Skip to main content

Interleukin-2 Fusion Protein (DAB389IL- 2) Selectively Targets Activated Human Peripheral Blood and Lamina Propria Lymphocytes

Abstract

Activated mucosal T lymphocytes correlate withthe intestinal inflammation of inflammatory boweldisease. Activated T cells elaborate interferon-γ(IFN-γ) and express high-affinity interleukin-2(IL-2) receptors. The IL-2/diphtheria toxin fusionprotein (DAB389IL-2) has been shown tospecifically kill high affinity IL-2 receptor-bearingcells. We tested whether DAB389IL-2 couldspecifically target activated lamina propria lymphocytes. Lymphocytes 389were activated in vitro with phytohemagglutinin and IL-2for 24 - 48 hr. Toxin efficacy was determined by the[14C]leucine incorporation, IFN-γELISA, and flow cytometry. DAB389IL-2 (10-11 M) inhibited protein synthesis by 80% inactivated lamina propria 389 lymphocytes. Thisinhibition was blocked by coculture of either excessIL-2 or a nonfunctional IL-2 diphtheria toxin mutant protein.DAB389IL-2 (10-12 M) alsosignificantly reduced the numbers of activated helper Tcells and IFN-γ levels in 24-hr cultures.DAB389IL-2 specifically targets activatedIL-2 receptor-positive lamina propria lymphocytesand is a potential new therapeutic agent for patientswith active inflammatory bowel disease.

This is a preview of subscription content, access via your institution.

REFERENCES

  1. Schreiber S, Raedler A, Stenson WF, MacDermott RP: The role of the mucosal immune system in inflammatory bowel disease. Gastroenterol Clin North Am 21:451–502, 1992

    Google Scholar 

  2. Peppercorn MA: Advances in drug therapy for inflammatory bowel disease. Ann Intern Med 112:50–60, 1990

    Google Scholar 

  3. Present DH, Korelitz BI, Wisch N, Glass JL, Sachar DB, Pasternack BS: Treatment of Crohn's disease with 6-mercaptopurine. N Engl J Med 302:981–987, 1980

    Google Scholar 

  4. Lichtiger S, Present DH: Preliminary report: Cyclosporin in treatment of severe active ulcerative colitis. Lancet 336:16–19, 1990

    Google Scholar 

  5. Williams DP, Parker K, Bacha P, Bishai W, Borowski M, Genbauffe F, Strom TB, Murphy JR: Diphtheria toxin receptor binding domain substitution with interleukin-2. Protein Eng 1:493–498, 1987

    Google Scholar 

  6. Proujansky R, Carpenter A: Soluble interleukin-2 receptor as a marker of lymphocyte activation in childhood Crohn's disease. J Pediatr Gastroenterol Nutr 13:277–280, 1991

    Google Scholar 

  7. Schreiber S, MacDermott RP, Raedler A, Pinnau R, Bertovich MJ, Nash GS: Increased activation of isolated intestinal lamina propria mononuclear cells in inflammatory bowel disease. Gastroenterology 101:1020–1030, 1991

    Google Scholar 

  8. Matsuura T, West GA, Youngman KR, Klein JS, Fiocchi C: Immune activation genes in inflammatory bowel disease. Gastroenterology 104:448–458, 1993

    Google Scholar 

  9. Choy MY, Walker-Smith JA, Williams CB, Macdonald TT: Differential expression of CD25 on lamina propria T cells and macrophages in Crohn's disease and ulcerative colitis. Gut 31:1365–1370, 1990

    Google Scholar 

  10. Mueller CH, Knoflach P, Zielinski CC: T cell activation in Crohn's disease: Increased levels of soluble interleukin-2 receptor. Gastroenterology 98:639–646, 1990

    Google Scholar 

  11. Bull DM, Bookman MA: Isolation and functional characterization of human intestinal mucosal lymphoid cells. J Clin Invest 59:966–971, 1977

    Google Scholar 

  12. Fiocchi C, Battisto JR, Farmer RG: Gut mucosal lymphocytes in inflammatory bowel disease. Dig Dis Sci 9:705–717, 1979

