Interleukin-2 immunotherapy reveals human regulatory T cell subsets with distinct functional and tissue-homing characteristics
Abstract
Due to its stimulatory potential for immunomodulatory CD4⁺ regulatory T (Treg) cells, low-dose interleukin-2 (IL-2) immunotherapy has gained considerable attention for the treatment of autoimmune diseases. In this investigator-initiated single-arm non-placebo-controlled phase-2 clinical trial of low-dose IL-2 immunotherapy in systemic lupus erythematosus (SLE) patients, we generated a comprehensive atlas of in vivo human immune responses to low-dose IL-2. We performed an in-depth study of circulating and cutaneous immune cells by imaging mass cytometry, high-parameter flow cytometry, transcriptomics, and targeted serum proteomics. Low-dose IL-2 stimulated various circulating immune cells, including Treg cells with a skin-homing phenotype that appeared in the skin of SLE patients in close interaction with endothelial cells. Analysis of surface proteins and transcriptomes revealed different IL-2-driven Treg cell activation programs, including gut-homing CD38⁺, skin-homing HLA-DR⁺, and highly proliferative inflammation-homing CD38⁺ HLA-DR⁺ Treg cells. Collectively, these data define the distinct human Treg cell subsets that are responsive to IL-2 immunotherapy. Show more
Publication status
publishedExternal links
Journal / series
ImmunityVolume
Pages / Article No.
Publisher
ElsevierSubject
interleukin-2; IL-2; Regulatory T Cell; Treg; Clinical trial; transcriptomics; Epigenomics; Imaging mass cytometryFunding
181249 - Functional consequences of single cell heterogeneity in cancer pathophysiology (SNF)
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