Cited by 124Protein Degradation and InhibitorsT-cell and B-cell ImmunologyChemical Synthesis and Analysis

Acute pharmacological degradation of Helios destabilizes regulatory T cells

Open access
Wang, Eric S., Verano, Alyssa L., Nowak, Radosław P., Yuan, J. Christine, Donovan, Katherine A., Eleuteri, Nicholas A., Yue, Hong, Ngo, Kenneth H. +4 more·2021·Nature Chemical Biology

Abstract

The zinc-finger transcription factor Helios is critical for maintaining the identity, anergic phenotype and suppressive activity of regulatory T (T reg) cells. While it is an attractive target to enhance the efficacy of currently approved immunotherapies, no existing approaches can directly modulate Helios activity or abundance. Here, we report the structure-guided development of small molecules that recruit the E3 ubiquitin ligase substrate receptor cereblon to Helios, thereby promoting its degradation. Pharmacological Helios degradation destabilized the anergic phenotype and reduced the suppressive activity of T reg cells, establishing a route towards Helios-targeting therapeutics. More generally, this study provides a framework for the development of small-molecule degraders for previously unligandable targets by reprogramming E3 ligase substrate specificity.

AI snapshot

Written from the paper’s full text.

TL;DR

The authors developed CRBN-recruiting small-molecule degraders ALV1 and ALV2, with ALV2 preferentially degrading Helios (IKZF2) and destabilizing regulatory T cells. Acute Helios degradation recapitulated genetic Ikzf2 loss, reducing Treg anergy and suppressive activity in murine and human systems.

Key findings

  • ALV1 and ALV2 bound CRBN and induced CRBN-Helios dimerization; ALV1 degraded both Ikaros and Helios, while ALV2 preferentially degraded Helios, and neither degraded GSPT1. In Jurkat proteomics across ~7,900 proteins, ALV1 showed similar IKZF1/2/3 degradation, ALV2 preferentially promoted Helios degradation, and ZNF324 was identified as a potential novel ALV2 target.
  • The crystal structure of DDB1ΔB-CRBN-ALV1-IKZF2ZnF2 was determined at 3.8 Å; H141 of IKZF2 was ~3.5 Å from the ALV1 ethylbenzene moiety, and ALV1’s tail would clash with GSPT1 V536/Q534, providing a structural rationale for lack of GSPT1 degradation.
  • In CrbnI391V/I391V mice, ALV2 (100 mg/kg i.p. twice daily for 7 days) reduced Helios but not Ikaros in splenic CD4+ FoxP3+ Tregs; ex vivo ALV2-treated murine FoxP3+ Tregs had lower Helios and a significantly higher percentage of IFNγ-producing Tregs after PMA/ionomycin.
  • In human Tregs, ALV2 degraded Helios/Eos; proteomics across ~6,800 proteins showed preferential IKZF2/4 degradation and ZMYM2 reduction, and ALV2 increased IL-2- or IFNγ-producing Tregs and reduced suppression of responder cell proliferation. ALV1 and ALV2 also promoted IL-2 secretion in Jurkat cells to a greater extent than lenalidomide.

Methods

  • Structure-guided medicinal chemistry with TR-FRET CRBN binding and CRBN-Helios dimerization assays, EGFP-P2A-mCherry reporter degradation assays, immunoblotting, X-ray crystallography, and multiplexed TMT LC-MS3 proteomics.
  • Cell systems included Jurkat cells, human Tregs expanded ex vivo, and murine Tregs from wildtype or CrbnI391V/I391V mice; readouts included flow cytometry, IL-2 ELISA, and a human Treg suppression assay.
  • In vivo pharmacodynamics used CrbnI391V/I391V mice treated with vehicle or ALV2 (100 mg/kg i.p. twice daily for 7 days), with spleens collected 4 h after the final treatment.

Limitations

  • Stated: the 3.8 Å structure resolution prevents detailed analysis; detailed drivers of selectivity require further structures with IKZF1/3; the ZNF324 degron remains unidentified; and the absence of mouse models that recapitulate human imide immunomodulatory pharmacology led the authors to rely on ex vivo human Tregs.
  • Stated/evident: ALV2 also degrades Eos (IKZF4) and ZMYM2, so it is not Helios-exclusive, and proteomics identified additional degradation targets.
  • Evident from the text: the in vivo study reports pharmacodynamic Helios reduction in splenic Tregs, but no tumor efficacy, autoimmunity, or broader safety data are shown.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1038/s41589-021-00802-w

Cites

43 of 43 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 6 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The structure of the DDB1-CRBN-IKZF2ZnF2-ALV1 complex was determined to 3.8 Å resolution.

