IL-2 administration increases CD4+ CD25(hi) Foxp3+ regulatory T cells in cancer patients

Blood. 2006 Mar 15;107(6):2409-14. doi: 10.1182/blood-2005-06-2399. Epub 2005 Nov 22.

Abstract

Interleukin-2 (IL-2) is historically known as a T-cell growth factor. Accumulating evidence from knockout mice suggests that IL-2 is crucial for the homeostasis and function of CD4+ CD25+ regulatory T cells in vivo. However, the impact of administered IL-2 in an immune intact host has not been studied in rodents or humans. Here, we studied the impact of IL-2 administration on the frequency and function of human CD4+ CD25(hi) T cells in immune intact patients with melanoma or renal cancer. We found that the frequency of CD4+ CD25(hi) T cells was significantly increased after IL-2 treatment, and these cells expressed phenotypic markers associated with regulatory T cells. In addition, both transcript and protein levels of Foxp3, a transcription factor exclusively expressed on regulatory T cells, were consistently increased in CD4 T cells following IL-2 treatment. Functional analysis of the increased number of CD4+ CD25(hi) T cells revealed that this population exhibited potent suppressive activity in vitro. Collectively, our results demonstrate that administration of high-dose IL-2 increased the frequency of circulating CD4+ CD25(hi) Foxp3+ regulatory T cells. Our findings suggest that selective inhibition of IL-2-mediated enhancement of regulatory T cells may improve the therapeutic effectiveness of IL-2 administration.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Intramural

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Forkhead Transcription Factors / analysis
  • Forkhead Transcription Factors / drug effects*
  • Forkhead Transcription Factors / genetics
  • Humans
  • Interleukin-2 / administration & dosage*
  • Interleukin-2 / pharmacology
  • Kidney Neoplasms / drug therapy*
  • Kidney Neoplasms / immunology
  • Lymphocyte Count
  • Male
  • Melanoma / drug therapy*
  • Melanoma / immunology
  • Middle Aged
  • T-Lymphocytes, Regulatory / drug effects*

Substances

  • FOXP3 protein, human
  • Forkhead Transcription Factors
  • Interleukin-2