Springer Seminars in Immunopathology

, Volume 9, Issue 1, pp 73–83 | Cite as

Interferons: Current status and future directions of this prototypic biological

  • Richard V. Smalley
  • Ernest C. Borden
Article

Conclusion

As phase II trials with alpha interferon are nearing completion it is clear that they have anti-tumor activity in several malignancies. When compared to other drugs currently used for malignant disease, the level of activity suggests their ultimate usefulness in clinical practice. Some patients have manifested complete responses to interferon administration: others have had long-term sustained anti-tumor effect. In addition to their significant clinical activity, interferons are prototypic biologic response modifiers. In this role, the development of the interferons has provided a model for other biologicals which are currently entering phase I clinical trials. As a model for the clinical application of biologics in general and for the clinical use of specific protein molecules, interferons are fulfilling their substantial promise.

Keywords

Clinical Trial Internal Medicine Clinical Practice Interferon Clinical Application 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Aapro MS, Alberts DS, Salmon SE (1983) Interactions of human leukocyte interferon with vinka alkyloids and other chemotherapeutic agents against human tumors in clonogenic assay. Cancer Chemother Pharmacol 10: 161Google Scholar
  2. 2.
    Balkwill F, Taylor-Papadimitriou J, Fantes KH, Sebsten A (1980) Human lymphoblastoid interferon can inhibit the growth of human breast cancer xenografts in athymic (nude) mice. Eur J Cancer 16: 569Google Scholar
  3. 3.
    Balkwill FR, Moodie EM (1984) Positive interactions between human interferon and cyclophosphamide or adriamycin in a human tumor model system. Cancer Res 44: 904Google Scholar
  4. 4.
    Balkwill FR, Mowshowitz S, Seilman SS, Moodie EM, Griffin DB, Fantes KH, Wolf CR (1984) Positive interactions between interferon and chemotherapy due to direct tumor action rather than effects on host drug metabolizing enzymes. Cancer Res 44: 5249Google Scholar
  5. 5.
    Billiau A, DeSommer P, Edy VG, DeClercq E, Heremans H (1979) Human fibroblast interferon for clinical trials: pharmacokinetics and tolerability in experimental animals and human. Antimicrob Agents Chemother 16: 56Google Scholar
  6. 6.
    Bonnem EM, Spiegel RJ (1984) Review interferon alpha: current status and future promise. J Biol Resp Modif 3: 580Google Scholar
  7. 7.
    Borden EC (1983) Interferons: in pursuit of the promise. In: 13th International Cancer Congress, Part E — Cancer Management. AR Liss, New York, p 297Google Scholar
  8. 8.
    Borden EC (1984) Interferons in cancer: how the promise is being kept. In: Gresser J (ed) Interferon, Vol. 5, Academic Press, London, p 43Google Scholar
  9. 9.
    Borden EC, Hogan TF, Voelkel JC (1982) The comparative antiproliferative activity in vitro of natural interferons alpha and beta for diploid and transformed human cells. Cancer Res 42: 4948Google Scholar
  10. 10.
    Borden EC, Holland JF, Dao DL, Gutterman JU, Weiner L, Chang Y-C, Patel J (1982) Leukocyte-derived interferon alpha in human breast cancer. The American Cancer Society phase II trial. Ann Intern Med 97: 1Google Scholar
  11. 11.
    Borden EC, Sielaff KM, Hawkins MJ (1984) Studies with interferons produced by recombinant DNA technology in patients with cancer. In: Finter NB, Oldham RK (eds) In vivo applications of interferons. Elsevier Science Publications, Amsterdam, p 287Google Scholar
  12. 12.
    Bunn PA Jr, Foon KA, Ihde DC, Longo DL, Eddy J, Winkler CF, Veach SR, Zepphran J, Sherwin S, Oldham R (1984) Recombinant leukocyte A interferon: an active agent in advanced cutaneous T cell lymphomas. Ann Intern Med 101: 484Google Scholar
  13. 13.
