Summary
Although the drug OK-432 can induce the release of γ-interferon (IFN-γ), the serum concentrations of IFN-γ produced are very low. We studied the effects of combining OK-432 with α-interferon (IFN-α) on the endogenous production of IFN and the postoperative courses of patients with oral cavity cancers. Forty patients operated on for head and neck cancers were studied. Each patient was given an injection of OK-432 1 week after surgery. Between 10 and 14 days later, a combination of OK-432 and IFN-α was given to assess the effects of the concomitant use of IFN-α on IFN production. In 18 of the 30 patients given a large dose of IFN-α (3 or 5×106 IU/ mg protein), IFN production induced by OK-432 was enhanced. A small dose of IFN-α (7×103 IU) did not enhance the action of OK-432. OK-432 also induced the release of both endogenous IFN-γ and IFN-α, and the production of both types of IFN was enhanced by the concomitant administration of parenteral IFN-α. Next, 50 patients operated on for oral cavity cancers were given OK-432 or a combination of OK-432 and IFN-α for 4 months, and their postoperative courses were followed for 2–5 years. The clinical courses were better in the combined therapy group than in the group given OK-432 alone.
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References
Abreu SL, Bancroft FC, Stewart II WE (1979) Interferon priming effects on interferon messenger RNA. J Biol Chem 254:4114–4118
Balkwill FR, Moodie EM (1984) Positive interactions between human interferon and cyclophosphamide or ad-riamycin in a human tumor model system. Cancer Res 44:904–908
Berlinger NT, Good R (1974) Contemporary immunologic considerations in head and neck tumors. Otolaryngol Clin North Am 7:859–883
Czarneicki CW, Fennie CW, Powers DS, Estell DA (1984) Synergistic antiviral and antiproliferative activities of Escherichia coli-derived human alpha, beta, and gamma interferons. J Virol 49:490–496
Ebina T (1981) New interferon inducer. Protein, nucleic acid and enzyme. 25:81–96
Epstein LB (1976) The ability of macrophages to augment in vitro mitogen and antigen stimulated production of interferon and other mediators of cellular immunity by lymphocytes. In: Nelson DS (ed) Immunobiology of the macrophage. Academic Press, New York, pp 201–234
Farrar WL, Johnson HM, Farrar JJ (1980) Regulation of the production of immune interferon and cytotoxic T lymphocytes by interleukin 2. J Immunol 126:1120–1125
Fleischmann WR Jr, Kleyn KM, Baron S (1980) Potentiation of antitumor effect of virus-induced interferon by mouse immune interferon preparations. J Natl Cancer Inst 65:963–966
Herman J, Kew MC, Rabson AR (1984) Defective inter-leukin-1 production by monocytes from patients with malignant disease. Interferon increases IL-1 production. Cancer Immunol Immunother 16:182–185
Horie Y, Hiziya S, Kato S, Kishimoto Y, Murawaki Y, Suou T, Hirayama C (1984) Tegafur and streptococcal preparation (OK-432) for combination immunochemotherapy in hepatocellular carcinoma. In: Hoshino T (ed) OK-432. Excerpta Medica, Amsterdam, pp 282–289
Huang K, Donahoe RM, Gordon FB, Dressler HR (1971) Enhancement of phagocytosis by interferon-containing preparations. Infect Immun 4:581–588
Ikic D, Padovan I, Brodarec I, Knežević M, Šooš E (1981) Application of human leukocyte interferon in patients with tumors of the head and neck. Lancet 1:1025–1027
Imanishi J, Pak C, Kawamura H, Kita M, Sugino S, Sakamoto M, Tanimoto T, Masuda K, Yokobayashi K, Mitsuhashi M, Nagano Y, Koshida T (1980) Production and characterization of interferon from human leukemic lymphoblastoid cells grown in hamsters. J Appl Biochem 2:257–269
Ishi Y, Yamaoka H, Toh K, Kikuchi K (1976) Inhibition of tumor growth in vivo and in vitro by macrophages from rat treated with a streptococcal preparation, OK-432. Gann 67:115–119
Ito Y, Nagata I, Kunii A (1973) Mechanism of endotoxin-type interferon production in mice. Virology 52:439–446
Kirkwood JM, Ernstoff MS (1984) Interferons in the treatment of human cancer. J Clin Oncol 2:336–352
Kuribayashi K, Gillis S, Kern DE, Henney CS (1981) Murine NK cell cultures: effects of interleukin-2 and interferon on cell growth and cytotoxic reactivity. J Immunol 291:2321–2327
Marcucci F, Waller M, Kirchner H, Krammer P (1981) Production of immune interferon by murine T-cell clones from long-term cultures. Nature 291:79–81
