In Vitro Effect Study of Interleukin-2 Muteins on Regulatory T Cells of Patients With Different Autoimmune, Allo-immune or Inflammatory Diseases

Hypothesis:

In order to confirm that this differential effect of IL-2 muteins, already established in non-diseased controls, is also observed in patients with autoimmune diseases, inflammatory diseases or GVHD, a pilot in vitro study should be conducted on a small number of patient's blood samples (5 or 10 depending on the pathology).

Objective :

Conduct a multicentre pilot study to confirm the hypothesis that IL-2 muteins preferentially activate the STAT5 pathway in LTreg compared to LTconv in patients with GVHD, acquired bone marrow aplasia, systemic lupus erythematosus, multiple sclerosis, rheumatoid arthritis, autoimmune thyroiditis, vitiligo, alopecia or atopic dermatitis

Method:

At the inclusion, patients will have a blood sample collected for in vitro research purposes. Their clinical data will also be collected.

Conclusion This trial should provide in vitro proof-of-principle of the efficacy of IL-2 muteins on LTreg and could eventually lead to a therapeutic trial

Inclusion criteria

• Inclusion criteria common to all patients in different departments:
• Age18 years
• Affiliated to social security or entitled to
• Patient who has been informed of the study and has signed a free and informed consent

Inclusion criteria

specific by department:

Inclusion criteria

for Clinical Hematology Department:

• Patient with GVHD following allogeneic hematopoietic stem cell transplantation (HSC)
• Or with acquired bone marrow suppression
• Lymphocytosis > 0.5 G/L

Inclusion criteria

for Nephrology and Transplantation department:

• Patient with systemic lupus erythematosus (ACR classification criteria)

Inclusion criteria

for Neurology department:

• Patient with multiple sclerosis (criteria of Mc Donald 2017)

Inclusion criteria

for Rheumatology Department:

• Patient with rheumatoid arthritis (ACR classification criteria)

Inclusion criteria

for Internal Medicine-Endocrinology Department:

• Patient with Basedow disease, Hashimoto's thyroiditis

Inclusion criteria

for Dermatology Department:

• Patient with vitiligo or alopecia areata or atopic dermatitis

Exclusion criteria

Non-inclusion criteria common to all patients:

• Patient under guardianship, curatorship or judicial protection
• Pregnant, parturient or breastfeeding woman
• Patient deprived of liberty
• Patient hospitalized without consent
• Patient admitted to a health or social institution for purposes other than research
• Minor patient
• Adult patient unable to express consent
• Refusal to participate
• Patient on AME

Non-inclusion criteria specific by department:

Non-inclusion criteria for Clinical Hematology Department:

• Ongoing treatment with high doses (>1 mg/kg/d) of systemic corticosteroid therapy
• Ongoing treatment with JAK inhibitors

Non-inclusion criteria for Nephrology and Transplantation Department:

• Ongoing treatment with doses >10 mg/d Prednisone
• Ongoing treatment with Cellcept, Endoxan, Imurel, Belimumab, Anti-CD20, Methotrexate
• Ongoing treatment with JAK inhibitors

Non-inclusion criteria for Neurology Department:

• Treatment with systemic corticosteroid therapy, Fingolimod or Teriflunomide
• Ongoing treatment with JAK inhibitors
• Lymphocytosis < 0.5 G/L

Non-inclusion criteria for Rheumatology Department:

• Ongoing treatment with doses >15 mg/d Prednisone
• Treatment with Rituximab or Tocilizumab
• Ongoing treatment with JAK inhibitors
• Lymphocytosis < 0.5 G/L

Non-inclusion criteria for Internal Medicine - Endocrinology Department:

• Ongoing immunosuppressive therapy
• Ongoing treatment with JAK inhibitors

Non-inclusion criteria for Dermatology Department:

• Ongoing treatment with Methotrexate
• Ongoing treatment with JAK inhibitors
• Ongoing treatment with doses >10 mg/d prednisone