    Cantell K, Hirvonen S (1977) Preparation of human leukodyte interferon for clinical use. Tex Rep Biol Med 35: 138Google Scholar
  14. 14.
    Clarke RH, Dimitrov NV, Aksolson JA, Charamella LJ (1984) Leukocyte interferon as a possible biological response modifier in lymphoproliferative disorders resistant to standard therapy. J Biol Resp Modif 3: 613Google Scholar
  15. 15.
    Collins T, Korman AJ, Wake CT, Boss JM, Kappes DJ, Fiers W, Ault JA, Gimbrone MA Jr, Strominger JL, Pober JS (1984) Immune interferon activates multiple class 2 major histocompatibility complex genes and the associated invariant chain gene in human endothelial cells and dermal fibroblasts. Proc Natl Acad Sci USA 81: 4917Google Scholar
  16. 16.
    Costanzi J (1985) Interferon in the treatment of multiple myeloma. In: Kirchner H, Schellekens H (eds) The biology of the interferon system 1984. Elsevier, Amsterdam (in press)Google Scholar
  17. 17.
    Creagan ET, Ahmann DL, Green SJ, Long H, Frytak S, O'Fallon JR, Itri LM (1984) Phase II study of low dose recombinant leukocyte A interferon in disseminated malignant melanoma. J Clin Oncol 2: 1002Google Scholar
  18. 18.
    Creagan ET, Ahmann DL, Green SJ, Long H, Rubin J, Schutt AJ, Dziewanowski ZE (1984) Phase II study of recombinant leukocyte A interferon in disseminated malignant melanoma. Cancer 54: 2844Google Scholar
  19. 19.
    Creasy AA, Bartholomew JC, Merigan TC (1980) Role of GO-Gl arrest in the inhibition of tumor cell growth by interferon. Proc Natl Acad Sci USA 77: 1471Google Scholar
  20. 20.
    Dimitrov NV, Meyer CJ, Strander H, Einhorn S, Cantell K (1984) Interferon as a modifier of estrogen receptors. Ann Clin Lab Sci 14: 32Google Scholar
  21. 21.
    Fellous M, Nir U, Wallach D, Merlin G, Rubenstein M, Revel M (1982) Interferon-dependent induction of mRNA for the major histocompatibility antigens in human fibroblasts and lymphoid cells. Proc Natl Acad Sci USA 79: 3082Google Scholar
  22. 22.
    Fiers W, Devos R, Cheroutre H, Degrave W, Duerinck F, Gheysen D, Plaetinck G, Remaut E, Scahill S, Simons G, Stanssens P, Tavernier J, Van Der Heyden J (1983) Molecular — biological studies on human fibroblast interferon, immune interferon and interleukin 2 genes. In: DeMaeyer E, Schellekens H (eds) The biology of the interferon system 1983. Elsevier Science Publishers, Amsterdam, p 3Google Scholar
  23. 23.
    Finter NB, Fantes KH (1980) The purity and safety of interferons prepared for clinical use: the case for lymphoblastoid interferon. In: Gresser I (ed) Interferon, Vol 2, Academic Press, London, p 65Google Scholar
  24. 24.
    Foon KA, Sherwin SA, Bunn PA Jr, Longo D, Oldham RK (1984) Recombinant leukocyte A interferon in the treatment of non-Hodgkin's lymphoma, chronic lymphocytic leukemia and cutaneous T cell lymphoma. In: Zoon KC, Noguchi PD, Liu T-Y (eds) Interferon: research, clinical application and regulatory considerations. Elsevier Science Publishing Co. New York, p 219Google Scholar
  25. 25.
    Goeddel DV, Yelverton E, Ullrich A et al (1980) Human leucocyte interferon produced by E coli is biologically active. Nature 287: 411Google Scholar
  26. 26.
    Gould MN, Kakria RC, Olson S, Borden EC (1984) Radiosensitization of human bronchogenic carcinoma cells by interferon beta. J Interferon Res 4: 123Google Scholar
  27. 27.
