CYTOKINE RECEPTOR GENES AND THE USE THEREOF TO ENHANCE THERAPY

Abstract

Cells, such a T-cells, are provided that comprise cytokine receptors having increased activity in response to their ligand. For example, cell can comprise IL-2 and/or IL-15 receptors having increased surface expression or signaling activity. Cells of the embodiments have a significant growth advantage in the presence of cytokines and can be used, e.g., for enhanced adoptive cell transfer therapies.

Claims

1. An isolated transgenic cell comprising: (i) an elevated surface expression level of at least one cytokine receptor or cytokine receptor co-stimulator, relative to an activated T-cell; or (ii) a nucleic acid molecule encoding at least one cytokine receptor or cytokine receptor co-stimulator polypeptide comprising a mutation that increases the activity of the receptor.

2. The isolated transgenic cell of claim 1, wherein the at least one cytokine receptor is the IL-2 or IL-15 receptor.

3. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-12R?1 and/or IL-12R?2.

4. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-6R?1 and/or GP130.

5. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-4R? and/or IL-2R?.

6. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-21R? and/or IL-2R?.

7. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-27R and/or GP130. In this case the ligand is IL-27 or an IL-27-derived molecule.

8. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-2R?2 and/or GP130.

9. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-12R?1 and/or IL-23R.

10. The isolated cell of claim 1, wherein the at least one cytokine receptor is IL-9R? and/or IL-2R?.

11. The isolated cell of claim 1, wherein the at least one cytokine receptor co-stimulator is ICOS.

12. The isolated cell of claim 1, wherein the at least one cytokine receptor co-stimulator is 4-1BB.

13. The isolated cell of claim 1, wherein the at least one cytokine receptor co-stimulator is CD28.

14. The isolated cell of claim 1, wherein the at least one cytokine receptor is G-CSFR.

15. The isolated cell of claim 1, wherein the at least one cytokine receptor is GM-CSFR? or GM-CSFR?c.

16. The isolated cell of claim 1, wherein the cell is a human cell.

17. The isolated cell of claim 1, wherein the cell is a T-cell.

18. The isolated cell of claim 17, wherein the T-cell is a T-cell targeted to cancer cell antigen.

19. The isolated cell of claim 17, wherein the T-cell is a CD4.sup.+ or CD8.sup.+ T-cell.

20. The isolated cell of claim 17, wherein the T-cell is an effector T-cell or a memory T-cell.

21. The isolated cell of claim 1, wherein the cell is a Natural Killer (NK) cell or a NK T-cell.

22. The isolated cell of claim 1, wherein the cell is comprised in a bone marrow graft cell population.

23. The isolated cell of claim 18, wherein the cancer cell antigen is a growth factor receptor.

24. The isolated cell of claim 18, wherein the cancer cell antigen is GP240, 5T4, HER1, CD-33, CD-38, VEGFR-1, VEGFR-2, CEA, FGFR3, IGFBP2, IGF-1R, BAFF-R, TACI, APRIL, Fn14, EGFR, ERBB2, ERBB3 CD19, CD20 or mesothelin.

25. The isolated cell of claim 1, wherein the cell expresses a chimeric antigen receptor (CAR) or a recombinant T-cell receptor (TCR).

26. The isolated cell of claim 1, comprising a nucleic acid molecule encoding a cytokine receptor polypeptide comprising a mutation that increases the activity of the receptor upon ligand binding.

27. The isolated cell of claim 26, comprising a nucleic acid molecule encoding a IL-2 receptor or IL-15 receptor polypeptide comprising a mutation that increases the activity of the receptor upon ligand binding.

28. The isolated cell of claim 27, comprising a nucleic acid molecule encoding the IL-2 receptor polypeptide comprising a mutation that increases the activity of the receptor.

29. The isolated cell of claim 28, wherein the IL-2 receptor is IL-2R?.

30. The isolated cell of claim 28, wherein the IL-2 receptor is IL-2R? or IL-2R?.

31. The isolated cell of claim 28, wherein the mutation increase surface expression, increases stability or increases ligand binding of the IL-2 receptor polypeptide.

32. The isolated cell of claim 28, wherein the mutation disrupts one or more ribosylation sites in IL2-R?.

33. The isolated cell of claim 28, wherein the mutation alters intracellular trafficking of the IL-2 receptor.

34. The isolated cell of claim 27, comprising a nucleic acid molecule encoding the IL-15 receptor polypeptide comprising a mutation that increases the activity of the receptor.

35. The isolated cell of claim 34, wherein the mutation increase surface expression, increases stability or increases ligand binding of the IL-15 receptor polypeptide.

36. The isolated cell of claim 34, wherein the IL-15 receptor is IL-15R?.

37. The isolated cell of claim 34, wherein the IL-15 receptor is IL-2R? or IL-2R?.

38. The isolated cell of claim 1, comprising the nucleic acid molecule encoding cytokine receptor polypeptide operably linked to a heterologous promoter.

39. The isolated cell of claim 38, comprising the nucleic acid molecule encoding an IL-2 receptor or IL-15 receptor polypeptide, is operably linked to a heterologous promoter.

40. The isolated cell of claim 39, wherein the heterologous promoter is a ligand inducible or a ligand repressible promoter.

41. The isolated cell of claim 39, wherein the heterologous promoter is a ligand inducible promoter.

42. The isolated cell of claim 41, wherein the ligand inducible promoter is a tet-on promoter.

43. The isolated cell of claim 1, further comprising a suicide gene is operably linked to an inducible promoter.

44. The isolated cell of claim 26, wherein the nucleic acid molecule encoding the cytokine receptor polypeptide is integrated into the genome of the cell.

45. The isolated cell of claim 44, wherein the nucleic acid molecule encoding the cytokine receptor polypeptide is flanked by retroviral long terminal repeats or transposon repeats.

46. A pharmaceutical composition comprising an isolated cell in accordance with anyone of claims 1-45 in a pharmaceutically acceptable carrier.

47. The pharmaceutical composition of claim 46, comprising between about 1?10.sup.3 and 1?10.sup.11 cells in accordance with any one of claims 1-45.

48. A method of providing a T-cell response in a human subject having a disease comprising administering an effective amount of T-cells in accordance with claim 17 to the subject.

49. The method of claim 48, wherein the T-cell response is a regulatory T-cell response.

50. The method of claim 48, wherein the T-cell response is a cytotoxic T-cell response.

51. The method of claim 48, wherein the T-cell response is a CD4.sup.+ T-cell response.

52. The method of claim 48, further comprising administering a cytokine that stimulates T-cell proliferation to the subject.

53. The method of claim 52, wherein the cytokine is IL-2 or IL-15.

54. The method of claim 52, wherein the cytokine comprises a mutation that increases receptor binding or reduces ligand release from the receptor.

55. The method of claim 52, wherein the cytokine has been modified to increase serum half-life.

56. The method of claim 55, wherein the cytokine has been PEGylated or fused to an Fc polypeptide.

57. The method of claim 55, wherein the cytokine has been modified to redirect target cell specificity.

58. The method of claim 55, wherein the cytokine is associated with an antibody or soluble receptor.

59. The method of claim 48, further comprising administering an agent that increased IL-2 or IL-15 receptor expression to the subject.

60. The method of claim 59, the agent is a cytokine, an agonist of a costimulatory molecule or an epigenetic drug.

61. The method of claim 60, wherein the agent is a drug targeting HDAC2 or G9a.

62. A method of producing therapeutic cells comprising: (i) selecting a population of cells having an increased activity of at least a one cytokine receptor; and (ii) culturing the cells in the presence of a ligand for said at one cytokine receptor.

63. The method of claim 62, wherein the at least one cytokine receptor is a IL-2R.

64. The method of claim 62, wherein the cells having increased activity of at least a one cytokine receptor express an elevated level the at least one cytokine receptor on their surface.

65. The method of claim 64, wherein selecting a population of cells having increased activity of at least a one cytokine receptor comprises contacting the cells with an agent that increases expression of said at least one cytokine receptor.

66. The method of claim 65, wherein the agent is a cytokine, an agonist of a costimulatory molecule or an epigenetic drug.

67. The method of claim 65, wherein the agent is a drug targeting HDAC2 of G9a.

68. The method of claim 64, wherein selecting a population of cells having increased activity of at least a one cytokine receptor comprises sorting cells based on expression of the at least one cytokine receptor.

