Skip to main content
Log in

Continuous intravenous infusion of high-dose recombinant interleukin-2 for acute myeloid leukaemia — a phase II study

  • Original articles
  • Published:
Cancer Immunology, Immunotherapy Aims and scope Submit manuscript

Summary

A group of 13 patients with acute myeloid leukaemia of differing disease status were treated with continuous intravenous infusion of high-dose recombinant interleukin-2 (rIL-2). There was up-regulation of the cellular cytotoxic functions in all these patients following the rIL-2 therapy, with increase in the natural killer (NK) activity, lectin-dependent cellular cytotoxicity, induction of cytotoxicity-linked cytoplasmic serine esterase and lymphocyte activation. However, the clinical response to rIL-2 in these patients was disappointing, especially in patients treated in frank relapse. Although 1 patient treated in early second relapse achieved a third complete remission, the duration of the remission was brief and lasted only 6 months. Adverse reactions among these patients were common. Whether or not lymphokine-activated killer cells are needed to improve the response rate over rIL-2 alone in these patients deserves further investigation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Adler A, Chervenick IA, Whiteside T, Lotzova E, Herberman RB (1988) Interleukin 2 induction of lymphokine-activated killer (LAK) activity in the peripheral blood and bone marrow of acute leukemia patients: I. Feasibility of LAK generation in adult patients with active disease and in remission. Blood 71: 709–716

    PubMed  Google Scholar 

  2. Barrett AJ (1989) IL-2 in treatment of haematological malignancies. Presented at the Grantholder's meeting, Leukaemia Research Fund, London, November 1989

  3. Beran M, Hansson M, Kiessling R (1983) Human natural killer cells can inhibit clonogenic growth of fresh leukemic cells. Blood 61: 596–599

    PubMed  Google Scholar 

  4. Champlin RE, Ho WG, Gale RP, et al (1985) Treatment of acute myelogenous leukemia: a prospective controlled trial of bone marrow transplantation versus consolidation chemotherapy. Ann Intern Med 102: 285–291

    PubMed  Google Scholar 

  5. Fletcher M, Goldstone AL (1987) Recent advances in the understanding of the biochemistry and clinical pharmacology of interleukin-2. Lymphokine Res 6: 45–57

    PubMed  Google Scholar 

  6. Foa R, Meloni G, Tosti S, et al (1990) Treatment of residual disease in acute leukemia patients with recombinant interleukin-2 (IL-2): clinical and biological findings. Bone Marrow Transplant 6 [Suppl 1]: 98–102

    PubMed  Google Scholar 

  7. Foa R, Caretto P, Fierro MT, et al (1990) Interleukin 2 does not promote the in vitro and in vivo proliferation and growth of human acute leukaemia cells of myeloid and lymphoid origin. Br J Haematol 75: 34–40

    PubMed  Google Scholar 

  8. Gillis S, Smith KA (1977) Long-term culture of tumour-specific cytotoxic T-cells. Nature 268: 154–156

    PubMed  Google Scholar 

  9. Grimm EA, Mazumder A, Zhang HZ, Rosenberg SA (1982) Lymphokine-activated killer cell phenomenon. Lysis of natural killer-resistant fresh solid tumour cells by interleukin 2-activated autologous human peripheral blood. J Exp Med 155: 1823–1841

    PubMed  Google Scholar 

  10. Henney CS, Kurybayashi K, Kern DE, Gillis S (1981) Interleukin-2 augments natural killer cell activity. Nature 291: 335–338

    PubMed  Google Scholar 

  11. Lafreniere R, Rosenberg SA (1985) Successful immunotherapy of murine experimental hepatic metastases with lymphokine-activated killer cells and recombinant interleukin-2. Cancer Res 45: 3735–3741

    PubMed  Google Scholar 

  12. Lim SH, Callaghan T, Goldstone AH (1991) Thyroid disorders in two cases of AML following treatment with recombinant interleukin-2. Acta Hematol (Basel) 85: 49–50

    Google Scholar 

  13. Lim SH, Worman CP, Jewell AP, Goldstone AH (1991) Cellular cytotoxic function and potential in acute myelogenous leukaemia. Leuk Res 15: 6411–6444

    Google Scholar 

  14. Lim SH, Worman CP, Jewell A, Tsakona C, Giles FJ, Goldstone AH (1991) Lymphocytes activation and serine esterase induction following recombinant interleukin-2 infusion for lymphoma and acute leukaemias. Cancer Immunol Immunother 33: 133–137

    PubMed  Google Scholar 

  15. Lim SH, Worman CP, Jewell AP, Goldstone AH (1991) Production of tumour-derived suppressor factor in patients with acute myeloid leukaemia. Leuk Res 15: 263–268

    PubMed  Google Scholar 

  16. Lista P, Fierro MT, Liao XS, et al (1989) Lymphokine-activated killer (LAK) cells inhibit the clonogenic growth of human leukaemia stem cells. Eur J Haematol 42: 425–430

    PubMed  Google Scholar 

  17. Miller AB, Hoogstraten B, Staquet M, Winkler A (1981) Reporting results of cancer treatment. Cancer 47: 207–214

    PubMed  Google Scholar 

  18. Mule JJ, Shu S, Schwarz SL, Rosenberg SA (1984) Adoptive immunotherapy of established pulmonary metastases with LAK cells and recombinant interleukin-2. Science 255: 1487–1489

    Google Scholar 

  19. Powles RL, Morgenstern G, Clink HM (1980) The place of bone marrow transplantation in acute myelogenous leukaemia. Lancet 1: 1047–1050

    PubMed  Google Scholar 

  20. Price G, Brenner MK, Prentice HG, Hoffbrand AV, Newland AC (1987) Cytotoxic effects of tumour necrosis factor and gamma-interferon on acute myeloid leukemia blasts. Cancer 55: 287–290

    Google Scholar 

  21. Rees JKH, Gray RG, Swirsky E, Hayhoe FGJ (1986) Principal results of the Medical Research Council's 8th acute myeloid leukaemia trial. Lancet 2: 1236–1241

    PubMed  Google Scholar 

  22. Rosenberg SA, Lotze MT, Muul LM, et al (1985) Observation on the systemic administration of autologous lymphokine-activated killer cells and recombinant interleukin-2 to patients with metastatic cancer. N Engl J Med 313: 1485–1492

    PubMed  Google Scholar 

  23. Rosenberg SA, Lotze MT, Muul LM, et al (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: 889–897

    PubMed  Google Scholar 

  24. Rosenstein M, Yron I, Kaufmann Y, Rosenberg SA (1984) Lymphokine-activated killer cells: lysis of fresh syngeneic natural killer-resistant murine lymphocytes cultured in interleukin-2. Cancer Res 44: 1946–1953

    PubMed  Google Scholar 

  25. West WH, Tauer KW, Yanelli JR, et al (1987) Constant infusion recombinant interleukin-2 in adoptive immunotherapy of advanced cancer. N Engl J Med 316: 898–905

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lim, S.H., Newland, A.C., Kelsey, S. et al. Continuous intravenous infusion of high-dose recombinant interleukin-2 for acute myeloid leukaemia — a phase II study. Cancer Immunol Immunother 34, 337–342 (1992). https://doi.org/10.1007/BF01741555

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01741555

Key words

Navigation