[HTML][HTML] Astrocyte-targeted gene delivery of interleukin 2 specifically increases brain-resident regulatory T cell numbers and protects against pathological …

L Yshii, E Pasciuto, P Bielefeld, L Mascali… - Nature …, 2022 - nature.com
L Yshii, E Pasciuto, P Bielefeld, L Mascali, P Lemaitre, M Marino, J Dooley, L Kouser…
Nature immunology, 2022nature.com
The ability of immune-modulating biologics to prevent and reverse pathology has
transformed recent clinical practice. Full utility in the neuroinflammation space, however,
requires identification of both effective targets for local immune modulation and a delivery
system capable of crossing the blood–brain barrier. The recent identification and
characterization of a small population of regulatory T (Treg) cells resident in the brain
presents one such potential therapeutic target. Here, we identified brain interleukin 2 (IL-2) …
Abstract
The ability of immune-modulating biologics to prevent and reverse pathology has transformed recent clinical practice. Full utility in the neuroinflammation space, however, requires identification of both effective targets for local immune modulation and a delivery system capable of crossing the blood–brain barrier. The recent identification and characterization of a small population of regulatory T (Treg) cells resident in the brain presents one such potential therapeutic target. Here, we identified brain interleukin 2 (IL-2) levels as a limiting factor for brain-resident Treg cells. We developed a gene-delivery approach for astrocytes, with a small-molecule on-switch to allow temporal control, and enhanced production in reactive astrocytes to spatially direct delivery to inflammatory sites. Mice with brain-specific IL-2 delivery were protected in traumatic brain injury, stroke and multiple sclerosis models, without impacting the peripheral immune system. These results validate brain-specific IL-2 gene delivery as effective protection against neuroinflammation, and provide a versatile platform for delivery of diverse biologics to neuroinflammatory patients.
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