Palmer K J, Harries M, Gore M E, Collins M K
Department of Immunology, University College London, Windeyer Institute of Medical Science, and Skin and Melanoma Unit, The Royal Marsden Hospital, London, UK.
Clin Exp Immunol. 2000 Mar;119(3):412-8. doi: 10.1046/j.1365-2249.2000.01159.x.
IFN-alpha administration after primary tumour resection improves the survival of melanoma patients at high risk of relapse. To investigate whether this response might be due to stimulation of anti-tumour immunity, the effect of IFN-alpha on anti-melanoma CTL generation in MLTC was measured. IFN-alpha increased both allogeneic and autologous anti-melanoma CTL generation from peripheral blood lymphocytes stimulated with irradiated primary melanoma cultures. IFN-alpha up-regulated MHC class I expression on primary melanoma cultures, whereas IFN-gamma up-regulated both MHC class I and II expression. However, the effect of IFN-alpha on anti-melanoma CTL generation was often more potent than that of IFN-gamma, equalling the effect of the optimal combination of IL-2 and IL-12. Pre-treatment of primary melanoma cultures with IFN-gamma was sufficient for CTL generation in MLTC, whereas IFN-alpha needed to be present during the MLTC. While direct anti-proliferative effects of IFN-alpha on some tumour cells have been described, IFN-alpha did not inhibit proliferation of primary melanoma cultures. These results suggest that the clinical effects of IFN-alpha in melanoma patients may be immune-mediated.
在原发性肿瘤切除后给予α干扰素可提高黑色素瘤复发高危患者的生存率。为了研究这种反应是否可能是由于抗肿瘤免疫的刺激,我们检测了α干扰素对混合淋巴细胞肿瘤培养物(MLTC)中抗黑色素瘤细胞毒性T淋巴细胞(CTL)生成的影响。α干扰素增加了来自受辐照原发性黑色素瘤培养物刺激的外周血淋巴细胞产生的同种异体和自体抗黑色素瘤CTL。α干扰素上调了原发性黑色素瘤培养物上的MHC I类表达,而γ干扰素上调了MHC I类和II类表达。然而,α干扰素对抗黑色素瘤CTL生成的作用通常比γ干扰素更强,等同于白细胞介素-2和白细胞介素-12最佳组合的作用。用γ干扰素预处理原发性黑色素瘤培养物足以在MLTC中产生CTL,而α干扰素需要在MLTC期间存在。虽然已经描述了α干扰素对某些肿瘤细胞的直接抗增殖作用,但α干扰素并不抑制原发性黑色素瘤培养物的增殖。这些结果表明,α干扰素在黑色素瘤患者中的临床作用可能是免疫介导的。