69. The method of claim 63, wherein the cells comprise a nucleic acid molecule encoding the at least one cytokine receptor comprising a mutation that increases the activity of the receptor.

70. The method of claim 63, further comprising introducing a nucleic acid molecule encoding the at least one cytokine receptor into the population of cells.

71. The method of claim 70, wherein the nucleic acid molecule encoding the at least one cytokine receptor is comprised in a retroviral, lentiviral, adenoviral or adenoassociated viral vector.

72. The method of claim 63, wherein said culturing is in vivo.

73. A method of treating a disease comprising: transferring at least one receptor gene into at least one cell, and treating said cell or cells with an agonist of the receptor transcribed by said receptor gene.

74. The method of claim 73, wherein the receptor gene is a cytokine receptor gene.

75. The method of claim 74, wherein the cytokine receptor gene is Interleukin-2 receptor alpha (IL-2R?).

76. The method of claim 73, wherein the agonist is Interleukin-2 (IL-2).

77. The method of claim 73, wherein the disease is cancer.

78. The method of claim 73, wherein the receptor gene is transferred into the at least one cell via adoptive cell therapy.

79. The method of claim 73, wherein the treatment does not require lymphodepletion.

80. The method of claim 73, wherein the at least one cell is a donor T cell.

81. The method of claim 73, wherein the at least one cell further comprises a CAR.

82. The method of claim 81, wherein the at least one cell comprises a transgene encoding a CAR and the at least one receptor gene.

83. The method of claim 73, wherein the at least one cell further comprises a TCR.

84. The method of claim 81, wherein the at least one cell comprises a transgene encoding a TCR and the at least one receptor gene.

85. The method of claim 81, wherein the at least one receptor gene is linked to a suicide gene.

86. The method of claim 81, wherein the at least one receptor gene is comprised in viral vector.

87. The method of claim 86, wherein the viral vector is a retroviral or lentiviral vector.

88. The method of claim 73, wherein the at least one receptor gene is linked to a regulatory element to allow regulated expression of the receptor.

89. The method of claim 73, further comprising contacting the at least one cell with an antibody against the receptor encoded by the at least one receptor gene.

90. The method of claim 89, wherein the antibody is daclizumab.

91. The method of claim 73, wherein the at least one receptor gene is linked to a gene encoding a cell surface molecule that is recognized by an antibody.

92. The method of claim 91, wherein the cell surface molecule is CD20.

93. The method of claim 91, further comprising contacting the at least one cell with an antibody against the cell surface molecule.

94. The method of claim 93, wherein the antibody is rituximab.

95. A method of treating a disease comprising: injecting a mammalian subject with a vector encoding a receptor gene, and treating the mammalian subject with an agonist of the receptor encoded by the receptor gene.

96. A method comprising: administering an antigenic composition to a subject to induce an antigen-specific lymphocyte response, and administering a pharmacological agent to the subject to induce expression of a cytokine receptor; and administering a ligand for the cytokine receptor to the subject.

97. The method of claim 96, wherein the pharmacological agent is a drug targeting HDAC2 or G9a.

98. The method of claim 96, wherein the a pharmacological agent is vector encoding the cytokine receptor.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0029] The following drawings form part of the present specification and are included to further demonstrate certain aspects of the present invention. The invention may be better understood by reference to one or more of these drawings in combination with the detailed description of specific embodiments presented herein.

[0030] FIGS. 1a-1eIL-2/mAb but not IL-15/sIL-15R? complexes induce potent effector T cell responses in tumor-bearing mice. (a) Treatment scheme for B6 mice injected s.c. with B16 melanoma tumor cells 7 days prior to the adoptive transfer of 3?10.sup.6 pmel-1 Tc1 cells. Mice were then treated with hIL-2/mAb (clone 5355) or hIL-15/sIL-15R? complexes. (b) Tumor volume from a (n=9/group); each line represents one mouse. (*) Based on a log-rank test and time to sacrifice (at 400 mm.sup.2) for analysis, mice treated with IL-2/mAb complexes had significantly improved outcomes versus each other condition (p<0.001 for each comparison). The average tumor areas when treatment was initiated ranged between 15-20 mm.sup.2 between the 4 groups. (c) The frequency of donor Tc1 cells in the blood of mice (n=4/group) treated as in a but in the absence of tumor. Each point represents the average and bars indicate standard error. (d) The frequency of donor OT-I Tc1 cells in the blood of mice (n=5/group) treated with mIL-2/mAb.sub.CD122 (clone S4B6) or mIL-2/mAb.sub.CD25 (clone 1A12). Each point represents the average and bars indicate standard error. (e) The frequency of donor polyclonal T cells in the blood of mice (n=5/group) treated with hIL-2/mAb (clone 5355) complexes or vehicle alone. Each point represents the average and bars indicate standard error. For c-e, (**) indicates a significant difference (p<0.001) between indicated and other conditions. Random effects linear regression was used for modeling data and calculating p-values comparing conditions. All results are representative of at least 2 independent experiments.

[0031] FIGS. 2a-2hIL-2R? mediates sustained signaling in effector CD8.sup.+ T cells following withdrawal of IL-2. (a) Diagram of the standard cytokine assay in which effector cells are assayed after incubation with titrated cytokine. (b,c) Levels of pSTAT5 in Tc1 and Tc0 cells that were cultured with increasing amounts of mIL-2 or mIL-15 for 1 hour. (d) As in b, except Tc1 cells were incubated as indicated for up to 2 hours with 200 ng/ml of cytokine and assayed for pSTAT5. (e) Diagram of the cytokine pulse assay in which effector cells are incubated with saturating amounts of cytokine (200 ng/ml). Cells are then washed thoroughly, recultured at 37? C. without additional cytokine, and assayed for pSTAT5. (f) Levels of pSTAT5 in Tc1 cells that were pulsed with mIL-2 with or without anti-IL-2R? mAb (PC61 clone) for 1 hour, washed, and recultured at 37? C. for the times indicated. (g,h) Levels of pSTAT5 in polyclonal effector T cells from wildtype (IL-2R?.sup.+/+) or IL-2R?.sup.+/? mice that were pulsed for 1 hour with mIL-2 or mIL-15, and assayed as described in e. Except for g and h, all effector cells were generated from pmel-1 mice. All results are representative of at least 3 independent experiments.

[0032] FIGS. 3a-3gIL-2R? facilitates sustained IL-2 signaling through creation of an extracellular reservoir and recycling. (a) Presence of IL-2 on the surface of polyclonal T cells depends on IL-2R?. Polyclonal effector CD8.sup.+ T cells were pulsed for 2 hours with or without mIL-2. Prior to (and during) the pulse, T cells were incubated with anti-IL-2R? mAb (PC61). Cells were then washed and stained for surface IL-2. (b) Time course of surface IL-2 on polyclonal T cells after reculture at 37? C. (c) Levels of pSTAT5 in Tc1 cells that were pulsed with IL-2, washed, and recultured at 37? C. with or without anti-IL-2 mAb (clone S4B6 or 1A12). (d) Recycling of IL-2 on effector T cells. Pmel-1 Tc1 cells were incubated with hIL-2 or mIL-2 at 37? C. for 2 hours. As indicated, cells were then acid washed and recultured at 37? C. for 90 minutes in the presence of anti-hIL-2 mAb conjugated to Alexa647. Cells were then washed, fixed, and assayed by flow cytometry. (e) Recycling of IL-2 on pulsed cells while mixed with non-pulsed cells. Pmel-1 Tc1 cells were pulsed with hIL-2 at either 4? C. or 37? C. for 2 hours, and then acid washed. Cells were then mixed with non-pulsed CFSE-labeled Tc1 cells. The mixed cells were recultured at 37? C. for 45 minutes in the presence of anti-hIL-2 mAb conjugated to Alexa647. Cells were then washed, fixed, and assayed by flow cytometry. (f) Internalized IL-2 leads to sustained pSTAT5 signaling. Pmel-1 Tc1 cells were pulsed with hIL-2 at either 4? C. or 37? C. for 2 hours, and then acid washed. Cells were then recultured at 37? C. and assayed for pSTAT5. (g). Subcellular localization of hIL-2 and IL-2R? (upper panel). Pmel-1 Tc1 cells were pulsed with hIL-2 (or media alone) for 1 hour at 37? C., and stained for hIL-2 and IL-2R?. Cells were then imaged by confocal microscopy. Subcellular localization of hIL-2 and Rab5 (lower panel). As described for the upper panel, except cells were stained for Rab5. Results are representative of 3 independent experiments.