    Google Scholar 

  13. Smith KA: Interleukin 2: Inception, impact, and implications. Science 240:1169–1176, 1988

    Google Scholar 

  14. Pallone F, Fais S, Squarcia O, Biancone L, Pozzilli P, Boirivant M: Activation of peripheral blood and intestinal lamina propria lymphocytes in Crohn's disease. Gut 28:745–751, 1987

    Google Scholar 

  15. Giannini G, Rappuoli R, Ratti G: The amino-acid sequence of two non-toxic mutants of diphtheria toxin: CRM45 and CRM197. Nucleic Acids Res 12:4063–4069, 1984

    Google Scholar 

  16. Williams DP, Snider CE, Strom TB, Murphy JR: Structure/function analysis of interleukin-2-toxin (DAB-486-IL-2). J Biol Chem 265:11885–11889, 1990

    Google Scholar 

  17. vanderSpek JC, Mindell JA, Finkelstein A, Murphy JR: Structure/function analysis of the transmembrane domain of DAB389-interleukin-2, an interleukin-2 receptor-targeted fusion toxin. The amphipathic helical region of the transmembrane domain is essential for the efficient delivery of the catalytic domain to the cytosol of target cells. J Biol Chem 268:12077–12082, 1993

    Google Scholar 

  18. Taniguchi T, Minani Y: The IL-2/IL-2 receptor system: A current overview. Cell 73:5–8, 1993

    Google Scholar 

  19. Waters CA, Schimke PA, Snider CE, Itoh K, Smith KA, Nichols JC, Strom TB, Murphy JR: Interleukin 2 receptor targeted cytotoxicity. Receptor binding requirements for entry of a diphtheria toxin-related interleukin 2 fusion protein into cells. Eur J Immunol 20:785–791, 1990

    Google Scholar 

  20. Bastos MG, Pankewycz O, Rubin-Kelley VE, Murphy JR, Strom TB: Concomitant administration of hapten and IL-2-toxin (DAB486IL-2) results in specific deletion of antigen-activated T-cell clones. J Immunol 145:3535–3539, 1990

    Google Scholar 

  21. LeMaistre CF, Meneghetti C, Rosenblum M, Reuben J, Parker K, Shaw J, Deisseroth A, Woodworth T, Parkinson DR: Phase I trial of an interleukin-2 (IL-2) fusion toxin (DAB486IL-2) in hematologic malignancies expressing the IL-2 receptor. Blood 79:2547–2554, 1992

    Google Scholar 

  22. Foss FM, Borkowski TA, Gilliom M, Stetler-Stevenson M, Jaffe ES, Figg WD, Tompkins A, Bastian A, Nylen P, Woodworth T, et al: Chimeric fusion protein toxin DAB486IL-2 in advanced mycosis fungoides and the Sezary syndrome: correlation of activity and interleukin-2 receptor expression in a phase II study. Blood 84:1765–1774, 1994

    Google Scholar 

  23. Tepler I, Schwartz G, Parker K, Charette J, Kadin ME, Woodworth TG, Schnipper LE: Phase I trial of an interleukin-2 fusion toxin (DAB486IL-2) in hematologic malignancies: complete response in a patient with Hodgkin's disease refractory to chemotherapy. Cancer 73:1276–1285, 1994

    Google Scholar 

  24. Kiyokawa T, Shirono K, Hattori T, Nishimura H, Yamaguchi K, Nichols JC, Strom TB, Murphy JR, Takatsuki K: Cytotoxicity of interleukin-2 toxin toward lymphocytes from patients with adult T-cell leukemia. Cancer Res 49:4042–4046, 1989

    Google Scholar 

  25. LeMaistre CF, Craig FE, Meneghetti C, McMullin B, Parker K, Reuben J, Boldt DH, Tosenblum M, Woodworth T: Phase I trial of a 90-minute infusion of the fusion toxin DAB486IL-2 in hematologic cancers. Cancer Res 53:3930–3934, 1993