    “Crystals were obtained for the 152.8 kDa complex, and its structure was determined to 3.8 Å resolution (Fig. 2a, Supplementary Table 2).”
    Quote in the paperSubstantial claim
  • Findingown data

    Novel imide analogs with anilinomaleimide cores bind CRBN in cells.

    “Novel imide analogs with anilinomaleimide cores bind CRBN in cells to induce Helios degradation”
    Quote in the paperSubstantial claim
  • Findingown data

    PMA/ionomycin restimulation of human Tregs expanded in ALV2 significantly increased the percentage of IL-2 or IFNγ-producing Tregs over vehicle control.

    “Consistent with the loss of Treg anergy observed in murine cells, PMA/ionomycin restimulation of human Tregs expanded in the presence of ALV2 significantly increased the percentage of IL-2 or IFNγ-producing Tregs over vehicle control (Fig. 4a, b).”
    Quote in the paperSubstantial claim
  • Findingown data

    The glycine residue indicated by the red arrow is present at least once in all downregulated proteins.

    “and is present at least once in all downregulated proteins.”
    Quote in the paperNot a substantial claim
  • Findingown data

    Novel imide analogs with anilinomaleimide cores induce Helios degradation.

    “Novel imide analogs with anilinomaleimide cores bind CRBN in cells to induce Helios degradation”
    Quote in the paperSubstantial claim
  • May combine two claims. 14
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim. 4
  • May combine two claims.

    Findingown data

    ALV2 treatment reduced Helios but not Ikaros levels in splenic CD4+ FoxP3+ Tregs in vivo.

    “Finally, we administered ALV2 or vehicle control to CrbnI391V/I391V mice and found that ALV2 treatment reduced Helios but not Ikaros levels in splenic CD4+ FoxP3+ Tregs (Extended Data Fig. 6c, Supplementary Table 3), demonstrating that ALV2 can induce selective Helios degradation in vivo.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Neither ALV1 nor ALV2 destabilized GSPT1.

    “Neither ALV1 nor ALV2 destabilized GSPT1, and as expected, lenalidomide only induced degradation of Ikaros, while CC-885 induced degradation of both Ikaros and GSPT1 (Extended Data Fig 2c).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ALV1 and ALV2 bound CRBN in vitro with greater potency than lenalidomide but less than CC-885, and induced CRBN-Helios dimerization in the TR-FRET assay.

    “Both ALV1 and ALV2 bound CRBN in vitro with greater potency than lenalidomide (4) but less than CC-885 (5) (Fig. 1b), and both compounds also induced CRBN-Helios dimerization in the TR-FRET assay, with greater activity than either CC-885 (positive control) or lenalidomide (negative control) (Fig. 1c).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    ALV1 degraded both Ikaros and Helios, while ALV2 exhibited relative selectivity for Helios.

    “Our medicinal chemistry campaign optimized for compounds with distinct pharmacological degradation profiles, resulted in the development of ALV1, which degraded both Ikaros and Helios, and ALV2, which exhibited relative selectivity for Helios.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The residue that controls sensitivity to IMiD-induced degradation is glutamine in IKZF1/3 and histidine in IKZF2/4.

    “with the residue that controls sensitivity to IMiD-induced degradation (glutamine residue in IKZF1/3, histidine in IKZF2/4) highlighted in cyan”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Proteome-wide analysis revealed that ALV1 exhibited similar degradation activity towards IKZF1/2/3 while ALV2 preferentially promoted Helios degradation.

    “Thus, proteome-wide analysis revealed that the nonselective compound ALV1 exhibited similar degradation activity towards IKZF1/2/3 while ALV2 preferentially promoted Helios degradation, as also observed by immunoblot.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Pharmacological Helios degradation destabilized the anergic phenotype and reduced the suppressive activity of regulatory T cells.

    “Pharmacological Helios degradation destabilized the anergic phenotype and reduced the suppressive activity of regulatory T cells, establishing a route towards Helios-targeting therapeutics.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In human Tregs, ALV1 potently induced degradation of both Ikaros and Helios, while ALV2 selectively destabilized Helios.

    “Consistent with our previous results, ALV1 potently induced degradation of both Ikaros and Helios, while ALV2 selectively destabilized Helios (Fig. 3a).”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    ALV2 treatment reduced Helios levels and increased the percentage of IFNγ-producing Tregs in CrbnI391V/I391V murine Tregs.