[0033] FIGS. 4a-4cIL-2R? on donor T cells is critical for persistence in lymphoreplete but not lymphodepleted hosts. (a) Wildtype and IL-2R?.sup.+/? effector CD8.sup.+ T cells show similar persistence with or without IL-2 therapy. Effector T cells from wildtype and IL-2R?.sup.+/? mice were activated, mixed, and injected into recipient mice (n=3-5/group). Mice received injections of hIL-2/mAb (clone 5355) complexes, hIL-15/sIL-15R? complexes, or vehicle alone. The proportion of IL-2R?.sup.+/? T cells among all donor T cells in the spleen was determined pre- and post-transfer. Each triangle represents one mouse and the bars indicate the mean. (b) The total number of donor T cells per spleen for the experiment shown in a. The bars indicate the mean. The symbol (**) indicates a significant difference (p<0.001) between indicated conditions. (c) The total number of donor T cells in the spleen for the experiment shown in a. Mice (n=5/group) were given total body irradiation (TBI, 600 rad) one day prior to adoptive transfer of 10.sup.7 Tc1 (pmel-1) cells, and then treated with hIL-2/mAb (clone 5355) or hIL-15/sIL-15R? complexes. The frequency of donor T cells in the blood of mice was determined at the indicated time points. Each point represents the average and bars indicate standard error. The symbol (**) indicates a significant difference (p<0.001) between control and indicated conditions. All results are representative of 2 independent experiments.

[0034] FIGS. 5a-5bIL-2/mAb complexes selectively enhance the persistence of donor T cells. B6 mice (n=6-7/group) were injected intravenously with 8?10.sup.6 Tc1 pmel-1 CD8+ T cells. On days 0, 2, 4, 6, as indicated, mice received (i.p.) either hIL-2/mAb (clone 5355) or hIL-15/sIL-15R? complexes. (a) The frequency of donor CD8+ T cells in the spleens, lymph nodes and liver were determined on day 8. Each triangle represents one mouse and the bar indicates the mean. The symbol (**) indicates a significant difference (p<0.001) between indicated conditions. (b) Splenocytes from mice treated as in A were stimulated with or without hgp100.sub.25-33 peptide for 5 hours. The frequency of donor T cells positive for both IFN? and TNF? was determined by flow cytometry. Results are representative of 2 independent experiments.

[0035] FIG. 6In the absence of donor T cells, hIL-2/mAb and IL-15/sIL-15R? complexes mediate comparable anti-tumor immunity. B6 mice (n=8/group) were injected with B16 tumor cells. The next day, mice were given i.p. injections as indicated of either hIL-2/mAb (clone 5355) or hIL-15/sIL-15R? complexes for 7 days. (For hIL-2/mAb we used 1 ?g of cytokine and 5 ?g of antibody, and for hIL-15/sIL-15R? we used 0.5 ?g of cytokine and 2.3 ?g of soluble receptor per injection.) Tumors were measured in a blinded fashion twice a week. Each line is representative of one mouse. IL-2/mAb and IL-15/sIL-15R? complexes significantly increased the time to sacrifice versus the control condition (log-rank test, <0.05). Results are representative of 2 independent experiments.

[0036] FIG. 7Treatment with IL-2/mAb, IL-2/mAb.sub.CD25, and IL-15/sIL-15R? complexes induces differential expansion of CD8+ memory-phenotype T cells, NK cells, and T regulatory cells. B6 mice (n=5/group) were injected with hIL-2/mAb (clone 5355), hIL-2/mAb.sub.CD25 (clone 5344.111), or hIL-15/IL15R? complexes on days 0, 2, 4, and 6. Spleens were harvested on day 8 and stained for T regulatory cells (CD4+CD25+FOXP3+), memory-phenotype (MP) CD8 T cells (CD8+CD44), and NK cells (NK1.1+TCR?-B220-). Mice also received adoptive transfer of Tc1 cells (data not shown). (**, p<0.001 or *, p=0.008) indicates a significant difference between indicated conditions and control. Data is representative of two independent experiments.

[0037] FIG. 8Tc1 but not Tc0 effector CD8+ T cells show preferential responsiveness to IL-2/mAb complexes. B6 mice (n=6-7/group) were injected intravenously with 8?10.sub.6 Tc1 or Tc0 pmel-1 CD8+ T cells. On days 0, 2, 4, 6, as indicated, mice received (i.p.) either hIL-2/mAb (clone 5355) or hIL-15/sIL-15R? complexes. The top graph shows the frequency of donor CD8+ T cells in the spleens on day 8. The bottom graph shows the absolute number of donor T cells on day 8. Each triangle represents one mouse and the bar indicates the mean. These data are from the same experiment shown in supplemental FIG. 1. Values were log-transformed prior to comparison of means by two-sample t-tests.

[0038] FIGS. 9a-9bBlockade of IL-2R? has minimal impact on Tc1 cells in response to titrated IL-2(a) or IL-15(b). Using a standard cytokine responsiveness assay, Tc1 cells from pmel-1 mice were incubated with titrated amounts of mIL-2 or mIL-15 for 30 minutes and assayed for pSTAT5. As indicated, anti-IL-2R? mAb (PC61) was added at 5 ?g/ml. Results are representative of 3 similar experiments.

[0039] FIGS. 10a-10bTc1 effector CD8+ T cells exhibit comparable functional sensitivity to IL-2 and IL-15 in vitro. Tc1 CD8+ T cells generated from pmel-1 TCR transgenic mice were plated with either IL-2 or IL-15. After 48 hours, the frequency of proliferating (a) and viable (b) cells was assayed by Ki67 staining and propidium iodide (PI) exclusion, respectively. Cells were then analyzed by flow cytometry.

[0040] FIGS. 11a-11cTc1 effector CD8+ T cells pulsed with IL-2 mediate sustained cytokine signaling. (a) In the cytokine pulse assay, Tc1 or Tc0 effector CD8+ T cells were incubated overnight at 37? C. with mIL-2 (200 ng/ml), mIL-15 (200 ng/ml), or without cytokine. Cells were then washed thoroughly, recultured at 37? C. without additional cytokine, and assayed for phosphorylation of STAT5. The frequency of cells staining positive for pSTAT5 are shown for (b) Tc0 and (c) Tc1 cells. Results are representative of 3 independent experiments.

[0041] FIG. 12IL-2 mediated sustained cytokine signaling is IL-2R?-dependent in 11 independent experiments. Tc1 cells from pmel-1 mice were pulsed with mIL-2 with or without anti-IL-2R? mAb (PC61 clone) for 90 minutes, then washed and recultured at 37? C. Cells were harvested at the times indicated and stained for pSTAT5. Each symbol represents one of 11 independent experiments.

[0042] FIGS. 13a-13bTc1 effector CD8+ T cells pulsed with IL-2 exhibit IL-2R?-dependent proliferation after cytokine withdrawal. (a) Tc1 cells from pmel-1 TCR transgenic mice were pre-incubated as indicated with anti-IL-2R? mAb (PC61) or isotype control antibody for 15 minutes. Then, mIL-2 or mIL-15 was added for 2 hours at 37? C. Cells were then washed three times and resuspended in culture media without cytokine for 18 hours. During the last hour of culture, BrdU was added. Cells were then stained for BrdU and CD8, and analyzed by flow cytometry. (b) The frequency of CD8+ T cells positive for BrdU staining in cytokine-treated cultures is indicated by the black line and the number in the upper right quadrant. Control cultures without cytokine are indicated by the shaded histogram. Results are representative of 3 independent experiments.

[0043] FIG. 14Human IL-2 mediates sustained cytokine signaling on mouse Tc1 effector CD8+ T cells. Tc1 cells from pmel-1 mice were pulsed with hIL-2 with or without anti-IL-2R? mAb (PC61 clone) for 90 minutes, then washed and recultured at 37? C. Cells were harvested at the times indicated and stained for pSTAT5. Results are representative of 5 independent experiments.