    Gray PW, Leung DW, Pennica D, Yelverton E, Najarian R, Simonsen CC, Derynck R, Sherwood PJ, Wallace PM, Berger SL, Levinson AD, Goeddel DV (1982) Expression of human immune interferon cDNA in E. coli in monkey cell. Nature 295: 503Google Scholar
  28. 28.
    Greiner JW, Horan-Hand P, Noguchi P, Fisher PB, Pestka S, Schlom J (1984) Enhanced expression of surface tumor associated antigens on human breast and colon tumor cells after recombinant human leukocyte alpha interferon treatment. Cancer Res 44: 3208Google Scholar
  29. 29.
    Groopman JE, Gottlieb MS, Goodman J, Mitsuyasu RT, Conat MA, Prince H, Fahey JL, Derezin M, Weinstein WM, Casavante C, Rothman J, Rudnick SA, Volberding PA (1984) Recombinant alpha 2 interferon therapy for Kaposi's sarcoma associated with the acquired immuno deficiency syndrome. Ann Intern Med 100: 671Google Scholar
  30. 30.
    Groveman DS, Borden EC, Merritt JA, Robins HI, Steeves R, Bryan GT (1984) Augmented anti-proliferative effects of interferons at elevated temperatures against human bladder carcinoma cell lines. Cancer Res 44: 5517Google Scholar
  31. 31.
    Gutterman JU, Blumenschein GR, Alexanian R, Yap H-Y, Buzdar AU, Cabanillas F, Hortobagyi GN, Hersh EM, Rasmussen SL, Harmon M, Kramer M, Pestka S (1980) Leukocyte interferon-induced tumor regression in human metastatic breast cancer, multiple myeloma and malignant lymphoma. Ann Intern Med 93: 399Google Scholar
  32. 32.
    Gutterman JU, Rosenbloom MG, Rios A, Fritsche HA, Quesada JR (1984) Pharmacokinetic study of partially pure gamma interferon in cancer patients. Cancer Res 44: 4164Google Scholar
  33. 33.
    Hawkins MJ, Borden EC, Fein S, Simon KJ (1983) Evaluation of the clinical and biological effects of recombinant human interferon alpha rD. Proc ASCO 2: 50Google Scholar
  34. 34.
    Hawkins M, Horning S, Konrad M, Anderson S, Schiessel J, Sielaff K, Rosno S, DeMets D, Merigan T, Borden E (1985) Interferon beta ser: interim analysis of a phase I clinical trial. In: Kirchner H, Schellekens H (eds) The biology of the interferon system 1984. Elsevier, Amsterdam. (in press)Google Scholar
  35. 35.
    Hawkins MJ, Krown SE, Borden EC, Krim M, Real F, Edwards BS, Anderson SA, Cunningham-Rundles S, Oettgen HF (1984) American Cancer Society phase I trial of naturally produced beta interferon. Cancer Res 44: 5934Google Scholar
  36. 36.
    Herberman RB, Thurman GB (1983) Approaches to the immunological monitoring of cancer patients treated with natural and recombinant interferons. J Biol Resp Modif 2: 548Google Scholar
  37. 37.
    Horning SJ (1984) Interferon and malignant lymphoma. In: Zoon KC, Noguchi PD, Liu T-Y (eds) Interferon: research, clinical application and regulatory considerations. Elsevier Science Publishing Co, New York, p 229Google Scholar
  38. 38.
    Horoszewicz JS, Leong SS, Ito M, Buffett RF, Karahousis C, Holyoke E, Job L, Dolen JG, Carter WA (1978) Human fibroblast interferon in human neoplasia: clinical and laboratory study. Cancer Treat Rep 62: 1899Google Scholar
  39. 39.
    Horoszewicz JS, Leong SS, Carter WA (1979) Non-cycling tumor cells are sensitive targets for the antiproliferative activity of human interferon. Science 206: 1091Google Scholar
  40. 40.
