Boggio K, Di Carlo E, Rovero S, Cavallo F, Quaglino E, Lollini P L, Nanni P, Nicoletti G, Wolf S, Musiani P, Forni G
Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy.
Cancer Res. 2000 Jan 15;60(2):359-64.
Previous studies in mice have shown that chronic administration of recombinant interleukin-12 (IL-12) hampers the progression of both chemical- and oncogene-dependent carcinogenesis. This suggests that a new preventive strategy may be envisaged for individuals with a genetic risk of cancer or carrying preneoplastic lesions. Starting at progressive stages of mammary carcinogenesis, female BALB/c and FVB mice carrying the activated rat HER2/neu oncogene (BALB-neuT) or the proto-oncogene (FVB-neuN) under the mouse mammary tumor virus promoter received multiple 5-day courses of different doses of IL-12. The times of tumor appearance, multiplicity, and histopathological features of the neoplastic lesions were evaluated. In both BALB-neuT and FVB-neuN mice, 5-day i.p. courses of 50/100 ng of IL-12/day inhibited mammary carcinogenesis when they coincided with the progression of early preneoplastic lesions. Inhibition appears to depend primarily on the ability of IL-12 to interfere with early tumor angiogenesis. Later treatments are much less effective, and daily doses of 10 and 2 ng are useless. The efficacy of early IL-12 courses suggests that they could be used to prevent mammary tumors in individuals at risk, whereas their lower efficacy in later stages of carcinogenesis and the dose range required pose some constraints on their use in the management of overt preneoplastic lesions. Precise understanding of tumor progression means that effective treatments can be commenced relatively late in the life of individuals at risk and that no lifetime administration is required.
先前对小鼠的研究表明,长期给予重组白细胞介素-12(IL-12)可抑制化学致癌和癌基因依赖性致癌的进程。这表明对于有癌症遗传风险或携带癌前病变的个体,可能设想出一种新的预防策略。从乳腺癌发生的进展阶段开始,携带在小鼠乳腺肿瘤病毒启动子下激活的大鼠HER2/neu癌基因(BALB-neuT)或原癌基因(FVB-neuN)的雌性BALB/c和FVB小鼠接受了多个不同剂量IL-12的5天疗程。评估肿瘤出现的时间、数量以及肿瘤病变的组织病理学特征。在BALB-neuT和FVB-neuN小鼠中,当每天50/100 ng的IL-12进行5天腹腔注射疗程与早期癌前病变的进展同时发生时,可抑制乳腺癌发生。抑制作用似乎主要取决于IL-12干扰早期肿瘤血管生成的能力。后期治疗效果要差得多,每天10和2 ng的剂量则无效。早期IL-12疗程的疗效表明,它们可用于预防有风险个体的乳腺肿瘤,而其在致癌后期较低的疗效以及所需的剂量范围对其在明显癌前病变管理中的应用构成了一些限制。对肿瘤进展的精确了解意味着可以在有风险个体生命的相对晚期开始有效的治疗,并且不需要终身给药。