[0044] FIGS. 15a-15bHuman effector CD8+ T cells pulsed with IL-2 mediate sustained IL-2R?-dependent signaling. (a) Human PBMCs activated with plate-bound anti-CD3 mAb for 3 days were pulsed with either hIL-2 or hIL-15 at 37? C. for one hour. Effector cells were then washed to remove unbound cytokine and recultured in media without cytokine at 37? C. At the indicated times, cells were fixed and stained for CD8 and pSTAT5. The percentage indicates the frequency of CD8+ T cells staining positive for pSTAT5. (b) Human PBMCs from two healthy adult donors were activated for 2 days with plate-bound anti-CD3 mAb. Effector cells were then pulsed with hIL-2 in the absence or presence of an anti-IL-2R? pAb (R&D systems, AB-223-NA) for two hours. pSTAT5 was assessed in these cells at the indicated times in a manner similar to a. For a & b, similar results were obtained with CD8+ T cells derived from 4 healthy adult donors.

[0045] FIGS. 16a-16bHuman IL-2/mAb (clone 5355), but not mouse IL-2/mAb.sub.CD122 (clone S4B6) complexes, are permissive to IL-2R?-dependent sustained signaling in vitro. (a) Tc1 cells from pmel-1 TCR transgenic mice were incubated with hIL-2 with or without excess anti-hIL-2 mAb (clone 5355, 10 ?g/ml) to generate hIL-2/mAb in vitro. In replicate wells, anti-IL-2R? mAb (clone PC61) was added during the incubation step to block IL-2R?-dependent signaling. Cells were then washed and recultured at 37? C. for the time indicated. Phosphorylation of STAT5 was assessed at the indicated time points by flow cytometry. (b) As in a, except mouse IL-2 and anti-mIL-2 mAb (clone S4B6, 10 ?g/ml) were used to generate mL-2/mAb.sub.CD122 in vitro. Results are representative of two independent experiments.

[0046] FIG. 17Antibodies for mouse and human IL-2 are species-specific. Tc1 cells from pmel-1 TCR transgenic mice were pulsed with mIL-2 (200 ng/ml), hIL-2 (200 ng/ml), or mIFN? (200 ng/ml) for 45 minutes. Cells were then stained with either anti-mIL-2 mAb or anti-hIL-2 mAb directly conjugated to Alexa647 and analyzed by flow cytometry. Data are representative of 3 independent experiments.

[0047] FIGS. 18a-18bDetection of hIL-2 by confocal microscopy is species-specific and dependent on pulsing cells with cytokine at 37? C. (a) Tc1 cells generated from pmel-1 TCR transgenic mice were pulsed with hIL-2 (200 ng/ml), mIL-2 (200 ng/ml), or media alone (control) for 90 minutes at 37? C. Cells were then fixed, permeabilized, and stained with anti-hIL-2 mAb prior to being mounted onto slides. IL-2 staining in confocal images is represented as a red pseudocolor. (b) As in a, except cells were pulsed with hIL-2 at 4? C. or 37? C. All results are representative of at least two independent experiments.

[0048] FIG. 19Detection of mIL-2 by confocal microscopy. (a) Tc1 cells generated from pmel-1 TCR transgenic mice were pulsed with mIL-2 (200 ng/ml) or media alone (control) for 90 minutes at 37? C. Cells were then fixed, permeabilized, and stained with anti-mIL-2 mAb prior to being mounted onto slides. Results are representative of two independent experiments.

[0049] FIGS. 20a-20cColocalization of hIL-2 with EEA-1 and LAMP-1 by confocal microscopy. Tc1 cells from pmel-1 TCR transgenic mice were pulsed with hIL-2 for 90 minutes at 37? C., and stained for hIL-2, EEA1, or LAMP-1. Cells were then imaged by confocal microscopy to determine the subcellular localization of hIL-2 relative to EEA-1 and LAMP-1. Nine representative images for EEA1/IL-2 and LAMP-1/IL-2 were taken, and scored blindly by three independent observers. The percent colocalization was determined by counting the sum of IL-2 directly colocalizing (yellow) versus IL-2 colocalizing (yellow) plus IL-2 alone (green). Each solid line below denotes readings by one rater of % colocalization of EEA-1 and LAMP-1. X values and dashed line indicate estimated colocalization from regression model, adjusting for rater variability. Mean difference in LAMP-1 and EEA-1 colocalization is statistically significant (p=0.010).

[0050] FIGS. 21a-21cIn lymphodepleted mice, IL-15/sIL-15R? and hIL-2/mAb mediate comparable engraftment of Tc1 effector CD8+ T cells. (a) Diagram depicting the ability of IL-2 to preferentially engage IL-2R?.sup.hi donor T cells, while IL-15 requires removal of host cells for equivalent activity on donor T cells. (b) Mice (n=5/group) were treated without (top) or with (bottom) total body irradiation (TBI, 600 rad) one day prior to adoptive transfer of 107 pmel-1 Tc1 cells. Then on days 0, 2, 4, and 6, mice were treated with hIL-2/mAb (clone 5355) or hIL-15/sIL-15R? complexes. Spleens were harvested on day 8. Each triangle represents one mouse and the bar indicates the mean. (**) indicates a significant difference (p<0.001) between control and indicated conditions. Results are representative of 2 independent experiments. (c) A schematic showing the effect of IL-2 of adoptive cell transfer (ACT) therapy with ACT only, ACT plus lymphodepletion and ACT using cells having increased IL-2R activity (IL-2R?.sup.hi).

[0051] FIG. 22An example nucleic acid vector of the embodiments. Shown is a retroviral vector encoding T-cell receptor (TCR) genes (alpha and beta) and an IL-2R? (CD25) molecule. The TCR could be specific for, as an example, a tumor antigen such as MART-1 or tyrosinase. In this case, the vector could be used to genetically modify T cells, which will then be transferred into a cancer patient. A patient having cells comprising such a vector will be able to respond much more efficiently to IL-2-based therapies.

[0052] FIG. 23Low-dose IL-2 leads to preferential expansion of adoptively transferred donor tumor-reactive T cells by engagement of IL-2R?. B6 mice were injected with 250,000 B16-F1 tumor cells (s.c.). Eight days later, mice were adoptively transferred with 3?10.sup.6 tumor-reactive activated T cells (pmel-1) conditioned with IL-12 to induce high levels of IL-2R?. On the day of adoptive T cell transfer, 2 days later, and 4 days later, mice were treated with hIL-2 (1.5 ug), hIL-2/mAb complexes (1.5 ug hIL-2 and 7.5 ug anti-hIL-2 mAb (MAB602)), or hIL-15/sIL-15R?-Fc complexes (0.5 ug hIL-15+2.3 ug sIL-15R?-Fc). On day 6 after adoptive transfer, mice were bled and the frequency of donor T cells (CD8.sup.+ Thy1.1.sup.+) in the peripheral blood was determined. Each triangle represents an individual mouse and the bar indicates the mean. The number in parenthesis and in red indicates the frequency of donor T cells in the blood.

DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

I. The Present Embodiments

[0053] In some aspects, methods detailed herein concern adoptively transferring lymphocytes that have been modified to express elevated levels of cytokine receptor genes or cytokine receptor subunit genes. For example, tumor-reactive T cells can be modified to express IL-2R?. Upon adoptive transfer, these cells will have enhanced ability to respond to the exogenous ligand. Thus, in in this example, tumor-reactive T cells will have enhance ability to respond to exogenously administered IL-2 or a similar IL-2-based reagent. Cells responding to cytokine have significant advantage for growing and mediating effector functions such as killing tumor cells. Thus, this approach may allow clinicians to administer adoptive cellular therapy without having to precondition patients with chemotherapy or radiation to deplete host lymphocytes which normally compete for cytokine. Moreover, the instant methods provide the ability to genetically modify lymphocytes in vivo and provide them cytokine receptor genes or cytokine receptor subunit genes. For example, a subject may be injected with a retroviral vector containing IL-2R? and a CD19-reactive CAR. Cells modified with such a vector would be very responsive to IL-2-based therapy, and therefore, this method would provide an effective means for expanding such cells. Methods, such those described above, have application for cancer therapy as well as for the treatment of other disease. For example, T regulatory cells might be genetically modified with IL-2R?, and exhibit improved responsiveness to IL-2 therapy, and thus, this approach could have application for the treatment of autoimmune disease.

