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Regulatory T Cell-Boosting Therapy Impacts Flu Responses — For Better or Worse — Depending on Timing

A new study published in the Journal of Immunology from scientists at Benaroya Research Institute (BRI) explores how the timing of a promising autoimmune therapy could shape immune responses to viral infections — sometimes with opposing effects. The study, led by Daniel Campbell, PhD, his graduate student Joe Albe, PhD, and other collaborators at BRI and Seattle Children’s Research Institute, demonstrates that a regulatory T cell (Treg)-selective interleukin-2 (IL-2) mutein can either dampen or intensify the immune response to influenza infection, depending on when it is administered.

Engineered IL-2 proteins known as “muteins” are designed to selectively stimulate Tregs — immune cells that suppress inflammation. They are being harnessed to treat autoimmune diseases such as type 1 diabetes and lupus. While these therapies aim to restore immune balance, they also carry the risk of broadly suppressing immunity, reducing vaccine efficacy, or even fueling excessive immune activation that leads to tissue damage.

To better understand these risks, BRI researchers used a murine model of influenza infection to test how this specific IL-2 mutein impacts the immune response. When administered before infection, it significantly expanded Tregs and suppressed flu-specific CD8⁺ T cells, key antiviral responders. This shift reduced flu-specific CD8⁺ T cell abundance and changed their location and characteristics in the lungs, without increasing viral burden or worsening illness.

However, when given during an active infection, this mutein had the opposite effect. It expanded flu-specific CD8⁺ T cells, boosted flu-specific responses, and worsened disease symptoms, despite not affecting virus levels. These results suggest that IL-2 muteins can directly stimulate activated T cells during infection, potentially exacerbating tissue damage caused by an overactive immune response.

“Timing is everything. Our data show that the immune context at the time of treatment matters enormously. The same therapy can either suppress or intensify immune responses depending on when it's given.”

Dan Campbell, PhD

Importantly, the study also found that regardless of when the mutein was administered, models developed strong long-term protection against future flu infections. Memory CD8⁺ T cells persisted for over five months, and vaccinated models survived a lethal challenge with a different flu strain, indicating durable immunity was preserved.

These findings are especially relevant for patients with autoimmune diseases who may be treated with Treg-boosting therapies like IL-2 muteins. Respiratory infections such as influenza, respiratory syncytial virus (RSV) and SARS-CoV-2, pose serious risks to immunocompromised individuals, and the study underscores the need to carefully consider treatment timing to avoid unintended consequences.

“We want to restore immune tolerance in autoimmune disease without increasing infection risk,” said Dr. Campbell. “This study gives us a roadmap for how to balance those outcomes more safely.”

For more information about BRI, visit www.benaroyaresearch.org.

 

Research reported in this press release was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health under award numbers R01AI154773, R21AI172140 and 5R01AI188564. This project was financed with 100% of funding from the National Institutes of Health.

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

This press release was developed with assistance from OpenAI’s ChatGPT (version 5.2).

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About Benaroya Research Institute

Benaroya Research Institute (BRI) is a world leader in human immune system research, working to advance the science that will predict, prevent, reverse and cure immune system diseases like allergies, asthma, cancer and autoimmune diseases.

BRI accelerates discovery through laboratory breakthroughs in immunology that are then translated to clinical therapies. We believe that a breakthrough in one immune system disease can lead to progress against them all, and work tirelessly toward our vision of a healthy immune system for everyone. BRI is an independent nonprofit research institute affiliated with Virginia Mason Franciscan Health and based in Seattle.

To learn more, visit benaroyaresearch.org and connect with us on Facebook, Instagram, Threads, LinkedIn, Bluesky and YouTube.