Evidence map›Paper›PMID 33986267›Full record

ArticleNature communications2021

A cytokine receptor-masked IL2 prodrug selectively activates tumor-infiltrating lymphocytes for potent antitumor therapy.

Eric J Hsu, Xuezhi Cao, Benjamin Moon, Joonbeom Bae, Zhichen Sun, Zhida Liu, Yang-Xin Fu

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 112 citations in OpenAlex.

  1. De novo design of protease-activatable cytokine prodrugs.bioRxiv : the preprint server for biology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Programmed Cell Death Protein 1-Interleukin-2 Bispecific Agents for Cancer Therapy.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  6. A modular platform for Sterically Masked Activated Cytokines (SMACks).Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. RSC chemical biology · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Eric J HsuDepartment of Immunology, UT Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0002-6743-2399
Xuezhi CaoDepartment of Pathology, UT Southwestern Medical Center, Dallas, TX, 75390, USA. Xuezhi.Cao@UTSouthwestern.edu.
Benjamin MoonDepartment of Immunology, UT Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0003-4390-3560
Joonbeom BaeDepartment of Pathology, UT Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0002-2502-9147
Zhichen SunDepartment of Pathology, UT Southwestern Medical Center, Dallas, TX, 75390, USA.ORCID http://orcid.org/0000-0001-7837-8407
Zhida LiuDepartment of Pathology, UT Southwestern Medical Center, Dallas, TX, 75390, USA.
Yang-Xin FuDepartment of Immunology, UT Southwestern Medical Center, Dallas, TX, 75390, USA. Yang-Xin.Fu@UTSouthwestern.edu.ORCID http://orcid.org/0000-0001-8441-6617
Southwestern Medical Center · USSouthwestern Medical Center

Funding

INTEGRATIVE IMMUNOLOGY TRAINING PROGRAMT32AI005284 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI Nan Yan · 2003 to 2026
$7.4M
NIAID NIH HHS T32 AI005284
6 · The paper itself

Abstract

As a potent lymphocyte activator, interleukin-2 (IL-2) is an FDA-approved treatment for multiple metastatic cancers. However, its clinical use is limited by short half-life, low potency, and severe in vivo toxicity. Current IL-2 engineering strategies exhibit evidence of peripheral cytotoxicity. Here, we address these issues by engineering an IL-2 prodrug (ProIL2). We mask the activity of a CD8 T cell-preferential IL-2 mutein/Fc fusion protein with IL2 receptor beta linked to a tumor-associated protease substrate. ProIL2 restores activity after cleavage by tumor-associated enzymes, and preferentially activates inside tumors, where it expands antigen-specific CD8 T cells. This significantly reduces IL-2 toxicity and mortality without compromising antitumor efficacy. ProIL2 also overcomes resistance of cancers to immune checkpoint blockade. Lastly, neoadjuvant ProIL2 treatment can eliminate metastatic cancer through an abscopal effect. Taken together, our approach presents an effective tumor targeting therapy with reduced toxicity.

Indexed as

AnimalsAntineoplastic AgentsCD8-Positive T-LymphocytesCell Line, TumorFemaleHumansImmunotherapyInterleukin-2Lymphocyte ActivationLymphotoxin-alphaMiceMice, Inbred BALB CMice, Inbred C57BLNeoplasmsProdrugsRecombinant Fusion ProteinsAntineoplastic AgentsIL2 protein, humanInterleukin-2Lymphotoxin-alphamutein 2ProdrugsRecombinant Fusion ProteinsRecombinant Proteins

Identifiers

PMID33986267
PMCPMC8119481
OpenAlexW3163035768

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.