[0054] As noted above, in some specific examples, methods of the embodiments can be used to produce cells having enhanced responsiveness to IL-2. Administration of IL-2 is a critical component of many T cell-based strategies for cancer therapy. However, IL-2 has a short half-life and dose limiting toxicity. Furthermore, as IL-2 selectively expands T regulatory cells, it has been proposed that IL-15-based therapies may more effectively support adoptively transferred effector T cells. The findings here show that genetically transferring cytokine receptor genes, such as IL-2R?, into lymphocytes or other cells dramatically enhances sensitivity to cytokine therapy. This approach is easily adopted for other cytokines or injectable protein therapeutics dependent on receptor expression. For example, the technique could be used to genetically transfer IL-15R? to modulate lymphocyte responsiveness to IL-15. It is also possible to create chimeric or novel receptors combing different ligand binding and cell signaling properties. It is also possible to genetically add receptors in vivo through novel gene transfer techniques. Alternatively, in some instances, receptor genes may be introduced in a transient method (such as RNA electroporation), so that the impact is not long lasting.

[0055] In some embodiments, the treatment entails genetically modifying lymphocytes with other proteins that enhance cytokine receptor gene expression. This could include the transfer of transcription factors that lead to up-regulation of cytokine receptors or enhance the cellular machinery necessary for cytokine responsiveness.

[0056] In another embodiment, receptor expression is modulated in other ways than outlined above. For example, modulation of the levels of IL-2R? and IL-2R?, either individually, together, or with or without modulation of IL-2R?, may be done. As part of this, modulation may be done by increasing the expression of these receptors or by inhibiting the expression of the endogenous receptor(s). For example, genetic modification of IL-2R? and Il-210 may be necessary for optimal responsiveness to IL-2.

[0057] As an additional aspect of the embodiments, mutant or altered versions of IL-2 may be used. For example, a mutant recombinant IL-2 molecule may be used to enhance binding to IL-2R?. In some cases a mutant IL-2 may also have altered affinity for IL-2R? dependent on pH (and thus, may undergo differential intracellular trafficking). The treatment may use an IL-2 molecule fused to another protein such as IgG. These altered IL-2 molecules may provide for improved IL-2 responsiveness and act in an additive or synergistic manner to the genetic modification of T cells as proposed above.

[0058] In another embodiment, altered receptor molecules are designed. For example, a version of IL-2R? with improved sensitivity to IL-2 may be more effective upon genetic modification of lymphocytes.

[0059] In another embodiment, genetic constructs including long terminal repeats (LTR) linking T-cell receptor (TCR) or chimeric antigen receptor (CAR) genes to cytokine receptor subunits are created. For example, TCR? or TCR? is linked to IL-2R?, where the TCR genes are reactive against a melanoma tumor antigen. The genetic construct used could be a retroviral vector, lentiviral vector, or any other means of genetically modifying T cells using DNA or RNA. In addition to these genetic elements, other genes may be linked to this construct such as a selectable marker (CD34 or GFP) or a suicide gene to allow killing of the adoptively transferred cell population.

[0060] In some embodiments, this approach is used to modify other cells, such as specific lympohcyte subsets (such as T regulatory cells, Tc1 cells, or Th17 cells), or completely different classes of lympohcytes such as natural killer cells.

[0061] As detailed above, in some embodiments a method of treating a patient is provided. For example, in the case of a patient with metastatic melanoma, who seeks treatment with adoptive cellular therapy, tumor infiltrating lympohcytes (TIL) can be isolated from this patient and expanded to later numbers for adoptive transfer. During this process, the TIL can be genetically modified with a retroviral vector encoding an IL-2R gene. While normally, such a patient might be given lymphodepleting non-myeloablative chemotherapy with cyclophosphamide and fludarabine, with IL-2R?-modified TIL, this patient may not require such chemotherapy to enhance TIL efficacy or may require a lower dose of chemotherapy. In this situation, the patient may be given low dose IL-2 therapy. Alternatively, the patient could be given another IL-2-based molecule such as an IL-2 fusion protein.

[0062] In a further example, a patient with B cell-derived malignancy, who seeks treatment with adoptive cellular therapy, can have peripheral blood genetically modified with a CAR vector also containing an IL-2R? gene. In some cases, there may also be a suicide gene in this vector. The patient can be treated with the CAR-IL-2R?-modified T cells and low dose IL-2. In this case, the patient may not require chemotherapy to suppress the host immune cells.

[0063] In another example, a patient with metastatic melanoma who seeks treatment with adoptive cellular therapy, can have tumor infiltrating lympohcytes (TIL) isolated and expanded to sufficient numbers for adoptive transfer. During this process, the TIL can be genetically modified with a retroviral vector encoding IL-12 receptor (IL-12R?1 and/or IL-12R?2). In this situation, very low doses of IL-12 may augment ability of TIL to mediate anti-tumor efficacy. In this case, IL-12 can be given at lower doses and may not be toxic to the patient. This example could be applied to any cytokine, ligand, or protein therapy where efficacy is impacted by dose limiting toxicity.

[0064] In still another example, a patient may require a bone marrow transplant. In this case, the bone marrow cells may be genetically modified with a vector encoding IL-2R?, GM-CSF receptor (GM-CSF receptor ? and ?c), or G-CSF receptor (GCSF-receptor). In this case, the patient may be given GM-CSF or G-CSF ligand, to induce improved reconstitution of the bone marrow graft or IL-2 to selectively reconstitute T cells within the graft. This technology could be used with any cytokine or ligand receptor system.

[0065] Still another example of method of treatment in accordance with the embodiments concerns a patient with metastatic melanoma who seeks treatment with adoptive cellular therapy. Tumor infiltrating lympohcytes (TIL) can be isolated from this patient and expanded to sufficient numbers for adoptive transfer. During this process, the TIL can be genetically modified with a retroviral vector encoding a mutated IL-2R? gene. The mutation may eliminate potential ribosylation sites, and therefore make the IL-2R? more responsive to IL-2 therapy. Alternatively, the IL-2R? molecule may be mutated so that the intracellular signaling domain from another receptor subunit or costimulatory molecule is engineered into the intracellular portion of IL-2R?. In this case, the IL-2R? may improve T cell function in novel ways. For this patient, while normally, he or she may be given lymphodepleting non-myeloablative chemotherapy with cyclophosphamide and fludarabine, with IL-2R?-modified TIL, this patient may not require such chemotherapy to enhance TIL efficacy. In this situation, the patient may be given low dose IL-2 therapy. Alternatively, the patient could be given another IL-2-based molecule such as an IL-2 fusion protein.

II. Examples

[0066] The following examples are included to demonstrate preferred embodiments of the invention. It should be appreciated by those of skill in the art that the techniques disclosed in the examples which follow represent techniques discovered by the inventor to function well in the practice of the invention, and thus can be considered to constitute preferred modes for its practice. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments which are disclosed and still obtain a like or similar result without departing from the spirit and scope of the invention.

Example 1Materials and Methods

[0067] Study Design. This was a preclinical study to assess the efficacy of cytokine therapy to augment anti-tumor T cell immune responses. The inventors found that IL-2-based therapies were more efficacious than IL-15-based therapies in the tumor model, and thereafter, focused on understanding the mechanism of this differential response. For in vivo experiments, the numbers of mice are outlined in the figure legends. For all experiments, the number of independent replicates is outlined in each figure legend. Randomization and blinding for tumor experiments was done as described in the tumor methods below. Additional study design details are also included in the statistical analysis section below.

[0068] Recombinant proteins and antibodies. Human (h) IL-15, hIL-2, and anti-hCD3 mAb (clone OKT3) were kindly provided by the NCI Biological Resources Branch Preclinical Repository. Mouse (m) IL-2, mIL-12, and mIL-15 were purchased from Shenandoah Biotechnology. Recombinant sIL-15R?-Fc (551-MR-100) and anti-hIL-2 mAb (clone 5355) were purchased from R&D systems. Anti-hIL-2 mAb.sub.CD25 (clone 5344.111) was obtained from BD Bioscience. Anti-mIL-2 mAb.sub.CD122 (clone S4B6) and anti-IL-2R? (clone PC61) were obtained from Bioxcell. Anti-mIL-2 mAb.sub.CD25 (clone JES6-1A12), anti-mCD3 mAb (clone 145-2C11), and anti-mCD28 mAb (clone 37.51) were obtained from the UCSF monoclonal antibody core. Antibodies used for flow cytometric and confocal analysis are described below.

