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- Fundamental aspects
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1. Inflammation and tissue homeostasis
- Prof. Herman Waldmann
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2. Introduction to the immune system
- Prof. Herman Waldmann
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3. Hematopoiesis: the making of an immune system
- Prof. Paul J. Fairchild
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4. Inflammation: purposes, mechanisms and development
- Prof. Pietro Ghezzi
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5. Phagocytosis
- Dr. Eileen Uribe-Querol
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6. Regulated cell death mechanisms and their crosstalk with the immune system 1
- Dr. Luis Alberto Baena-Lopez
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7. Regulated cell death mechanisms and their crosstalk with the immune system 2
- Dr. Luis Alberto Baena-Lopez
- Innate immunity
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11. Cells of the innate immune system
- Prof. Kevin Maloy
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12. Microbial recognition and the immune response
- Dr. Dana Philpott
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13. Toll-like receptor signalling during infection and inflammation
- Prof. Luke O'Neill
- Intercellular mediators
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14. Chemokines
- Dr. James E. Pease
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15. Cytokines
- Prof. Iain McInnes
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16. IL-1 family cytokines as the canonical DAMPs of the immune system
- Prof. Seamus Martin
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17. Glycans at the frontiers of inflammation, autoimmunity and cancer
- Prof. Salomé S. Pinho
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18. Glycoimmunology
- Prof. Paula Videira
- Adaptive immunity B cells
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21. Antigen recognition in the immune system
- Prof. Herman Waldmann
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22. B cell biology
- Prof. Richard Cornall
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23. Antibody structure and function: antibody structure
- Dr. Mike Clark
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24. Antibody structure and function: antibody function
- Dr. Mike Clark
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25. Antibody genes and diversity
- Dr. Mike Clark
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26. In vivo antibody discovery and hybridoma technology
- Prof. Dr. Katja Hanack
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27. Antibody engineering: beginnings to bispecifics and beyond
- Dr. Ian Wilkinson
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29. The immunobiology of Fc receptors
- Prof. Mark Cragg
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30. Immunoreceptors
- Prof. Anton van der Merwe
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31. Affinity, avidity and kinetics in immune recognition
- Prof. Anton van der Merwe
- Adaptive immunity T cells
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32. The thymus and T cell development: a primer
- Prof. Georg Holländer
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33. Lineage decisions in the thymus: T cell lineage commitment
- Prof. Bruno Silva-Santos
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34. Lineage decisions in the thymus: αβ and γδ T cell lineages
- Prof. Bruno Silva-Santos
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35. CD4 T cell subsets
- Dr. Brigitta Stockinger
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36. Cytotoxic T lymphocytes
- Prof. Gillian M. Griffiths
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37. Gamma delta T-cells
- Prof. Bruno Silva-Santos
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38. Tfh and Tfr cells
- Prof. Luis Graca
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39. Tissue resident memory T cells (TRM)
- Dr. Marc Veldhoen
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40. Mathematical modeling in immunology
- Prof. Ruy M. Ribeiro
- The importance of the MHC in immunity
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41. The MHC and MHC molecules 1
- Prof. Jim Kaufman
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42. The MHC and MHC molecules 2
- Prof. Jim Kaufman
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43. Natural killer cells
- Dr. Philippa Kennedy
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44. Human NK cells
- Prof. Lorenzo Moretta
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46. NK cells in viral immunity
- Prof. Lewis Lanier
- Lymphocyte activation
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47. Signal transduction by leukocyte receptors
- Dr. Omer Dushek
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48. Immunological memory 1
- Prof. David Gray
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49. Immunological memory 2
- Prof. David Gray
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50. Studying immune responses “one cell at a time”
- Dr. Mir-Farzin Mashreghi
- Major cellular partners in immunity
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51. The mononuclear phagocyte system - tissue resident macrophages: distribution and functions
- Prof. Emeritus Siamon Gordon
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52. The mononuclear phagocyte system: tissue resident macrophages - activation and regulation
- Prof. Emeritus Siamon Gordon
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53. Dendritic cells: professional antigen presenting cells
- Prof. Paul J. Fairchild
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54. Mucosal immunology
- Prof. Daniel Mucida
- Immunological tolerance and regulation
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55. Self-tolerance
- Prof. Herman Waldmann
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56. Tolerance and autoimmunity
- Prof. Emerita Anne Cooke
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57. The balance between intestinal immune homeostasis and inflammation
- Prof. Dr. Janneke Samsom
- Translational immunology - immune deficiency
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58. Primary immunodeficiency disorders
- Dr. Smita Y. Patel
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59. Changes in innate and adaptive immunity during human ageing 1
