2014
DOI: 10.4161/onci.28223
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Immunogenic and tolerogenic effects of the chimeric IL-2-diphtheria toxin cytocidal agent Ontak®on CD25+cells

Abstract: Ontak®, a conjugate between IL-2 and a diphtheria toxin fragment, was recently investigated in cancer clinical trials aiming to kill CD25+ regulatory T cells (Tregs). We found that the activity of Ontak® was more complex on Tregs and conventional T cells (Tconvs) than anticipated, including a novel strong influence on dendritic cells (DCs).

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Cited by 19 publications
(5 citation statements)
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“…In turn, denileukin diftitox is a fusion protein designed against cells which express the IL-2 receptor. It is used as a drug named Ontak in cutaneous T cell lymphomas (CTCL) expressing CD25 [ 110 , 112 ].…”
Section: Toxinsmentioning
confidence: 99%
“…In turn, denileukin diftitox is a fusion protein designed against cells which express the IL-2 receptor. It is used as a drug named Ontak in cutaneous T cell lymphomas (CTCL) expressing CD25 [ 110 , 112 ].…”
Section: Toxinsmentioning
confidence: 99%
“…The effect of Ontak on immunosuppressive Tregs further enhances anticancer immune responses. Furthermore, CD25 that can be targeted by the IL-2 fusion protein on Ontak is also present on lymphoid tumor cells and dendritic cells effector T cells, making this recombinant protein a great pharmacological intervention strategy (Lutz et al, 2014). However, due to production issues related to bacterial immunotoxin, Ontak was discontinued in 2014 although currently there are several Ontaklike formulations under development that use other bacterial expression systems (Shafiee et al, 2019).…”
Section: Immunogenicitymentioning
confidence: 99%
“…The same technology also permitted the investigation of strategies targeting IL‐2 to specific cells at the site of action. For example, a fusion molecule of a fragment of diphtheria toxin conjugated to IL‐2 (Ontak ® ) or its improved equivalent E7777 has been investigated for its effectiveness in Treg depletion in clinical trials 106,107 . In this case, when the fusion protein is bound and internalized by cells expressing IL2‐Rα, the diphtheria toxin is released from acidic vesicles into the cytoplasm where it inhibits protein synthesis, leading to subsequent cell death.…”
Section: Il‐2 In Immunotherapymentioning
confidence: 99%