[0069] Mice and tumor cells. C57BL/6 (B6), B6.PL (Thy1.1), B6(CD45.1), pmel-1 TCR transgenic, and OT-I TCR transgenic mice were purchased from Jackson Laboratory. All animals were housed under specific pathogen-free conditions in accordance with institutional and federal guidelines. For tumor experiments, B16-F1 cells were obtained from ATCC.

[0070] T Cell Cultures.

[0071] Mouse Tel and Tc0 cells were generated from pmel-1 and OT-I TCR transgenic mice as previously described (Rubinstein et al., 2012). Briefly, splenocytes were cultured for three days with relevant peptide (for pmel-1, hgp100.sub.25-33 peptide (KVPRNQDWL) (SEQ ID NO: 1) and for OT-I, OVA257-264 peptide (SIINFEKL) (SEQ ID NO: 2)) and cultured with (Tel) or without (Tc0) mIL-12 (long/ml). Polyclonal mouse T cells were generated by culturing B6 splenocytes for three days with plate-bound anti-CD3 mAb (clone 145-2C11, 1 ug/ml) unless otherwise stated. Activated human T cells were generated by culturing de-identified human PBMCs (Research Blood Components) from healthy adult donors for two or three days with plate-bound anti-CD3 mAb (clone OKT3, 1 ug/ml).

[0072] Tumor and persistence studies in mice. For tumor experiments, B6 mice were challenged subcutaneously with 2.5?10.sup.5 B16-F1 tumor cells. Prior to randomizing mice to treatment groups, some mice were excluded due to abnormal tumor growth. As indicated, mice were treated by adoptive transfer of activated T cells (Tel or Tc0) by intravenous tail vein injection. Cytokine complexes were administered by intraperitoneal injection on days 0, 2, 4, and 6 after adoptive transfer unless otherwise indicated. Cytokine complexes used include: hIL-15/sIL-15R?, hIL-15 (0.5 ug)/sIL-15Ra-Fc (2.3 ug); hIL-2/mAb, hIL-2 (1.5 ug)/anti-IL-2 mAb (7.5 ug, clone 5355); hIL-2/mAb.sub.CD25, hIL-2 (1.5 ug)/anti-IL-2 mAb (7.5 ug, clone 5344.111); mIL-2/mAb.sub.CD122, mIL-2 (1.5 ug)/anti-IL-2 mAb (7.5 ug, clone S4B6); and mIL-2/mAb.sub.CD25, mIL-2 (1.5 ug)/anti-IL-2 mAb (7.5 ug, clone JES6-1A12). Tumor growth was measured by caliper every 2-4 days by personnel blinded to the treatment regimen. Tumor surface area (mm.sup.2) was calculated as length?width. Mice were sacrificed when tumors reached 400 mm.sup.2. For persistence studies, mice received adoptive transfer of activated T cells (Tel or Tc0). Peripheral blood lymphocytes or indicated organs were stained for CD8 and either Thy1.1 or CD45.1 to identify donor T cells. In experiments with a mixed transfer, the inventors used effector T cells from wildtype (Thy1.1) and IL-2R?.sup.+/? (Thy1.2) mice that were activated with plate-bound anti-CD3/anti-CD28 mAb, mixed, and transferred into B6(CD45.1) mice.

[0073] Where indicated, mice also received total body irradiation (600 rad) one day prior to adoptive T cell transfer. In all adoptive transfer experiments, donor and recipient mice were gender-matched and were 6-12 weeks of age. All animals were housed under specific pathogen-free conditions in accordance with institutional and federal guidelines.

[0074] Flow Cytometry.

[0075] Flow cytometry analysis was performed as previously described (17). The antibodies used in this study include CD8 (53-6.7), CD25 (PC61), CD45.1 (A20), IFN? (XMG1.2), STAT5 pY694 (47/Stat5(pY694)), Thy1.1 (A20), and TNF? (TN3-19.12). These were purchased from BD Bioscience, Biolegend (San Diego, Calif.), and eBioscience (San Diego, Calif.). For analysis of phosphorylation of STAT5, the inventors followed the manufacturer's protocol using Lyse/Fix and PermIII buffer (BD Bioscience). To examine cellular proliferation, cells were fixed and permeabilized according to the manufacturer's protocol for Cytofix/Cytoperm (BD Bioscience) and stained with anti-Ki67 mAb (SolA15, eBioscience). Alternatively, BrdU (10 ?m) was added one hour prior to harvest, and cells were analyzed for BrdU incorporation as previously described (Rubinstein et al., 2008). For Foxp3 staining, the inventors followed the protocol outlined in the Foxp3 kit (eBioscience). Flow cytometry was performed on BD LSRII and BD FACSAccuri. Data were analyzed using FlowJo software (TreeStar). In all experiments, initial gating of live cells was performed using forward scatter and side scatter parameters, and cells were then gated on live lymphocytes. Isotype and fluorescence minus one (FMO) controls were performed as required. For experiments assessing IL-2, the inventors always included control conditions without IL-2 pulsing.

[0076] In Vitro Experiments.

[0077] For functional assays, Tc1 or Tc0 cells were incubated with cytokines and assayed for pSTAT5, Ki67, BrdU, or propidium iodide exclusion. For pulse assays, cells were incubated with or without cytokine at 200 ng/ml at either 4? C. or 37? C. for 90 minutes unless otherwise indicated. Cells were then washed at least three times, replated without cytokine, and assayed for pSTAT5. When added during the pulse step, anti-IL-2R? mAb was added 15 minutes prior to cytokine addition. Acid wash was performed by washing cells twice for 2 minutes at 4? C. with an acid wash buffer consisting of complete media adjusted to pH3.5 or pH3.75 with 1N HCl. For analysis of recycling of IL-2 to the cell surface, acid washed cells were replated in media at 37? C. for the indicated amount of time with anti-IL-2 mAb conjugated to Alexa647. To assess IFN? and TNF? production, the inventors added hgp100.sub.25-33 (1 ug/ml) or PMA (50 ng/mL) and ionomycin (1 ?M) to splenocytes for 6 hours in the presence of brefeldin A (GolgiStop, BD Bioscience).

[0078] Confocal Microscopy.

[0079] Tc1 cells were incubated with hIL-2 (200 ng/ml), mIL-2 (200 ng/ml), or no cytokine, for 1 hour at either 4? C. or 37? C. unless otherwise stated. Cells were washed, fixed, and permeabilized using the Cytofix/Cytoperm protocol. To determine the subcellular localization of internalized IL-2 by confocal microscopy, cells were stained with anti-hIL-2 mAb and either anti-IL-2R? pAb (R&D systems), anti-Rab5 mAb (C8B1, Cell Signaling), anti-LAMP1 mAb (1D4B, company), or anti-EEA1 mAb (C45B10, Cell Signaling). To detect anti-IL-2R?, the inventors used an anti-goat IgG conjugated to Alexa488 (R&D systems). To detect EEA-1 and Rab5, the inventors used an anti-rabbit IgG conjugated to Alexa488 (F(ab)2 fragment, Cell Signaling). After washing, cells were transferred to SuperFrost microscope slides via cytospin. Immunofluorescence staining was visualized with a confocal microscope (Olympus Fluoview FV10i laser scanning confocal microscope system, Olympus) using a 60? water immersion objective (1.2 NA). Image analysis was performed using the FV10-ASW 1.7 software. In all images, IL-2 staining is presented as a red pseudocolor. In all experiments, cells pulsed without IL-2 were used as the primary control.

[0080] Statistical Analyses.

[0081] Before analysis, graphical displays were made of all data vs. conditions to identify the need for transformations to adhere to model assumptions. For experiments comparing outcomes at a fixed point in time, log transforms were taken and comparisons of means performed using two-sample t-tests or linear regression (depending on the number of conditions). Where appropriate, t-tests assumed unequal variance across conditions. Comparisons of conditions where mice were followed over time were made at individual timepoints based on random effects linear regression models (with random effects to account for correlation of data from the same mouse over repeated measures) with the outcome (e.g. % T-cells) log-transformed. Graphical displays were used to assess appropriateness of transformation. Residual plots were inspected to assess assumptions of linear regression models. Time to sacrifice was compared across groups using log-rank tests. Time to sacrifice was compared across groups using log-rank tests. Percent colocalization was compared with log(percent) as the outcome (due to skewness) and main effects of LAMP-1 (vs. EEA-1) and rater. The LAMP-1 effect was evaluated based on the Wald test of the regression coefficient. Model results were exponentiated to provide point estimates for LAMP-1 and EEA-1 colocalization. In the interest of addressing the hypotheses and not over-testing, the inventors did not perform hypothesis tests for every possible comparison in each figure. Where comparisons were insignificant (p>0.05) it is stated in the text; where tests were significant, it is stated and/or indicated with asterisks in figures. P-values are reported to two significant digits, except when the p-value is less than 0.001; for p-values smaller than 0.001, it is reported as p<0.001. P-values are not corrected for multiple comparisons. For all analyses, statistical significance was based on a two-sided a level of 0.05. Statistical analyses were performed using Stata/IC (version 12.1) and R statistical software.

