Rakhmilevich A L, Timmins J G, Janssen K, Pohlmann E L, Sheehy M J, Yang N S
Cancer Gene Therapy, Auragen, Inc., Middleton, Wisconsin, USA.
J Immunother. 1999 Mar;22(2):135-44. doi: 10.1097/00002371-199903000-00005.
Using three murine tumor models, we compared the antitumor efficacy and certain physiological effects of an in vivo interleukin-12 (IL-12) gene therapy protocol and a systemic IL-12 protein therapy protocol. An IL-12 cDNA gene construct was administered in situ into skin tissue via gene gun delivery, and recombinant IL-12 protein was administered subcutaneously at a dose of 1 microgram/mouse/treatment. Both treatment regimes induced a comparable level of regression of established intradermal MethA sarcomas. In B16 melanoma and P815 mastocytoma models, antitumor efficacy of IL-12 protein therapy appeared to be slightly higher than that of IL-12 gene therapy; however, the protein therapy protocol in this comparative study resulted in a high level of mortality of mice. It was also demonstrated that IL-12 gene therapy, in contrast to the IL-12 protein therapy, was not associated with weight loss, splenomegaly, increased Ly6 antigen expression in the spleen, or visible signs of toxicity, such as fur ruffling and lethargy. Moreover, serum levels of interferon-gamma (IFN-gamma) induced in response to IL-12 gene therapy were 300-1000 times lower than those induced by the systemic IL-12 protein administration. Together, these results suggest that gene gunmediated in vivo delivery of IL-12 cDNA may be considered as a safer alternative to IL-12 protein therapy for certain human cancers.
利用三种小鼠肿瘤模型,我们比较了体内白细胞介素-12(IL-12)基因治疗方案和全身性IL-12蛋白治疗方案的抗肿瘤疗效及某些生理效应。通过基因枪将IL-12 cDNA基因构建体原位导入皮肤组织,以1微克/小鼠/次的剂量皮下注射重组IL-12蛋白。两种治疗方案均能使已建立的皮内MethA肉瘤产生相当程度的消退。在B16黑色素瘤和P815肥大细胞瘤模型中,IL-12蛋白治疗的抗肿瘤疗效似乎略高于IL-12基因治疗;然而,在这项比较研究中,蛋白治疗方案导致小鼠的死亡率很高。还证明,与IL-12蛋白治疗相比,IL-12基因治疗与体重减轻、脾肿大、脾脏中Ly6抗原表达增加或诸如竖毛和嗜睡等明显的毒性迹象无关。此外,IL-12基因治疗诱导的血清干扰素-γ(IFN-γ)水平比全身性给予IL-12蛋白诱导的水平低300 - 1000倍。总之,这些结果表明,对于某些人类癌症,基因枪介导的IL-12 cDNA体内递送可能被认为是比IL-12蛋白治疗更安全的替代方法。