Evidence map›Paper›PMID 38426492›Full record

ArticleThe Journal of clinical investigation2024

A humanized IL-2 mutein expands Tregs and prolongs transplant survival in preclinical models.

Orhan Efe, Rodrigo B Gassen, Leela Morena, Yoshikazu Ganchiku, Ayman Al Jurdi, Isadora T Lape, Pedro Ventura-Aguiar, Christian LeGuern, Joren C Madsen, Zachary Shriver and 3 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Selective impact on regulatory T cells with sustained functional phenotypes by the interleukin-2 mutein VIS171 in a nonhuman primate model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  3. Article
  4. Decoding TNF receptor superfamily control of CD4Cell communication and signaling : CCS · 2026
    Review
  5. Taming immune responses to AAV gene therapy by programmed in vivo Treg expansion.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Theranostics · 2026
    Article
  10. Article
  11. Inborn errors of regulatory T-cell differentiation and function.The Journal of allergy and clinical immunology · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Cytokines in transplantation tolerance.Best practice & research. Clinical haematology · 2025
    Review
  19. Tolerogenic Therapies in Cardiac Transplantation.International journal of molecular sciences · 2025
    Review
  20. Review
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

13 authors at 3 institutions in 2 countries.

Orhan EfeCenter for Transplantation Sciences, Department of Surgery.
Rodrigo B GassenCenter for Transplantation Sciences, Department of Surgery.
Leela MorenaCenter for Transplantation Sciences, Department of Surgery.
Yoshikazu GanchikuCenter for Transplantation Sciences, Department of Surgery.
Ayman Al JurdiCenter for Transplantation Sciences, Department of Surgery.
Isadora T LapeCenter for Transplantation Sciences, Department of Surgery.
Pedro Ventura-AguiarCenter for Transplantation Sciences, Department of Surgery.
Christian LeGuernCenter for Transplantation Sciences, Department of Surgery.
Joren C MadsenCenter for Transplantation Sciences, Department of Surgery.
Zachary ShriverVisterra Inc., Waltham, Massachusetts, USA.
Gregory J BabcockVisterra Inc., Waltham, Massachusetts, USA.
Thiago J BorgesCenter for Transplantation Sciences, Department of Surgery.
Leonardo V RiellaCenter for Transplantation Sciences, Department of Surgery.
Sindh Institute of Urology and Transplantation · PKVisterra (United States) · USHarvard University · US

Funding

Project 3: Enhanced Costimulation Blockade to Achieve Clinically Relevant Heart Allograft ToleranceP01HL158504 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI PIERSON, RICHARD N · 2021 to 2025
$12.1M
Department of Defense W81XWH-21-1-0904NHLBI NIH HHS P01 HL158504
6 · The paper itself

Abstract

Long-term organ transplant survival remains suboptimal, and life-long immunosuppression predisposes transplant recipients to an increased risk of infection, malignancy, and kidney toxicity. Promoting the regulatory arm of the immune system by expanding Tregs may allow immunosuppression minimization and improve long-term graft outcomes. While low-dose IL-2 treatment can expand Tregs, it has a short half-life and off-target expansion of NK and effector T cells, limiting its clinical applicability. Here, we designed a humanized mutein IL-2 with high Treg selectivity and a prolonged half-life due to the fusion of an Fc domain, which we termed mIL-2. We showed selective and sustainable Treg expansion by mIL-2 in 2 murine models of skin transplantation. This expansion led to donor-specific tolerance through robust increases in polyclonal and antigen-specific Tregs, along with enhanced Treg-suppressive function. We also showed that Treg expansion by mIL-2 could overcome the failure of calcineurin inhibitors or costimulation blockade to prolong the survival of major-mismatched skin grafts. Validating its translational potential, mIL-2 induced a selective and sustainable in vivo Treg expansion in cynomolgus monkeys and showed selectivity for human Tregs in vitro and in a humanized mouse model. This work demonstrated that mIL-2 can enhance immune regulation and promote long-term allograft survival, potentially minimizing immunosuppression.

Indexed as

Interleukin-2Organ TransplantationAnimalsGraft SurvivalHumansMiceT-Lymphocytes, RegulatoryTransplantation, HomologousInterleukin-2ImmunologyOrgan transplantationToleranceTransplantation

Identifiers

PMID38426492
PMCPMC10904054
OpenAlexW4392282875

What OpenQuestion holds

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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.