    Inoue M, Tan YH (1983) Enhancement of actinomycin-D and cisdiammine-dichloroplatinum induced killing of human fibroblasts by human beta interferon. Cancer Res 43: 5484Google Scholar
  41. 41.
    Kirkwood JM, Ernstoff MS (1984) Interferons in the treatment of human cancer. J Clin Oncol 2: 3363Google Scholar
  42. 42.
    Kirkwood JM, Harris JE, Vera R, Sandler S, Fischer DS, Khandekar J, Ernstoff MS, Gordon L, Lutes R, Bonomi P, Lytton B, Cobleigh M, Taylor SJ IV (1985) A randomized study of low and high doses of leukocyte alpha-interferon in metastatic renal cell carcinoma: the American Cancer Society collaborative trial. Cancer 45: 863Google Scholar
  43. 43.
    Kohno M, Ida N, Nago S, Tanaka N, Sekiguchi F, Uenishi N, Kajita A, Ogawa H (1982) Effects of human fibroblast interferon on human tumors transplanted into nude mice: sensitivity of human tumors to interferon. Gann 73: 945Google Scholar
  44. 44.
    Krown SE, Real FX, Cunningham-Rundles S, Myskowski BL, Koziner B, Fein S, Middleman A, Oettgen HF, Safai B (1983) Preliminary observations on the effect of recombinant leukocyte A interferon in homosexual men with Kaposi's sarcoma. N Engl J Med 308: 1071Google Scholar
  45. 45.
    Krown SE, Einzig AI, Abramson JD, Oettgen HF (1983) Treatment of advanced renal cancer with recombinant leukocyte A interferon. Proc ASCO 2: 58Google Scholar
  46. 46.
    Lin SL, Garber EA, Wang E, Caliguiri LA, Schellekens H, Goldberg AR, Tamm I (1983) Reduced synthesis of small pp60src and expression of the transformation related phenotype in interferon treated Rous sarcoma virus transformed rat cells. Mol Cell Biol 3: 1656Google Scholar
  47. 47.
    Louie AC, Gallagher JG, Sikora K, Levy R, Rosenberg SA, Merigan TC (1981) Follow-up observations on the effects of human leukocyte interferon in non-Hodgkin's lymphoma. Blood 58: 712Google Scholar
  48. 48.
    Mark DV, Fu SD, Creasy A, Yaniamoto R, Lin L (1984) Site-specific mutagenesis of the human fibroblast interferon gene: a structure-function analysis of the protein. Proc Natl Acad Sci USA 81: 5662Google Scholar
  49. 49.
    Mellstedt H, Bjorkholm M, Johansson B, Aahre A, Holm G, Strander H (1979) Interferon therapy in myelomatosis. Lancet I: 245Google Scholar
  50. 50.
    Mellstedt H, Aahre A, Bjorkholm M, Johansson B, Strander H, Brennin G, Engstedt L, Gahrton G, Holm G, Lehrner L, Lonnqvist B, Nordenskjold B, Killnader A, Stalfeldt A-M, Simonsson B, Ternstedt B, Wadman B (1982) Interferon therapy of patients with myeloma. In: Terry WD, Rosenberg SA (eds) Immunotherapy of human cancer. Elsevier North Holland Inc, New York, p 387Google Scholar
  51. 51.
    Merritt JA, Ball LA, Sielaff KM, Cain CR, Borden EC (1984) In vivo modulation of 2–5 A synthetase by alpha interferon. Proc ASCO 3: 58Google Scholar
  52. 52.
    Miyoshi T, Ogawa S, Kanamori T, Nobuhara M, Namba M (1983) Interferon potentiates cytotoxic effects of 5-Fluorouracil on cell proliferation of established cell lines originating from neoplastic tissues. Cancer Lett 17: 239Google Scholar
  53. 53.
    Namba M, Yamamoto S, Teanaka H, Kanamori T, Nobuhara M, Kimoto T (1984) In vitro and in vivo studies on potential of cytotoxic effects of anti-cancer drugs or cobalt 60 gamma ray by interferon on human neoplastic cells. Cancer 54: 2262Google Scholar
  54. 54.
