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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Targeting highly attenuated IL-18 to PD-1 for enhanced anti-tumor activity.

Xueyuan Zhou1, Felix Klaus Geyer2, Jeffrey Takimoto1

  • 1Drug Discovery and Development, Fuse Biotherapeutics, Woburn, MA, United States.

Frontiers in Immunology
|January 5, 2026
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Summary

This study developed a novel cancer therapy by fusing an attenuated interleukin-18 (IL-18) to a PD-1 inhibitor. This approach enhances anti-tumor immunity by activating T cells and blocking immune checkpoints simultaneously.

Keywords:
IL-18PD-1checkpoint inhibitorcytokineimmunocytokine

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Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Cancer immunotherapy using checkpoint inhibitors like anti-PD-1 has limitations in response rates.
  • Next-generation therapies aim to combine checkpoint blockade with cytokine potentiation for enhanced efficacy.
  • Balancing cytokine activity with checkpoint inhibition to manage toxicity is a significant challenge.

Purpose of the Study:

  • To investigate the efficacy of a novel fusion protein combining a highly attenuated interleukin-18 (IL-18) with an anti-PD-1 antibody.
  • To determine if this fusion protein can simultaneously inhibit PD-1 and activate PD-1+ T cells to overcome cancer immune evasion.
  • To assess the therapeutic potential and safety profile of this dual-action immunotherapy.

Main Methods:

  • Generation of a highly attenuated IL-18 variant resistant to IL-18 binding protein (IL-18BP).
  • Assessment of the variant's receptor binding and cis-signaling capabilities.
  • Evaluation of tumor growth inhibition in multiple preclinical cancer models.
  • Analysis of post-remission tumor resistance and tumor-infiltrating lymphocyte populations via flow cytometry.

Main Results:

  • The attenuated IL-18 fusion protein demonstrated resistance to IL-18BP inhibition and a significant reduction in activity (10,000-fold) while maintaining cis-signaling.
  • The fusion protein showed strong efficacy across various tumor models, inhibiting tumor growth effectively.
  • Treatment led to an increase in CD8+ progenitor-exhausted tumor-infiltrating lymphocytes (TILs) and a decrease in myeloid TILs.

Conclusions:

  • Targeting a highly attenuated IL-18 to PD-1 represents a novel strategy for cytokine-enhanced checkpoint inhibition.
  • This approach activates PD-1+ T cells via the cytokine receptor while simultaneously antagonizing PD-1, offering a dual mechanism of action.
  • The developed fusion protein shows promise as a next-generation cancer immunotherapy with potential for improved efficacy and manageable toxicity.