Evidence map›Paper›PMID 40056981›Full record

ArticleJournal of thrombosis and haemostasis : JTH2025

An engineered Treg selective immunocytokine induces sustained immune modulation in a preclinical model of hemophilia A.

Jyoti Rana, Derek VanDyke, Maite Muñoz-Melero, Charina S Fabilane, Senthilkumar Thirumurugan, Sreevani Arisa, Baohua Zhou, Jamie B Spangler, Moanaro Biswas

Abstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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
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

9 authors.

Jyoti RanaHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA.
Derek VanDykeDepartment of Chemical and Biomolecular Engineering, Johns Hopkins University, Baltimore, Maryland, USA; Translational Tissue Engineering Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Maite Muñoz-MeleroHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA.
Charina S FabilaneTranslational Tissue Engineering Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Program in Molecular Biophysics, Johns Hopkins University, Baltimore, Maryland, USA.
Senthilkumar ThirumuruganHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA.
Sreevani ArisaHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA.
Baohua ZhouHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA.
Jamie B SpanglerProgram in Molecular Biophysics, Johns Hopkins University, Baltimore, Maryland, USA; Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Bloomberg∼Kimmel Institute for Cancer Immunotherapy, Johns Hopkins University, Baltimore, Maryland, USA; Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland, USA; Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Molecular Microbiology and Immunology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA. Electronic address: jamie.spangler@jhu.edu.
Moanaro BiswasHerman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, USA. Electronic address: nbiswas@iu.edu.

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI David W Clapp · 1999 to 2026
$59.3M
Program of Molecular BiophysicsT32GM135131 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI Karen G. Fleming · 2020 to 2026
$5.4M
Immunoengineered nanotechnology for targeted expansion of regulatory T cellsR01EB029455 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI SPANGLER, JAMIE BERTA · 2020 to 2023
$1.7M
Immunocytokine therapy for immune modulation in hemophiliaR33HL177497 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Moanaro Biswas · 2025 to 2026
$1.1M
Development of a cellular therapy product with single specificity and improved persistence to prevent immunity to biotherapeuticsR21HL170146 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI BISWAS, MOANARO · 2023 to 2024
$452k
Optimizing precision Treg therapy to control anti-drug antibodiesR56AI175187 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI BISWAS, MOANARO · 2024 to 2024
$300k
NCI NIH HHS P30 CA082709NHLBI NIH HHS R21 HL170146NHLBI NIH HHS R33 HL177497NIAID NIH HHS R56 AI175187NIBIB NIH HHS R01 EB029455NIGMS NIH HHS T32 GM135131
6 · The paper itself

Abstract

backgroundThe development of inhibitory antibodies (inhibitors) is a serious complication in the treatment of hemophilia A with clotting factor (F)VIII replacement therapy. Inhibitor formation critically depends on T cell help and modulation by regulatory T cells (Tregs).

objectivesIn this study, we evaluated the F5111 immunocytokine (IC), a single-chain fusion between the human interleukin (IL)-2 cytokine and an IL-2 antibody that biases cytokine activity toward cells with high IL-2 receptor (IL-2R)α expression, leading to extended IL-2 half-life and selective expansion of Tregs.

methodsA transient F5111 IC administration regimen was applied to a hemophilia A murine model of FVIII replacement therapy. Inhibitory antibody development to FVIII was monitored longitudinally by Bethesda assay and ELISA.

resultsF5111 IC failed to stimulate cell types that predominantly express the dimeric IL2Rβγ receptor complex such as effector T and natural killer cells. Potent and highly transient Treg expansion was associated with suppression of effector T cells and in vivo conversion into Tregs. When tested in the hemophilia A mouse model, F5111 IC completely prevented the formation of inhibitors against FVIII for up to 4 months, long after Treg numbers returned to baseline levels.

conclusionThese results demonstrate that F5111 IC induces a superior and prolonged tolerogenic response compared with an unbiased control IC. Overall, this study presents a novel and effective strategy for preventing inhibitory antibodies that hinder the effectiveness of FVIII replacement therapy in hemophilia A.

Indexed as

Factor VIIIHemophilia AInterleukin-2Recombinant Fusion ProteinsT-Lymphocytes, RegulatoryAnimalsDisease Models, AnimalHumansMiceMice, Inbred C57BLReceptors, Interleukin-2Time FactorsF8 protein, humanFactor VIIIIL2 protein, humanInterleukin-2Receptors, Interleukin-2Recombinant Fusion ProteinshemophiliaIL-2immunocytokineinhibitorsTreg

Identifiers

PMID40056981
PMCPMC12068985

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Registered trials

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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.