    Neidhart JA, Gage MM, Young D, Tuttle R, Melink TJ, Ziccarrelli A, Kisner D (1984) Interferonalpha therapy of renal cancer. Cancer Res 44: 4140Google Scholar
  55. 55.
    Nunnink JC, Reznikoff CA, Schmid SM, Messing EM, Borden EC (1986) Interferon gamma enhancement of HLA-OR, beta-2-microglobulin, and a tumor associated antigen (9A7) on normal urothelium and transitional cancer cells of the bladder. Proc AACRGoogle Scholar
  56. 56.
    Nethersell A, Smedley J, Catrack M, Wheeler T, Sikora K (1984) Recombinant interferon in advanced breast cancer. Br J Cancer 49: 615Google Scholar
  57. 57.
    Oldham RK, Smalley RV (1984) Role of interferon in cancer treatment. In: Zoon KC, Noguchi PD, Liu T-Y (eds) Interferon: research, clinical application and regulatoty considerations. Elsevier Science Publishing Co, New York, p 191Google Scholar
  58. 58.
    Ortaldo JR, Mason A, Rehberg E, Moschera J, Kelder B, Pestka S, Herberman RB (1983) Effects of recombinant and hybrid recombinant human leukocyte interferons on cytotoxic activity of natural killer cell. J Biol Chem 258: 15011Google Scholar
  59. 57.
    Oldham RK, Smalley RV (1984) Role of interferon in cancer treatment. In: Zoon KC, Noguchi PD, Liu T-Y (eds) Interferon: research, clinical application and regulatory considerations. Elsevier Science Publishing Co, New York, p 191Google Scholar
  60. 58.
    Ortaldo JR, Mason A, Rehberg E, Moschera J, Kelder B, Pestka S, Herberman RB (1983) Effects of recombinant and hybrid recombinant human leukocyte interferons on cytotoxic activity of natural killer cell. J Biol Chem 258: 15011Google Scholar
  61. 59.
    Ortaldo JR, Herberman RB, Harvey C, Oscheroff P, Pan Y-CE, Keider B, Pestka S (1984) A species of human alpha interferon that lacks the ability to boost human natural killer activity. Proc Natl Acad Sci USA 81: 4926Google Scholar
  62. 60.
    Pelham JM, Gray JD, Flannery GR, Pimm MV, Baldwin RW (1983) Interferon alpha conjugation to human osteogenic sarcoma monoclonal antibody 791T-36. Cancer Immunol Immunother 15: 210Google Scholar
  63. 61.
    Pouillart P, Palangie T, Jouve M, Garcia-Giralt E, Fridman WH, Magdelenat H, Falcoff E, Billiau A (1982) Administration of fibroblast interferon to patients with advanced breast cancer: possible effects on skin metastasis and on hormone receptors. Eur J Cancer Clin Oncol 18: 929Google Scholar
  64. 62.
    Quesada JR, Swanson DA, Trindade A, Gutterman JU (1983) Renal cell carcinoma: anti-tumor effects of leukocyte interferon. Cancer 43: 940PubMedGoogle Scholar
  65. 63.
    Quesada JR, Hawkins M, Horning S, Alexanian R, Borden E, Merigan T, Gutterman J (1984) A collaborative phase I–II recombinant DNA produced leukocyte interferon (clone A) in metastatic breast cancer, malignant lymphoma and multiple myeloma. Am J Med 77: 427Google Scholar
  66. 64.
    Quesada JR, Ruben J, Manning JT, Hersh EM, Gutterman JU (1984) Alpha interferon for induction of remission in hairy cell leukemia. N Engl J Med 310: 15Google Scholar
  67. 65.
    Ralph P, Harris PE, Ponjabi CJ, Welte K, Litcofsky PB, Ho M-K, Rubin BY, Moore MAS, Springer TA (1983) Lymphokine inducing “terminal differentiation” of the human monoblast leukemia line U937: a role for gamma interferon. Blood 62: 1169Google Scholar
  68. 66.
