• Technology

Technology: T-win®

The immune system plays a critical role in protecting the body against pathogens and malignancies by locating and eliminating unwanted cells, including cancer cells. The healthy immune system employs several inherent mechanisms to balance the immune response, ensuring that unwanted cells are eliminated without harmful local tissue damage. These mechanisms include:

  • Upregulations of check-point molecules like PD-L1/L2 - that down-regulate the activity of effector T-cells
  • Secretion of catabolic enzymes limiting the availability of amino acids required for immune cell survival, growth, and function
  • Recruitment of immune regulatory cell subsets like regulatory T-cells and myeloid derived suppressor cells (MDSCs), via secretions of chemoattractant molecules.

Cancer cells adopt one or more of these strategies making the tumor microenvironment less conducive for anti-tumor immunity, and thus enabling the cancer cells to escape immune attack and continue to grow and metastasize.

IO Biotech is developing a new class of immune modulating therapies designed to engage and activate a subset of naturally occurring anti-regulatory T-cells, that reacts to immune suppressing molecules like the checkpoint molecule PD-L1, the catabolic enzymes IDO and arginase as well as the chemokine CCL22.

When activated in vivo, the anti-regulatory T-cells expand and infiltrate tumor expressing these immune suppressive molecules. In the tumor, the anti-regulatory T-cells modulate the tumor microenvironment by eliminating immune suppressing cells like tumor associated macrophages, MDSCs and regulatory T-cells. This changes the immune balance in the tumor supporting anti-tumor immunity.

Simultaneously, the anti-regulatory T-cells directly eliminate the tumor cells expressing the immune suppressive molecules. Together, these mechanisms boost the immune response against the tumor and restore the patients´ anti-tumor immunity and the ability to control and eliminate the cancer cells.

Our unique T-win® technology platform allows us to identify, design, and validate new immune modulating vaccine candidates in humans. Our T-win® molecules are designed to engage and boost antigen-specific anti-regulatory T-cells in vivo based on a validated and safe peptide vaccination platform.

Peptide-based vaccines is a validated and safe approach to engage and stimulate T-cell in humans.  The benign safety profile and flexible treatment regimen make T-win® vaccines suitable as effective single agent therapies and as combination partners with other cancer therapies, adding treatment efficacy without additional toxicity.  

 

Publications by founders

The T-win® technology: immune-modulating vaccines
Seminars in Immunopathology, July 2018

Immunoregulatory antigens - novel targets for cancer immunotherapy
Chinese Clinical Oncology, March 2018

The Balance Players of the Adaptive Immune System
Cancer Research, February 2018

Anti-regulatory T cells 
Seminars in Immunopathology, September 2016

Novel understanding of self-reactive T cells
OncoImmunology, August 2015

Immune Regulation by Self-Recognition: Novel Possibilities for Anticancer Immunotherapy
Journal of the National Cancer Institute, June 2015