4 checkpoint blockade therapy or peptide-based vaccination in mice. NKTR-214 shows superior anti-tumor activity over native IL-2 and systemically expands anti-tumor CD8+ T cells while inducing Treg depletion in tumor tissue but not in the periphery. Similar trends of intratumoral Treg dynamics are observed in a small cohort of patients treated with NKTR-214. Mechanistically, intratumoral Treg depletion is mediated by CD8+ Teff-associated cytokines IFN-γ and TNF-α. These findings demonstrate that NKTR-214 synergizes with T cell-mediated anti-cancer therapies.

Suggested Citation

  • Meenu Sharma & Hiep Khong & Faisal Fa’ak & Salah-Eddine Bentebibel & Louise M. E. Janssen & Brent C. Chesson & Caitlin A. Creasy & Marie-Andrée Forget & Laura Maria S. Kahn & Barbara Pazdrak & Binisha, 2020. "Bempegaldesleukin selectively depletes intratumoral Tregs and potentiates T cell-mediated cancer therapy," Nature Communications, Nature, vol. 11(1), pages 1-11, December.
  • Handle: RePEc:nat:natcom:v:11:y:2020:i:1:d:10.1038_s41467-020-14471-1
    DOI: 10.1038/s41467-020-14471-1
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    Cited by:

    1. Kateryna Onyshchenko & Ren Luo & Elena Guffart & Simone Gaedicke & Anca-Ligia Grosu & Elke Firat & Gabriele Niedermann, 2023. "Expansion of circulating stem-like CD8+ T cells by adding CD122-directed IL-2 complexes to radiation and anti-PD1 therapies in mice," Nature Communications, Nature, vol. 14(1), pages 1-17, December.

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