IL-15 is a promising
cytokine to expand NK and CD8+ T cells for
cancer immunotherapy, but its application is limited by dose-limiting, on-target off-
tumor toxicity. Here, we have developed a next-generation
IL-15 that is activated inside the tumor microenvironment (TME). This pro-IL-15 has the extracellular domain of IL-15Rβ fused to the N-terminus of sIL-15-Fc through a
tumor-enriched
Matrix Metalloproteinase (
MMP) cleavable
peptide linker to block its activity. Unlike sIL-15-Fc, pro-IL-15 does not activate the peripheral expansion of NK cells and T cells, thus reducing systemic toxicity, but it still preserves efficient anti-
tumor abilities. In various mouse
tumors, the anti-
tumor effect of pro-IL-15 depends on intratumoral CD8+ T cells and IFN-γ. Pro-IL-15 increases the stem-like TCF1+Tim-3-CD8+ T cells within
tumor tissue and helps overcome
immune checkpoint blockade (ICB) resistance. Moreover, pro-IL-15 synergizes with current
tyrosine kinase inhibitor (TKI) targeted-
therapy in a poorly inflamed TUBO
tumor model, suggesting that pro-IL-15 helps overcome targeted-
therapy resistance. Our results demonstrate a next-generation
IL-15 cytokine that can stimulate potent anti-
tumor activity without severe toxicity.