    “Moreover, restimulation of cells with PMA/ionomycin induced a significantly higher percentage of IFNγ-producing Tregs in ALV2-treated compared to vehicle-treated Foxp3+ Tregs (Extended Data Fig. 6b), consistent with Ikzf2−/− Tregs acquiring effector functions, which demonstrates that acute pharmacologic degradation of Helios can recapitulate its genetic loss in murine Tregs.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    The DDB1ΔB-CRBN-ALV1-IKZF2ZnF2 ternary complex crystallized in space group P21 with four complexes in the asymmetric unit.

    “The DDB1ΔB-CRBN-ALV1- IKZF2ZnF2 ternary complex crystallized in space group P21 with four complexes in the asymmetric unit.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Acute Helios degradation occurs in CrbnI391V/I391V but not wildtype murine Tregs.

    “Acute Helios degradation in CrbnI391V/I391V but not wildtype murine Tregs”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning

    The study provides a roadmap for the development of Helios-degrading therapeutics as immunotherapy agents that may synergize with immune checkpoint blockade.

    “Thus, our data suggest that Helios-mediated regulation of Treg stability is not established during thymic and/or peripheral Treg development, and provides a roadmap for the development of Helios-degrading therapeutics as immunotherapy agents that may synergize with immune checkpoint blockade.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    Loss of Helios abundance may be secondary to defects in translation and subsequent initiation of programmed cell death.

    “Loss of Helios abundance may be secondary to defects in translation and subsequent initiation of programmed cell death.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Helios is critical for maintaining the identity, anergic phenotype, and suppressive activity of regulatory T cells.

    “The zinc finger transcription factor Helios is critical for maintaining the identity, anergic phenotype, and suppressive activity of regulatory T cells.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [5] Nakagawa, H. et al. Instability of Helios-deficient Tregs is associated with conversion to a T-effector phenotype and enhanced antitumor immunity. Proc. Natl Acad. Sci. USA 113, 6248–6253 (2016). source

      Not checked in the free run.

    • cites [6] Kim, H. J. et al. Stable inhibitory activity of regulatory T cells requires the transcription factor Helios. Science 350, 334–339 (2015). source

      Not checked in the free run.

    • cites [7] Yates, K., Bi, K., Haining, W. N., Cantor, H. & Kim, H. J. Comparative transcriptome analysis reveals distinct genetic modules associated with Helios expression in intratumoral regulatory T cells. Proc. Natl. Acad. Sci. USA 115, 2162–2167 (2018). source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Protein geometry analysis revealed 0.60% Ramachandran outliers, with 95.72% residues in favored regions and 3.68% residues in allowed regions for the complex with ALV1.

    “Protein geometry analysis revealed 0.60%, Ramachandran outliers, with 95.72% residues in favored regions and 3.68% residues in allowed regions for the complex with ALV1.”
    Quote in the paperNot a substantial claim
15 of 15
  • The paper relies on this without support.

    No existing approaches can directly modulate Helios activity or abundance, and no Helios-targeting small molecules have been reported.

    “While it is an attractive target to enhance the efficacy of currently approved immunotherapies, no existing approaches can directly modulate Helios activity or abundance.”
    “While Helios is an attractive immune-oncology target, transcription factors are traditionally considered to be hard to drug, and no Helios-targeting small molecules have been reported.”
  • The paper relies on this without support.

    Phenotypic destabilization of Tregs caused by Helios deficiency preferentially occurs in tumor-infiltrating Tregs.

    “This phenotypic destabilization preferentially occurs in tumor-infiltrating Tregs, which suggests that pharmacologically targeting Helios may mitigate the risk of autoimmunity.”
  • The paper relies on this without support.

    Transcription factors are traditionally considered hard to drug.

    “While Helios is an attractive immune-oncology target, transcription factors are traditionally considered to be hard to drug, and no Helios-targeting small molecules have been reported.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • MGs bind to the C-terminal domain of cereblon and induce conformational changes that create a new surface interacting with zinc fingers containing a beta-turn CXXCG motif.

    “With respect to the molecular glue-induced interaction of zinc finger transcription factors with cereblon, structural studies show that MGs bind to the C-terminal domain of cereblon and induce conformational changes that result in a new surface that interacts with zinc fingers containing a beta turn motif with sequence CXXCG7–9.”

