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Department of Medicine, Division of Immunology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215; and
Leukosite Inc., Cambridge, MA 02142
High affinity IL-2R5 is present on recently activated
but not on resting or memory T cells. Selective targeting of T cells
bearing high affinity IL-2R is an attractive therapy for many T
cell-dependent cytopathic disease processes. A variety of rodent mAbs
directed against the
-chain of the IL-2R, as well as IL-2 fusion
toxins, have been used in animals and humans to achieve selective
immunosuppression. Here we report on the development of a novel IL-2R
targeting agent, a cytolytic chimeric IL-2/Fc fusion protein. This
immunoligand binds specifically and with high affinity to IL-2R and is
structurally capable of recruiting host Ab-dependent cell-mediated
cytotoxicity and complement-dependent cytotoxicity activities. The Ig
component ensures an extended circulating
t1/2 of 25 h following systemic
administration. To subsequently explore the mechanisms of the
antidiabetogenic effects of IL-2/Fc, we have mutated the FcR binding
and complement C1q binding (Fc-/-) domains of the Fc
fragment to render the Fc unable to direct Ab-dependent cell-mediated
cytotoxicity and complement-dependent cytotoxicity activities. In a
model of passive transfer of diabetes in nonobese diabetic mice, lytic
IL-2/Fc, but not nonlytic IL-2/Fc-/-, exhibited striking
antidiabetogenic effects. Together with the negligible potential of
IL-2/Fc for immunogenicity, this finding forecasts that cytolytic
IL-2/Fc may offer a new therapeutic approach for selective targeting of
auto and alloimmune T cells.
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