Abstract
Direct intratumoral injection of interleukin-2 (IL-2) was evaluated in a murine model. Balb/c mice received 5 × 104 Line 1 alveolar carcinoma cells (L1C2) by subcutaneous injection. On the third day following tumor implantation, mice received injections of IL-2 (5 × 103−5 × 104 units) or diluent twice daily, either by i. p. or intratumoral injection, 5 days/week for 3 weeks. Intratumoral injection of 5 × 104 units IL-2 significantly reduced tumor volume (P <0.05 versus control), increased median survival time (P = 0.0001), and resulted in a 23.5% cure rate (P = 0.008). There were no long-term survivors in the other treatment groups. Both tumor-infiltrating lymphocytes (TIL) and splenic lymphocytes isolated directly from IL-2-treated mice demonstrated enhanced cytolytic activity compared to diluent-treated controls. To determine whether non-T-cell-mediated antitumor responses were active in our model, intratumoral immunotherapy was evaluated in athymic Balb/cnu/nu mice. In order to decrease the recruitment of lymphocyte precursors, nude mice were splenectomized and received cyclophosphamide prior to tumor injection and IL-2 therapy. Intratumoral IL-2 immunotherapy also significantly decreased tumor volume in these immunodeficient mice (P <0.02), but did not lead to long-term survival. We conclude that both TIL and splenic lymphocytes are activated in vivo in response to intratumoral IL-2 immunotherapy, suggesting that intratumoral therapy with IL-2 activates both local and systemic antitumor responses.
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Anderson TM, Ibayashi Y, Tokuda Y, Colquhoun SD, Holmes EC, Golub SH (1988) Effects of systemic recombinant interleukin-2 on natural killer and lymphokine-activated killer cell activity of human tumor-infiltrating lymphocytes. Cancer Res 48: 1180
Asher AL, Mule JJ, Kasid A, Restifo NP, Salo JC, Reichert CM, Jaffe G, Fendly B, Kriegler M, Rosenberg SA (1991) Murine tumor cells transduced with the gene for tumor necrosis factor-α: evidence for paracrine immune effects of tumor necrosis factor against tumors. J Immunol 146: 3227
Belldegrun A, Kasid A, Uppenkamp M, Topalian SL, Rosenberg SA (1989) Human tumor-infiltrating lymphocytes: analysis of lymphokine mRNA expression and relevance to cancer immunotherapy. J Immunol 142: 4520
Cameron RB, Spiess PJ, Rosenberg SA (1990) Synergistic antitumor activity of tumor-infiltrating lymphocytes, interleukin-2, and local tumor irradiation. J Exp Med 171: 249
Chouaib S, Bertoglio J, Blay J, Marchiol-Fournigault C, Fradelizi D (1988) Generation of lymphokine activated killer cells: synergy between tumor necrosis factor and interleukin-2. Proc Natl Acad Sci USA 85: 6875
Dubinett SM, Kurnick JT, Kradin RL (1989) Adoptive immunotherapy of murine pulmonary metastases with interleukin-2 and inter-feron-gamma. Am J Respir Cell Mol Biol 1: 361
Economou JS, McBride WH, Essner R, Rhoades K, Golub S, Holmes EC, Morton DL (1989) Tumor necrosis factor production by interleukin-2-activated macrophages in vitro and in vivo. Immunology 67: 514
Esumi N, Hunt B, Itaya T, Frost P (1991) Reduced tumorigenicity of murine tumor cells secreting gamma interferon is due to nonspecific host responses and is unrelated to class I major histocompatibility complex expression. Cancer Res 51: 1185
Fearon ER, Pardoll DM, Itaya T, Golumbek P, Levitsky HI, Vogelstein B, Frost P (1990) Interleukin-2 production by tumor cells bypasses T helper function in the generation of an antitumor response. Cell 60: 397