    From Structural and biophysical comparisons of the pomalidomide- and CC-220-induced interactions of SALL4 with cereblon (2023) · cites this paper as [9]

    The Results section, “Structural basis of ALV1 induced Helios/CRBN dimerization” (page unavailable), shows ALV1 bound to CRBN and a zinc finger interacting with its C-terminal domain through a β-hairpin loop. The Discussion (page unavailable) identifies CxxCG as a motif permissive of degradation. The paper observes CRBN in a closed conformation but does not establish that molecular-glue binding induces a conformational change that creates a new interaction surface. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • It is the third binding mode for ZFs to CRBN:MG complexes.

    “Additionally, it is the third binding mode for ZFs to CRBN:MG complexes adding to our understanding of the binding of single zinc fingers such as IKZF13,7 and ZNF6923, and the binding of two zinc fingers including C-terminal ancillary ZF3 in the IKZF2 ZF2-3 complex9,10.”

    From Structural and biophysical comparisons of the pomalidomide- and CC-220-induced interactions of SALL4 with cereblon (2023) · cites this paper as [9]

    The Results section (page unavailable) describes a binding mode for a single IKZF2 zinc finger, ZnF2, in a CRBN–ALV1 complex. It does not establish that this is the third binding mode or describe binding by the two-finger IKZF2 ZF2–3 complex with an ancillary ZF3. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Rational structure-guided design led to flexible imide analogues that selectively degrade IKZF2 and the structurally related IKZF4.

    “Rational structure-guided design led to the development of flexible imide analogues that selectively degrade iKZF2 and the structurally related iKZF4.”

    From From serendipity to strategy: molecular glue degraders in cancer therapeutics (2025) · cites this paper as wang et al. 2021

  • TR-FRET and fluorescence polarization assays offer robust scalable formats for detecting molecular glue-induced interactions in vitro.

    “Similarly, tR-FRet and fluorescence polarization (FP) assays offer robust scalable formats for detecting molecular glue-induced interactions in vitro (Simonetta et al. 2019;wang et al. 2021;Hsia et al. 2024;Kozicka et al. 2024).”

    From From serendipity to strategy: molecular glue degraders in cancer therapeutics (2025) · cites this paper as wang et al. 2021

    The Experimental Materials and Methods sections on cellular degradation and CRBN engagement describe GFP/mCherry imaging assays in cells, not in-vitro assays for molecular glue-induced interactions. Searches for TR-FRET, time-resolved fluorescence energy transfer, and fluorescence polarization found no passage in our copy establishing that those assays provide robust, scalable formats. Page numbers were not available. (LLM, conf=0.75)

    Experimental — accuracy not yet measured
  • Several rounds of optimization led to ALV1 and ALV2.

    “Several rounds of optimization led to ALV1 and ALV2 (Fig. 7 and 8).”

    From Chasing molecular glue degraders: screening approaches (2022) · cites this paper as [167]

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Authors
Wang, E. S., Verano, A. L., Nowak, R. P., Yuan, J. C., Donovan, K. A., Eleuteri, N. A., Yue, H., Ngo, K. H., Lizotte, P. H., Gokhale, P. C., Gray, N. S., & Fischer, E. S.
Affiliations
  • Harvard University (US)
  • Dana-Farber Cancer Institute (US)
Corresponding author
  • Gray, Nathanael S.
  • Fischer, Eric S.
Venue
Nature Chemical Biology
Published
2021-05-25
Volume
17
Issue
6
Pages
711-717
ISSN
  • 1552-4450 (ISSN-L)
  • 1552-4469
OpenAlex
W3165703330
Cited by
124
References
43
Citations by year
2026: 20 · 2025: 36 · 2024: 26 · 2023: 27 · 2022: 15
FWCI
5.41
Type
journal article
Language
en
Open access
Locations
  • Nature Chemical Biology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Damon Runyon Cancer Research Foundation (DRG-2270-16, DRR-50-18)
  • U.S. Department of Health & Human Services | NIH | National Cancer Institute (R01CA214608)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chemical Synthesis and Analysis
Keywords
Helios, regulatory T cells, small-molecule degraders, cereblon, E3 ubiquitin ligase, zinc finger transcription factor, Treg suppressive function, structure-based drug design
MeSH terms
Animals, Cell Line, DNA-Binding Proteins, Humans, Models, Molecular, Mutation, Substrate Specificity, Transcription Factors, Molecular Structure, Jurkat Cells, Ubiquitin-Protein Ligases, Adaptor Proteins, Signal Transducing, T-Lymphocytes, Regulatory, Mice, Ikaros Transcription Factor, Small Molecule Libraries

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