Across rheumatic diseases

Interferon-stimulated gene signature predicts clinical response to low-dose IL-2 in immune-mediated inflammatory diseases

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

These findings demonstrate that IL-2LD not only expands and activates Treg cells but also shapes an anti-inflammatory transcriptomic landscape characterised by ISG downregulation in Treg and Tconv cells. Baseline ISG expression was associated with treatment response, supporting its evaluation as a candidate biomarker for IL-2LD therapy.

Study context

Population
Patients with various immune-mediated inflammatory diseases, predominantly autoimmune disorders, treated with IL-2LD
Participants
23 patients
Outcome
Transcriptomic effects of IL-2LD in Treg and Tconv
Methodological detailstranscriptomic analysis of the TRANSREG open-label, exploratory basket trial, baseline, day 8 and month 3 samples, gene network analysis and multivariate modelling
  • Transcriptomic analysis of the TRANSREG open-label, exploratory basket trial
  • Baseline, day 8 and month 3 samples
  • Gene network analysis and multivariate modelling

Main finding

As reported in the abstract

  • Broad immune transcriptomic changes, predominantly in Treg cells
  • Progressive downregulation of interferon-stimulated genes (ISGs) in both Treg and Tconv cells, including GBP1, IFIT2, IFIT3, and RSAD2
  • Multivariate model based on baseline ISG expression showed promise for predicting clinical response status

Original publication

Interferon-stimulated gene signature predicts clinical response to low-dose IL-2 in immune-mediated inflammatory diseases. Ann Rheum Dis. Published 19 August 2026. doi:10.1016/j.ard.2026.07.021

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