    Google Scholar 

  26. Hesketh P, Caguioa P, Koh H, Dewey H, Facada A, McCaffrey R, Parker K, Nylen P, Woodworth T: Clinical activity of a cytotoxic fusion protein in the treatment of cutaneous T-cell lymphoma. J Clin Oncol 11:1682–1690, 1993

    Google Scholar 

  27. LeMaistre CF, Rosenblum MG, Reuben JM, Parkinson DR, Meneghetti CM, Parker K, Shaw JP, Deisseroth AB, Woodworth T: Therapeutic effects of genetically engineered toxin (DAB486IL-2) in patient with chronic lymphocytic leukaemia. Lancet 337:1124–1125, 1991

    Google Scholar 

  28. Sewell KL, Parker KC, Woodworth TG, Reuben J, Swartz W, Trentham DE: DAB486IL-2 fusion toxin in refractory rheumatoid arthritis. Arthritis Rheum 36:1223–1233, 1993

    Google Scholar 

  29. Bacha P, Parker K, Nylen P, Nichols JC, Woodworth TW: DAB389IL-2 fusion toxin evaluation in lymphoma clinical trials (meeting abstract). Proc Annu Meet Am Assoc Cancer Res 34:A1237, 1993

    Google Scholar 

  30. Strom TB, Kelley VR, Murphy JR, Nichols J, Woodworth TG: Interleukin-2 receptor directed therapies: Antibody or cytokine-based targeting molecules. Annu Rev Med 44:343–353, 1993

    Google Scholar 

  31. Gottlieb SL, Gilleaudeau P, Johnson R, Estis L, Woodworth TG, Gottlieb AB, Krueger JG: Response of psoriasis to a lymphocyte-selective toxin (DAB389IL-2) suggests a primary immune, but not keratinocyte, pathogenic basis. Nat Med 1:442–447, 1995

    Google Scholar 

  32. Kuzel TM, Foss F, LeMaistre CF, Platanias L, Ratain M, Rook A, Saleh M, Schwartz G: A phase I trial of a diphtheria toxin (DT) fusion protein DAB389IL-2 for the treatment of interleukin-2 receptor (IL-2R) expressing hematologic neoplasms. Blood 86(suppl 1):274A, 1995

    Google Scholar 

  33. Mullin GE, Lazenby AJ, Harris ML, Bayless TM, James SP: Increased interleukin-2 mRNA in the intestinal mucosal lesions of Crohn's disease but not ulcerative colitis. Gastroenterology 102:1620–1627, 1992

    Google Scholar 

  34. Fais S, MR Capobianchi Pallone F, DiMarco P, Boirivant M, Dianzani F, Torsoli A: Spontaneous release of interferon γ by intestinal lamina propria lymphocytes in Crohn's disease. Gut 32:403–407, 1991

    Google Scholar 

  35. Fuss IJ, Neurath M, Klein JS, de la Motte C, Strong SA, Fiocchi C, Strober W: Disparate CD4+ lamina propria (LP) lymphokine secretion profiles in inflammatory bowel disease. Crohn's disease LP cells manifest increased secretion of IFN-gamma, whereas ulcerative colitis LP cells manifest increased secretion of IL-5. J Immunol 157:1261–1270, 1996

    Google Scholar 

  36. Niessner M, Volk BA: Altered Th1/Th2 cytokine profiles in the intestinal mucosa of patients with inflammatory bowel disease as assessed by quantitative reverse transcribed polymerase chain reaction (RT-PCR). Clin Exp Immunol 101:428–435, 1995

    Google Scholar 

  37. Gilberts EC, Greenstein AJ, Katsel P, Harpaz N, Greenstein RJ: Proc Natl Acad Sci 91:12721–12724, 1991

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Bousvaros, A., Stevens, A.C., Strom, T.B. et al. Interleukin-2 Fusion Protein (DAB389IL- 2) Selectively Targets Activated Human Peripheral Blood and Lamina Propria Lymphocytes. Dig Dis Sci 42, 1542–1548 (1997). https://doi.org/10.1023/A:1018891432581

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1018891432581

  • INTERLEUKIN-2
  • DIPHTHERIA TOXIN
  • LYMPHOCYTES
  • T CELLS
  • LAMINA PROPRIA