Example 2Results

[0082] IL-2- but not IL-15-Therapy Mediates Anti-Tumor Immunity after Adoptive Transfer of Activated CD8.sup.+ T Cells.

[0083] To assess the impact of cytokine therapy on adoptively transferred effector CD8.sup.+ T cells, the inventors used IL-2/anti-IL-2 mAb (IL-2/mAb) and IL-15/sIL-15R?-Fc (IL-15/sIL-15R?) complexes, in which the antibody or receptor acts as a carrier molecule to improve the half-life and biological activity of free cytokine in vivo (Rubinstein et al., 2006; Stoklasek et al., 2006; Boyman et al., 2006). To test effector T cell responsiveness to cytokines in a clinically relevant model, B6 mice were injected (s.c.) with B16 melanoma tumor cells (FIG. 1A). After the establishment of palpable tumors, unirradiated mice received activated IL-12-conditioned T cells (Tc1) from pmel-1 TCR transgenic mice, from which CD8.sup.+ T cells recognize an endogenous B16 tumor antigen (H-2D.sup.b-restricted gp100.sub.25-33 peptide). The inventors have shown these Tc1 effector cells are highly efficacious against tumor in lymphodepleted mice (Rubinstein et al., 2012). For the first week after adoptive transfer, IL-15/sIL-15R? or IL-2/mAb (clone 5355) complexes were administered every 48 hours. While 6 of 9 mice that received IL-2/mAb complexes were cured of established tumor, mice that received either IL-15/sIL-15R? complexes or no cytokine therapy showed no tumor regression (FIG. 1b). To better understand this differential response, the inventors assessed the persistence of donor Tc1 cells in recipients that received treatment with IL-2/mAb complexes or IL-15/sIL-15R? complexes. Independent of the presence of tumor, only IL-2/mAb complexes enhanced the persistence of effector CD8.sup.+ T cells in a systemic fashion across multiple organs (FIGS. 1c and 5a). Notably, without lymphodepletion or vaccination, the inventors routinely achieved sustained donor T cell frequencies of 20% or higher in the peripheral blood. Furthermore, donor Tc1 cells were equally functional across treatment groups as indicated by the ability to produce IFN? and TNF? (FIG. 5b). Finally, as a control, the inventors found that the transfer of tumor-reactive effector CD8.sup.+ T cells was necessary for curative therapy. Thus, tumor-bearing mice treated with only IL-2/mAb or IL-15/sIL-15R? complexes exhibited minimally delayed tumor growth, albeit comparable between cytokine conditions (FIG. 6).

[0084] Donor T cell expression of IL-2R? is critical for preferential IL-2-mediated responses. The preferential response of effector CD8.sup.+ T cells to IL-2/mAb but not IL-15/sIL-15R? complexes was contrary to the expectation. This response was not dose related as IL-2/mAb and IL-15/sIL-15R? complexes expanded IL-2R??.sup.hi cells such as memory-phenotype CD8.sup.+ T cells and NK cells to a similar extent in vivo (FIG. 7) (Rubinstein et al., 2008). However, only IL-2/mAb complexes expanded T regulatory cells (FIG. 7), which are characterized by their expression of IL-2R?. As IL-12-conditioned (Tc1) effector CD8.sup.+ T cells express very high levels of IL-2R? (Rubinstein et al., 2012), the results suggested an unappreciated role for cell surface IL-2R? on effector T cells in dictating responsiveness to IL-2 therapy. To formally test this, the inventors made use of two anti-IL-2 mAbs with the ability to differentially redirect IL-2 based on lymphocyte cell surface IL-2R? expression. IL-2/mAb.sub.CD25 complexes (clone 1A12) preferentially expand IL-2R?.sup.hi lymphocytes, while IL-2/mAba122 complexes (clone S4B6) act in an IL-2R?-independent manner (Boyman et al., 2006; Spangler et al., 2015). The inventors tested these two complexes in lymphoreplete mice injected with Tc1 cells. For only this experiment, the inventors generated Tc1 cells from another TCR transgenic mouse, OT-I, to confirm the results with a different TCR. While IL-2/mAb.sub.CD122 complexes mediated a minimal increase in persistence, IL-2/mAb.sub.CD25 complexes induced donor T cell levels of greater than 60% of total lymphocytes (FIG. 1d). To further confirm that this effect was dependent on IL-2R? and not on IL-12 conditioning or selective TCR engagement, the inventors stimulated polyclonal T cells from wildtype mice with plate-bound anti-CD3 mAb, a method that generates IL-2R?.sup.hi effector CD8.sup.+ T cells. Upon adoptive transfer into lymphoreplete mice, IL-2/mAb complexes (clone 5355) greatly enhanced the persistence of polyclonal T cells (FIG. 1e). Finally, as an additional control, Tc0 cells, which have lower levels of surface IL-2R? (Rubinstein et al., 2012), showed limited IL-2/mAb-driven persistence (FIG. 8).

[0085] IL-2R? Induces Sustained IL-2 Signaling in Effector CD8+ T Cells after Cytokine Withdrawal.

[0086] To uncover the mechanism behind the remarkable IL-2R?-dependent responsiveness of effector Tc1 cells in vivo, the inventors assayed IL-2 and IL-15 activity downstream of IL-2R?? using standard in vitro assays quantifying phosphorylation of STAT5 (a proximal signaling event), viability, and proliferation (FIG. 2a). In the context of STAT5 phosphorylation in response to titrated cytokine, the inventors found that Tc1 (IL-2R?.sup.hi) cells exhibited marginally increased sensitivity to IL-2 versus IL-15 when compared to Tc0 effector cells (IL-2R?.sup.med) (FIGS. 2b-2c), which is consistent with previous findings (Lisiero et al., 2011). The addition of a blocking antibody (anti-IL-2R? mAb, PC61 clone) also showed a minimal benefit of IL-2R? engagement on Tc1 cells in comparison between titrated IL-2 and IL-15 (FIGS. 9a-9b). Notably, Tc1 cells responded comparably to IL-2 and IL-15 in standard assays of proliferation and viability (FIGS. 10a-10b). Importantly, there was no difference in the kinetics of STAT5 phosphorylation between cells cultured in IL-2 or IL-15 (FIG. 2d). The mildly enhanced sensitivity of Tc1 cells to IL-2 versus IL-15 seemed unlikely to account for the dramatic difference in activity observed in vivo. Therefore, the inventors hypothesized that IL-2R? does not simply improve cellular affinity for IL-2, but allows for sustained IL-2 signaling after a T cell transitions from a cytokine-rich to a cytokine-free environment. To test this idea, the inventors used a cytokine pulse assay. Tc1 and Tc0 cells were cultured overnight with a saturating dose of IL-2 or IL-15, washed, and replated without cytokine as shown in FIG. 2e. Consistent with the hypothesis, only pre-culture of Tc1 cells with IL-2 led to sustained STAT5 phosphorylation in the absence of additional cytokine (FIGS. 11a-11c). To directly test the role of IL-2R? in promoting sustained signaling on effector CD8.sup.+ T cells, the inventors cultured Tc1 cells for 90 minutes with IL-2 in the absence or presence of blocking anti-IL-2R? antibody (PC61 clone). This shorter pulse was equally sufficient for inducing sustained signaling as indicated by STAT5 phosphorylation (FIG. 2f). Importantly, blockade of IL-2R? completely abolished the sustained IL-2 signaling as indicated by STAT5 phosphorylation and proliferation (FIGS. 2f, 12, and 13a-13b). Polyclonal effector CD8.sup.+ T cells activated in the absence of IL-12 also showed sustained IL-2 signaling, and importantly, effector cells generated from IL-2R?.sup.+/? mice showed roughly half the sustained IL-2 signaling (FIG. 2g). To ensure that these cells had similar IL-2R?? signaling potential, the inventors pulsed wildtype and IL-2R?.sup.+/? effector CD8.sup.+ T cells with IL-15 and found no differences in their response (FIG. 2h). Notably, the ability to induce sustained IL-2 signaling on mouse effector cells was observed with human and mouse IL-2 (FIG. 14). Furthermore, culture of human effector T cells with hIL-2 but not hIL-15 led IL-2R?-dependent sustained STAT5 phosphorylation (FIGS. 15a-15b). Finally, to verify that IL-2/mAb complexes (clone 5355) used in the in vivo experiments were permissive to engagement of IL-2R?, the inventors repeated the pulse assay with hIL-2 and excess anti-IL-2 mAb. In vitro generated IL-2/mAb complexes induced sustained IL-2 signaling that was dependent on IL-2R? (FIG. 16a). In contrast, IL-2/mAb.sub.CD122 complexes (clone S4B6), which do not engage IL-2R? (Boyman et al., 2006; Spangler et al., 2015), failed to induce sustained signaling in vitro (FIG. 16b).

