Potentiating effect of IL-2 no-alpha mutein on the antitumoral activity of anti- CD20 therapy
Keywords:
anti-CD20, IL-2 mutein, immunocytokine, immunotherapy, lymphomaAbstract
Introduction: The anti-CD20 antibody rituximab has substantially improved outcomes of patients with B-cell lymphomas, although more efficient therapies are needed for refractory or relapsing lymphomas. The combination of rituximab and IL-2 and the use of immunocytokines based on anti-CD20 antibodies and IL-2 had a limited impact in the clinic due to the toxicity profile associated with IL-2 and the expansion of Treg cells.
Objective: To demonstrate the potentiation of the anti-tumor effect of rituximab -based anti-CD20 antibodies by combining or fusing with IL-2 no-alpha mutein.
Methods: We explore the anti-tumor effect of an anti-CD20 antibody combined with a mutated IL-2 (no-alpha mutein) which has a disrupted affinity for the IL-2R αβγ and immunocytokines based on rituximab and this mutein in an EL4-huCD20/C57Bl/6 model and evaluated immune cell populations by Flow Cytometer.
Results: We demonstrate that the antitumor effect of an anti-CD20 antibody was enhanced in combination with the no-alpha mutein. This effect was associated with an increase in the lytic potential of NK and CD8+ T cells, a reduction of Tregs, and was characterized by an earlier polarization to Th1.The fusion, for the first time, of no-alpha mutein to a human IgG1 version of rituximab with functional Fc generated a tri-functional molecule that maintained the recognition of the CD20 antigen, the signaling capacity and in vivo immunomodulation of the cytokine, and improved the in vitro effector functions of this antibody: apoptosis and ADCC, resulting in an in vivo antitumor effect superior to that obtained with low-dose rituximab.
Conclusions: Taken together, our findings suggest that IL-2 mutein is a promising molecule that either combined or fused to antibodies can potentiate anti-CD20 therapy.
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