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Blood, 1 November 2007, Vol. 110, No. 9, pp. 3192-3201.
Prepublished online as a Blood First Edition Paper on July 6, 2007; DOI 10.1182/blood-2007-06-094615.


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Submitted June 8, 2007
Accepted July 2, 2007

The IL-2 immunotoxin denileukin diftitox reduces regulatory T cells and enhances vaccine-mediated T-cell immunity

Mary T Litzinger, Romaine Fernando, Tyler J. Curiel, Douglas W. Grosenbach, Jeffrey Schlom*, and Claudia Palena

Laboratory of Tumor Immunology & Biology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, United States
San Antonio Cancer Institute, The University of Texas Health Science Center at San Antonio, San Antonio, TX, United States

* Corresponding author; email: js141c{at}nih.gov.

CD4+CD25+Foxp3+ regulatory T (Treg) cells have been implicated in the lack of effective anti-tumor immunity. Denileukin diftitox (DAB389IL-2, ONTAK), a fusion protein of IL-2 and diphtheria toxin, provides a means of targeting Treg cells. In this study, we examined (a) the effect of ONTAK on the deletion of Treg cells in various lymphoid compartments and (b) the dose scheduling of ONTAK in combination with a recombinant poxviral vaccine to enhance antigen-specific immune responses. Treg cells in spleen, peripheral blood, and bone marrow of normal C57BL/6 mice were variously reduced after a single intraperitoneal injection of ONTAK; the reduction was evident within 24 hours and lasted approximately 10 days. Injection of ONTAK 1 day prior to vaccination enhanced antigen-specific T-cell responses above levels induced by vaccination alone. These studies demonstrate for the first time in a murine model (a) the differential effects of ONTAK on Tregs in different cellular compartments, (b) the advantage of combining ONTAK with a vaccine to enhance antigen-specific T-cell immune responses, (c) the lack of inhibition by ONTAK of host immune responses directed against a live viral vector, and (d) the importance of dose scheduling of ONTAK when employed in combination with a vaccine.


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