[0087] IL-2R? facilitates sustained IL-2 signaling through creation of an extracellular reservoir and recycling. To understand how IL-2R? promotes sustained IL-2 signaling, the inventors hypothesized two non-mutually exclusive possibilities. First, IL-2R? may bind IL-2 and create a cell-surface cytokine reservoir due to the high ratio of surface IL-2R? to IL-2R??, as IL-2/IL-2R? internalization can only occur in the presence of both IL-2R? and ? (Robb and Greene, 1987; Takeshita et al., 1992). Such a reservoir of IL-2 bound to IL-2R? would mediate gradual signaling by continually feeding the rate-limiting, endocytosed IL-2R??. In support of this possibility, the inventors detected high surface levels of IL-2 on effector CD8.sup.+ T cells that gradually waned after extended culture, and this cell-surface IL-2 was dependent on available IL-2R? (FIGS. 3a-3b). Furthermore, antibodies against IL-2 added after the removal of free cytokine from IL-2 pulsed cells were able to dampen sustained signaling (FIG. 3c). A second possible way in which IL-2R? might sustain signaling is by promoting recycling of IL-2 from within the cell to the surface, thus allowing for repetitive signaling. To test this hypothesis, Tc1 cells were pulsed with IL-2 at 37? C. to allow for cytokine internalization. Cells were then stripped of surface IL-2 using an acid wash. Upon reculture at 37? C., the inventors were able to detect re-appearance of either mIL-2 or hIL-2 on the cell surface (FIG. 3d). Minimal surface IL-2 was observed when cells were pulsed at 4? C. or on the surface of mixed bystander Tc1 cells (FIG. 3e). Importantly, the species-specificity of the reagents precluded autocrine production as the source of cell surface IL-2 after acid wash (FIG. 17). In additional support of IL-2R?-mediated recycling, the inventors observed sustained pSTAT5 signaling after acid washing of cells pulsed with hIL-2 at 37? C. but not 4? C. (FIG. 3f). Because internalization of IL-2R??? does not occur at 4? C., these data provide further support that sustained signaling occurs in part through an IL-2R? bound pool of internalized IL-2. It is notable that the inventors could not block sustained STAT5 signaling in cells pulsed with mIL-2 at 4? C. by acid washing, possibly reflecting a higher affinity of mIL-2 for mIL-2R? compared with that of hIL-2 for mIL-2R? (Spangler et al., 2015; Liu et al., 1996). Finally, confocal microscopy showed discrete punctate structures of either mIL-2 or hIL-2 when cells were incubated with cytokine at 37? C. but not 4? C. (FIGS. 18a, 18b, and 19). These punctate structures colocalized with IL-2R?, Rab5, and EEA1, but less frequently with LAMP-1, consistent with intracellular IL-2 being accessible to the recycling pathway (FIGS. 3g, 3h and 20a-20c) (Grant and Donaldson, 2009; Mu et al., 1995). Taken together, these results suggest that IL-2R? both promotes an extracellular reservoir for IL-2 and mediates recycling of IL-2.

[0088] IL-2R? Expression on Donor CD8+ T Cells Provides a Competitive Advantage to IL-2 Therapy in a Lymphoreplete but not Lymphopenic Host Environment.

[0089] The results thus far suggest that the differential responsiveness of Tc1 cells to IL-2- and IL-15 therapy in vivo is a consequence of IL-2R? on donor T cells providing a competitive advantage to accessing cytokine. To formally test this hypothesis, the inventors initially attempted to activate T cells from wildtype and IL-2R?.sup.?/? mice. However, this proved technically not feasible for us as T cells isolated from IL-2R?.sup.?/? mice were resistant to normal activation, likely due to the immune alterations in the absence of IL-2 responsiveness (Willerford et al., 1995). Therefore, the inventors used polyclonal IL-2R?.sup.+/? T cells, as these cells activated comparably to wildtype T cells and had approximately half the expression of IL-2R? (FIG. 4a). Using the Thy1.1 congenic marker to distinguish between genotypes, these two cell populations were mixed and adoptively transferred into non-irradiated B6(CD45.1) recipient mice. Mice were treated with IL-2/mAb or IL-15/sIL-15R? for 1 week. The inventors hypothesized that IL-2R?.sup.+/? donor CD8.sup.+ T cells would not persist as well as their wildtype counterparts due to loss of one allele. In contrast to the expectations, wildtype and IL-2R?.sup.+/? donor T cells did not show differential responsiveness to treatment with IL-2/mAb or IL-15/sIL-15R? complexes (FIG. 4a-4b). These results suggest a threshold of IL-2R? in vivo, both in terms of level and durability of expression, that when reached is sufficient for providing donor cells a competitive advantage to IL-2 therapy in a lymphoreplete environment.

[0090] As an alternative means of assessing the role of IL-2R? on donor T cells in vivo, the inventors compared the responsiveness of IL-2R?.sup.hi donor T cells to IL-2- and IL-15 therapy with the addition of lymphodepletion to destroy host cells. The inventors predicted that the advantage of IL-2R?-competent cytokine therapy would be lost in the absence of host IL-2R??.sup.+ lymphocytes competing for cytokine (FIG. 21a). Thus, mice were given total body irradiation (600 rad) prior to adoptive transfer of effector Tc1 CD8.sup.+ T cells, and then treated for one week with IL-2/mAb and IL-15/sIL-15R? complexes. Consistent with the prediction, both IL-2 and IL-15 therapy effectively augmented the persistence of donor cells both in the blood and in the spleen, and only in lymphodepleted mice (FIGS. 4c and 21b-c). These results demonstrate a critical role for IL-2R? on donor T cells in promoting IL-2 responsiveness in a lymphoreplete host environment.

[0091] It was also shown that low-dose IL-2 leads to preferential expansion of adoptively transferred donor tumor-reactive T cells by engagement of IL-2R? (FIG. 23). B6 mice were injected with 250,000 B16-F1 tumor cells (s.c.). Eight days later, mice were adoptively transferred with 3?10.sup.6 tumor-reactive activated T cells (pmel-1) conditioned with IL-12 to induce high levels of IL-2R?. On the day of adoptive T cell transfer, 2 days later, and 4 days later, mice were treated with hIL-2 (1.5 ug), hIL-2/mAb complexes (1.5 ug hIL-2 and 7.5 ug anti-hIL-2 mAb (MAB602)), or hIL-15/sIL-15R?-Fc complexes (0.5 ug hIL-15+2.3 ug sIL-15R?-Fc). On day 6 after adoptive transfer, mice were bled and the frequency of donor T cells (CD8.sup.+ Thy1.1.sup.+) in the peripheral blood was determined.

[0092] All of the methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the compositions and methods of this invention have been described in terms of preferred embodiments, it will be apparent to those of skill in the art that variations may be applied to the methods and in the steps or in the sequence of steps of the method described herein without departing from the concept, spirit and scope of the invention. More specifically, it will be apparent that certain agents which are both chemically and physiologically related may be substituted for the agents described herein while the same or similar results would be achieved. All such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope and concept of the invention as defined by the appended claims.

REFERENCES

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