Forni G, Giovarelli M, Santoni A (1985) Lymphokine-activated tumor inhibition in vivo: I. The local administration of interleukin-2 triggers nonreactive lymphocytes from tumor-bearing mice to inhibit tumor growth. J Immunol 134: 1305
Forni G, Cavallo GP, Giovarelli M, Benetton G, Jemma C, Bariologio MG, DeStefani A, Forni GP, Santoni A, Modesti A, Cortisina G (1988) Tumor immunotherapy by local injection of interleukin-2 and non-reactive lymphocytes. Prog Exp Tumor Res 32: 187
Fraker DL, Langstein HN, Norton JA (1989) Passive immunization against tumor necrosis factor partially abrogates interleukin-2 toxicity. J Exp Med 170: 1015
Gansbacher B, Bannerji R, Daniels B, Zier K, Cronin K, Gilboa E (1990) Retroviral vector-mediated γ-interferon gene transfer into tumor cells generates potent and long lasting antitumor immunity. Cancer Res 50: 7820
Gansbacher B, Zier K, Daniels B, Cronin K, Bannerji R, Gilboa E (1990) Interleukin-2 gene transfer into tumor cells abrogates tumorigenicity and induces protective immunity. J Exp Med 172: 1217
Gaynor ER, Vitek L, Sticklin L, Creekmore SP, Ferrano ME, Thomas JX, Fisher RI (1988) The hemodynamic effects of treatment with interleukin-2 and lymphokine-activated killer cells. Ann Int Med 109: 953
Golumbek P, Lazenby A, Levitsky H, Jaffee L, Karasuyama H, Baker M, Pardoll D (1991) Treatment of established renal cancer by tumor cells engineered to secrete interleukin-4. Science 254: 713
Insner JM, Dietz WA (1988) Cardiovascular consequences of recombinant DNA technology: interleukin-2. Ann Int Med 109: 933
Kradin RL, Boyle SA, Preffer FI, Callahan RJ, Barlai-Kovach M, Strauss HW, Dubinett SM, Kurnick JT (1987) Tumor-derived interleukin-2-dependent lymphocytes in adoptive immunotherapy of lung cancer. Cancer Immunol Immunother 24: 76
Kradin RL, Dubinett SM, Mullin J, Boyle LA, Kurnick JT (1988) Treatment of patients with advanced cancer using tumor-infiltrating lymphocytes and interleukin-2. Transplant Proc 20: 336
Kradin RL, Lazarus DS, Dubinett SM, Gifford J, Grove B, Kurnick JT, Preffer FI, Pinto EC, Davidson E, Callahan RJ, Strauss HW (1989) Tumor-infiltrating lymphocytes and interleukin-2 in the treatment of patients with advanced cancer. Lancet 1: 557
McBride WH, Economou JS, Nayersina R, Comora S, Essner R (1990) Influences of interleukin 2 and 4 on tumor necrosis factor production by murine mononuclear phagocytes. Cancer Res 50: 2949
McBride WH, Thacker JD, Comora S, Economou JS, Kelley D, Dubinett SM, Dougherty GJ (1992) Genetic modification of a murine fibrosarcoma to produce interleukin 7 stimulates host cell infiltration and tumor immunity. Cancer Res 52: 3991
Misaki T, Watanabe Y, Iida Y, Hidaka A, Kasagi K, Fukushima H, Konishi J (1992) Recruitment of T lymphocytes and induction of tumor necrosis factor in thyroid cancer by a local immunotherapy. Cancer Immunol Immunother 35: 92
Mule JJ, Shu S, Schwarz SL, Rosenberg SA (1984) Adoptive immunotherapy of established pulmonary metastases with LAK cells and recombinant interleukin-2. Science 225: 1487
Ognibene FP, Rosenberg SA, Lotze M, Skibber J, Parker MM, Shelhammer JH, Parrillo JW (1988) Interleukin-2 administration causes reversible hemodynamic changes and left ventricular dysfunctions similar to those seen in septic shock. Chest 94: 750
Pross HF, Baines MG, Rubin P, Shragge P, Patterson MS (1981) Spontaneous human lymphocyte-mediated cytotoxicity against tumor target cells: IX. The quantitation of natural killer cell activity. J Clin Immunol 1: 51