- Dr. Roel De Maeyer
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60. Changes in innate and adaptive immunity during human ageing 2
- Dr. Roel De Maeyer
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61. The aging immune system
- Prof. Ana Caetano
- Translational immunology - protection against pathogenic microbes
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62. Immune responses to viruses
- Prof. Paul Klenerman
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63. HIV and the immune system
- Prof. Quentin Sattentau
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64. COVID-19: the anti-viral immune response
- Prof. Danny Altmann
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65. Bacterial immune evasion
- Prof. Christoph Tang
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66. The immunology underlying tuberculosis
- Prof. Thomas R. Hawn
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67. Innate immunity to fungi
- Prof. Gordon D. Brown
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68. Parasite immunity: introduction and Plasmodium
- Dr. Catarina Gadelha
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69. Parasite immunity: Leishmania and Schistosoma
- Dr. Catarina Gadelha
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70. Vaccination
- Dr. Anita Milicic
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71. The history of vaccines 1
- Prof. Emeritus Anthony R. Rees
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72. The history of vaccines 2
- Prof. Emeritus Anthony R. Rees
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73. The history of vaccines 3
- Prof. Emeritus Anthony R. Rees
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74. The science of vaccine adjuvants
- Dr. Derek O'Hagan
- Translational immunology - hypersensitivity, autoimmune disease and their management
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75. Hypersensitivity diseases: type 1 hypersensitivity
- Prof. Herman Waldmann
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76. Innate lymphoid cells in allergy
- Prof. Emeritus Shigeo Koyasu
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77. Hypersensitivity diseases: type II-IV hypersensitivity
- Prof. Sara Marshall
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78. Immune memory underlying lifelong peanut allergy
- Dr. Kelly Bruton
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79. Memory B cells in allergy: B cell activation and response
- Dr. Kelly Bruton
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80. Memory B cells in allergy: ontogeny, phenotype and plasticity
- Dr. Kelly Bruton
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81. B cells at the crossroads of autoimmune diseases
- Dr. Xiang Lin
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82. Interleukin-17: from clone to clinic
- Prof. Leonie Taams
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83. Autoimmunity and type 1 diabetes
- Prof. Emerita Anne Cooke
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84. What is new in type 1 diabetes?
- Prof. Åke Lernmark
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85. Antibodies to control or prevent type 1 diabetes
- Dr. Robert Hilbrands
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86. Monoclonal antibodies in haemato-oncology
- Prof. Mark Cragg
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87. Therapeutic antibodies
- Dr. Geoffrey Hale
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88. Endothelial cells: regulators of autoimmune-neuroinflammation
- Dr. Laure Garnier
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89. Neuroimmunometabolism
- Prof. Ana Domingos
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90. The immunology of multiple sclerosis
- Dr. Joanne Jones
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91. Immunology of the peripheral nervous system: the inflammatory neuropathies
- Dr. Simon Rinaldi
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92. Ocular immunology: an overview of immune mechanisms operating in the eye
- Dr. Eleftherios Agorogiannis
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93. Understanding myasthenia gravis and advances in its management
- Prof. Henry J. Kaminski
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94. The immunology underlying rheumatic diseases
- Dr. Hussein Al-Mossawi
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96. Complement and lupus
- Prof. Marina Botto
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97. Immune mechanisms in liver diseases
- Prof. Paul Klenerman
- Translational immunology - transplantation immunology
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98. Principles of transplantation: overview of the immune response
- Prof. Emerita Kathryn Wood
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99. Factors influencing outcomes in clinical transplantation 1
- Prof. Emerita Kathryn Wood
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100. Factors influencing outcomes in clinical transplantation 2
- Prof. Emerita Kathryn Wood
- Translational immunology - cancer immunology
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101. Cancer immunology
- Prof. Tim Elliott
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102. Cancer immunotherapy
- Prof. Tim Elliott
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103. Myeloid-derived suppressor cells in cancer
- Prof. Dmitry Gabrilovich
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104. IL-2 in the immunotherapy of autoimmunity and cancer
- Prof. Thomas Malek
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105. Latest advances in the development of CAR & TCR T-cell treatments for solid tumours
- Dr. Else Marit Inderberg
Printable Handouts
Navigable Slide Index
- Introduction
- Disclosures
- Two types of functional IL-2Rs
- IL-2 complexed to IL-2R
- Model of IL-2R signal transduction
- Model of IL-2 function 1980s
- IL-2 is more than a T cell growth factor
- IL-2 has a key role in the production of regulatory T cells
- Low IL-2 signalling supports homeostasis of T regulatory cells
- Essential roles for IL-2 in the immune system
- Treg and Teff cells and their dependency on IL-2
- Expression of CD25 explains the differential sensitivity of cells to IL-2
- Low-dose IL-2 optimally activates STAT5 and gene expression in human Tregs
- Does treatment of autoimmune patients with low-dose recombinant IL-2 selectively boost Tregs and leads to clinical benefit?