Matsubara S, Suzuki F, Ishida N (1979) Induction of immune interferon in mice treated with a bacterial immuno-potentiator, OK-432. Cancer Immunol Immunother 6:41–45
Nakane A, Minagawa T (1981) Alternative induction of IFN-α and IFN-γ by Listeria monocytogenes in human peripheral blood mononuclear leukocyte cultures. J Immunol 126:2139–2142
Nakane A, Minagawa T (1983) Alternative induction of alpha/beta interferons and gamma interferon by Listeria monocytogenes in mouse spleen cell cultures. Cell Immunol 75:283–291
Newbill ET, Johns ME (1983) Immunology of the head and neck cancers. CRC Crit Rev Clin Lab Sci 19:1–25
Okamoto H, Minami M, Shoin S, Koshimura S, Shimizu R (1966) Experimental anticancer studies. XXXI. On the streptococcal preparation having potent anticancer activity. Jpn J Exp Med 36:175–186
Oshimi K, Kano S, Takaku F, Okumura K (1980) Augmentation of mouse natural killer cell activity by a streptococcal preparation, OK-432. J Natl Cancer Inst 65:1265–1269
Sakurai Y, Tsukayoshi S, Satoh N, Akiba T, Suzuki S, Takagaki Y (1972) Tumor inhibitory effect of a streptococcal preparation (NSC-B116209). Cancer Chemother Rep 56:9–17
Sato M, Yoshida H, Yanagawa T, Yura Y, Urata M, Atsumi M, Furumoto N, Hayashi Y, Takegawa Y (1984) Interferon activity and its characterization in the sera of patients with head and neck cancer. Cancer 54:1239–1251
Stewart MW, Lin LS, Braude IA, Stewart WE (1980) Comparisons of the physicochemical and biological properties of human, murine and bovine interferons, Type I and II. In: de Weck AL, Kristensen F, Landy M (eds) Biochemical characterization of lymphokines. Academic Press, New York, pp 331–338
Sugiyama M, Epstein LB (1978) Effect of Corynebacterium parvum on human T-lymphocyte interferon production and T-lymphocyte proliferation in vitro. Cancer Res 30:4467–4473
Suhadolnik RJ, Sawada Y, Flick MB, Reichenbach NL, Mosca JD (1983) Effect of human fibroblast interferon on the antiviral activity of mammalian cells treated with Bleomycin, Vincristine, or Mitomycin C. Cancer Res 43:5462–5466
Timonen T, Saksela E, Virtanen I, Cantell K (1980) Natural killer cells are responsible for the interferon production induced in human lymphocytes by tumor cell contact. Eur J Immunol 10:422–427
Torres BA, Yamamoto JK, Johnson HM (1982) Cellular regulation of gamma interferon production: Lyt phenotype of the suppressor cell. Infect Immun 35:770–776
Treuner J, Niethammer D, Dannecker G, Hagmann R, Neff V, Hofschneider PH (1980) Successful treatment of nasopharyngeal carcinoma with interferon. Lancet 1:817–818
Trinchieri G, Santoli D (1978) Anti-viral activity induced by culturing lymphocytes with tumor-derived or virus-transformed cells. Enhancement of human natural killer cell activity by interferon and antagonistic inhibition of susceptibility of target cells to lysis. J Exp Med 147:1314–1333
Uchida A, Hoshino T (1980) Clinical studies on cellmediated immunity in patients with malignant disease. I. Effect of immunotherapy with OK-432 on lymphocyte subpopulation and phytomitogen responsiveness in vitro. Cancer 45:476–483
Wagner H, Hardt C, Heeg K, Pfizenmaier K, Solback W, Bartlett R, Stockinger H, Röllinghoff M (1980) T-T cell interactions during cytotoxic T lymphocyte (CTL) responses: T cell derived helper factor (interleukin 2) as a probe to analyze CTL responsiveness the thymic maturation of CTL progenitors. Immunol Rev 51:215–255
Watanabe Y, Iwa T (1984) Clinical value of immunotherapy for lung cancer by the Streptococcal preparation OK-432. Cancer 53:248–253
Welsh RM Jr, Doe WF (1980) Cytotoxic cells induced during lymphocytic choriomeningitis virus infection of mice: natural killer cell activity in cultured spleen leukocytes concomitant with T-cell-dependent immune interferon production. Infect Immun 30:473–483
Yamaguchi T, Handa K, Shimizu Y, Abo T, Kumagai K (1977) Target cells for interferon production in human leukocytes stimulated by Sendai virus. J Immunol 118:1931–1935
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Sugiyama, M., Yamane, H., Cho, J.S. et al. Enhanced production of γ-interferon by therapy with parenteral OK-432 and α-interferon in patients with head and neck cancer. Arch Otorhinolaryngol 243, 281–287 (1986). https://doi.org/10.1007/BF00460202
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DOI: https://doi.org/10.1007/BF00460202