Rosenberg SA, Spiess P, Lafreniere R (1986) A new approach to the adoptive immunotherapy of cancer with tumor-infiltrating lymphocytes. Science 223: 1318
Rosenberg SA, Lotze MA, Muul LM, Chang AE, Avis FP, Leitman S, Linehan WM, Robertson CN, Lee RE, Runbin JT, Seipp CA, Simpson CG, White DE (1987) A progress report on the treatment of 157 patients with advanced cancer using lymphokine-activated killer cells and interleukin-2 or high dose interleukin-2 alone. N Engl J Med 316: 889
Rosenberg SA, Packard BS, Aebersold PM, Solomon D, Topallian SL, Toy ST, Simon P, Lotze MT, Yang JC, Siepp CA, Simpson C, Carter C, Bock S, Schwartzentruber D, Wei JP, White DE (1988) Use of tumor-infiltrating lymphocytes and interleukin-2 in the immunotherapy of patients with metastatic melanoma. N Engl J Med 319: 1676
Roth AD, Kirkwood JM (1989) New clinical trials with interleukin-2: rationale for regional administration. Nat Immun Cell Growth Regul 8: 153
Sacchi M, Synderman CH, Seog Hie D, Johnson JT, d'Amico F, Herberman RB, Whiteside TL (1990) Local adoptive immunotherapy of human head and neck cancer xenografts in nude mice with lymphokine-activated killer cells and interleukin-2. Cancer Res 50: 3113
Sitkovsky MV, Paul WE (1988) Global or directed exocytosis. Nature 333: 306
Sydora BC, Kronenberg M (1991) Characterization of a CD4-positive T-cell line derived from an athymic (nu/nu) mouse. Cell Immunol 134: 54
Tepper R, Pattengale P, Leder P (1989) Murine interleukin-4 displays potent anti-tumor activity in vivo. Cell 57: 503
Vaage J (1987) Local and systemic effects during interleukin-2 therapy of mouse mammary tumors. Cancer Res 47: 4296
Verstovsek S, Maccubbin D, Ehrke MJ, Mihich E (1992) Tumoricidal activation of murine resident peritoneal macrophages by interleukin 2 and tumor necrosis factor α. Cancer Res 52: 3880
Wagner H, Hardt C, Heeg K, Rollinghoff M, Pfizenmaier K (1980) T-cell-derived helper factor allows in vivo induction of cytotoxic T cells innu/nu mice. Nature 284: 278
Watanabe S, Shimosato Y, Kuroki M, Sato Y, Nakajima T (1980) Transplantability of human lymphoid cell line, lymphoma, and leukemia in splenectomized and/or irradiated nude mice. Cancer Res 40: 2588
Watanabe Y, Kuribayashi K, Miyatake S, Nishihara K, Nakayama E, Taniyama T, Sakata T (1989) Exogenous expression of mouse interferon gamma cDNA in mouse neuroblastoma C1300 cells results in reduced tumorigenicity by augmented anti-tumor immunity. Proc Natl Acad Sci USA 86: 9456
West WH, Trauer KW, Yannelli FR, Marshall GD, Orr DW, Thruman GB, Oldham RK (1987) Constant-infusion recombinant interleukin-2 in adoptive immunotherapy of advanced cancer. N Engl J Med 316: 898
Yuhas JM, Toya RE, Wagner E (1975) Specific and nonspecific stimulation of resistance to the growth and metastasis of the line 1 lung carcinoma. Cancer Res 35: 242
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Supported by the Tobacco-Related Disease Research Program of the University of California, the Cancer Research Coordinating Committee, the Jonsson Cancer Center Foundation, and Veterans Administration Medical Research Funds
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Dubinett, S.M., Patrone, L., Tobias, J. et al. Intratumoral interleukin-2 immunotherapy: Activation of tumor-infiltrating and splenic lymphocytes in vivo. Cancer Immunol Immunother 36, 156–162 (1993). https://doi.org/10.1007/BF01741086
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DOI: https://doi.org/10.1007/BF01741086