- Therapy for autoimmune diseases
- Rationale of low-dose IL-2 as a therapy for autoimmunity
- Past and ongoing clinical testing with low-dose IL-2
- Clinical testing of low-dose IL-2 as a monotherapy
- IL-2 is not an ideal biologic for IL-2-based therapy
- Strategies to improve the selectivity, pharmacokinetics, and pharmacodynamics of IL-2
- Design of the mouse IL-2/CD25 fusion protein
- Outcomes of fusing IL-2 to CD25
- Transdimer mIL-2/CD25 slowly releases IL-2 to persistently stimulate the high affinity IL-2R
- mIL-2/CD25 leads to extended IL-2R signaling and gene activation to support Treg proliferation
- Inhibition of lupus by mIL-2/CD25 in NZB × NZW mice
- Low-dose mIL-2/CD25 controls diabetes in NOD mice
- Consequences of mIL-2/CD25 on autoimmune diabetes in NOD mice
- Key properties of IL-2/CD25
- Can the immune activating properties of IL-2 be harnessed for cancer immunotherapy?
- IL-2 as a cancer immunotherapy
- Limits of IL-2 immunotherapy of cancer
- Current favored approach for IL-2-dependent anti-tumor immunity
- Potential advantages and limitations of high-dose IL-2/CD25 for use in cancer immunotherapy
- Questions
- High-dose mIL-2/CD25 elicits potent antitumor responses in immunogenic tumors
- Intermediate-affinity IL-2R-targeted therapy is not more effective than IL-2/CD25
- PD-1 blockade augments the antitumor activity of high-dose mIL-2/CD25
- Consequences of high-dose mIL-2/CD25 in anti-tumor responses
- Clinical Implications
Topics Covered
- IL-2Rs
- IL-2 and regulatory T cells
- Therapy for autoimmune diseases
- Low-dose IL-2
- Clinical testing
- IL-2 for autoimmunity and cancer
- Mouse IL-2/CD25 fusion protein
- Key properties of IL-2/CD25
- IL-2 as a cancer immunotherapy
- IL-2-dependent anti-tumor immunity
- High-dose IL-2/CD25
- Clinical implications
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Malek, T. (2023, October 31). IL-2 in the immunotherapy of autoimmunity and cancer [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved February 5, 2025, from https://doi.org/10.69645/VLUZ3720.Export Citation (RIS)
Publication History
Financial Disclosures
- Thomas Malek and the University of Miami have a sponsored research and exclusive licensing agreements with Bristol Myers Squibb related to IL-2/CD25 fusion proteins and its related patent (WO2016022671A1). Thomas Malek and the University of Miami receive royalties for its commercialization.
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Transcript
Please wait while the transcript is being prepared...
0:00
Hello, I'm Tom Malek.
I'm professor and chair in
the Department of
Microbiology and Immunology
at the University of Miami,
Miller School of Medicine.
Today I'm going to discuss
with you the current use of
IL-2 in the immunotherapy
of autoimmunity and cancer.
I'm going to divide this
lecture into three parts.
First, give some background
on the IL-2 receptor system.
Then I'll move to talking about
IL-2 and therapy for
autoimmune diseases and
also discuss a new IL-2 biologic
that my lab has developed.
Then finally discuss how
IL-2 is being used for
the therapy of cancer.
0:46
Before I begin, I
need to disclose that
I and the University of Miami
have a sponsored research,
an exclusive licensing
agreement with
Bristol Meyers Squibb related to
this IL-2/CD25 fusion protein,
which I'll talk more
about later in the talk.
1:05
But as a start, I'd
like to give some
of the basics of the
IL-2 receptor system.
First to discuss what type
of IL-2 receptors are there.
There's two major forms,
an intermediate
affinity IL-2 receptor
and the high affinity
IL-2 receptor.
These two types of
receptors differ based on
their sub unit composition.
The intermediate
affinity has two chains,
IL-2 receptor, Beta and Gamma,
or as shown on the slide,
CD122 and CD132,
and these are found primarily on
CD8 memory T cells and
natural killer cells.
The high affinity receptor
includes CD122 and CD
132 but also the IL-2
receptor alpha chain or CD25.
This receptor is found on CD4
and CD8 T effector cells,
on regulatory T cells and
ILC2s in a small
subset of NK cells.
Now an important difference
between the two is that
much lower amount of IL-2 is
necessary to trigger the
high affinity receptor,
approximately 100 fold less, so
cells that express the high
affinity receptor will
be able to respond in
environments of low IL-2.