    Salmon SE, Durie BGM, Young L, Liu RM, Trown PW, Stebbing N (1983) Effects of cloned leukocyte interferons in the human tumor stem cell assay. J Clin Oncol 1: 217Google Scholar
  69. 67.
    Schwartz LA, Fleischmann CM, Fleischmann WR Jr (1984) Potentiation of interferons anti-viral activity by the mutually synergistic interaction of MUIFNs-alpha/beta and MUIFN gamma. J Biol Resp Modif 3: 608Google Scholar
  70. 68.
    Sherwin SA (1985) The potential clinical applications of interferon-gamma. In: Finter NB, Oldham RK (eds) in vivo application of interferons. Elsevier Science Publications, Amsterdam (in press)Google Scholar
  71. 69.
    Sherwin SA, Mayer D, Ochs JJ, Abrams PG, Knost JA, Foon KA, Fein S, Oldham RK (1983) Recombinant leukocyte A interferon in advanced breast cancer. Results of a phase II efficacy trial. Ann Intern Med 98: 598Google Scholar
  72. 70.
    Sherwin SA, Foon KA, Abrams PG, Heyman MR, Ochs JJ, Watson T, Maluish A, Oldham RK (1984) A preliminary phase I trial of partially purified interferon gamma in patient with cancer. J Biol Resp Modif 3: 599Google Scholar
  73. 71.
    Silver KHB (1984) Clinical antitumor activity of interferon from lymphoblastoid cells. In: Finter NB, Oldham RK (eds) In vivo applications of interferons. Elsevier Science Publications, Amsterdam (in press)Google Scholar
  74. 72.
    Smalley RV (1984) Antitumor effects of alpha interferons made from human blood cells. In: Finter NB, Oldham RK (eds) in vivo applications of interferons. Elsevier Science Publications, Amsterdam, p 251Google Scholar
  75. 73.
    Smalley RV, Oldham RK (1983) Interferons as a biological response modifying agent in clinical trials. J Biol Resp Modif 2: 401Google Scholar
  76. 74.
    Smalley RV, Oldham RK (1984) Biological response modifiers: preclinical evaluation and clinical activity. CRC Oncol Hematol 1: 259Google Scholar
  77. 75.
    Spear GT, Paulnock DM, Jordon R, Hawkins MJ, Borden EC (1985) Monocyte HLA-DR expression by recombinant beta interferon. Proc AACR (in press)Google Scholar
  78. 76.
    Talpaz M, McCreadie KB, Mavligit GM, Gutterman JU (1983) Leukocyte interferon-induced myeloid cytoreduction in chronic myelogenous leukemia. Blood 62: 689Google Scholar
  79. 77.
    VanderBurg M, Edelstein M, Gerlis L, Laing CM, Hirschi M, Dawson A (1985) Recombinant interferon gamma (Immeron): a phase I clinical and immunological study in cancer patients. J Biol Resp Modif (in press)Google Scholar
  80. 78.
    Weissmann C, Nagata S, Boll W et al (1982) Structure and expression of human alpha interferon genes. In: Miwa M, 1–22 (eds) Primary and tertiary structure of nucleic acids and cancer research. Japan Sci Soc Press, Tokyo, p 1–22Google Scholar
  81. 79.
    Williams TW, Bellanti JA (1984) In vitro protective and enhancing effects of interferons from several species on human lymphotoxin-induced target cell killing. Cell Immunol 83: 255Google Scholar
  82. 80.
    Yokota Y, Kishida T, Esaki K, Kawamata J (1976) Antitumor effects of interferon on transplanted tumors in congenitally athymic nude mice. Biken J 19: 125Google Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • Richard V. Smalley
    • 1
  • Ernest C. Borden
    • 2
  1. 1.University of Wisconsin Cancer CenterMadisonUSA
  2. 2.Departments of Human Oncology and MedicineUniversity of Wisconsin Cancer CenterMadisonUSA

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