Iwadate Y, Tagawa M, Namba H, Oga M, Kawamura K, Tasaki K, Sakiyama S, Yamaura A
Department of Neurosurgery, School of Medicine, Chiba University, Japan.
Cancer Gene Ther. 2000 Sep;7(9):1263-9. doi: 10.1038/sj.cgt.7700223.
The central nervous system shows tolerance for activated host immune reactions, and this relative unresponsiveness may lessen the efficacy of an immunotherapy for brain tumors. Using interleukin-2 (IL-2)-producing 9L rat gliosarcoma cells (9L/IL-2), we examined whether secretion of IL-2 from subcutaneous (s.c.) and/or intracerebral (i.c.) tumors can elicit augmented immunological responses to brain tumors. Syngeneic rats could reject 9L/IL-2 cells inoculated s.c., but developed 9L/IL-2 brain tumors by i.c. inoculation. The growth of i.c. 9L/IL-2 tumors was, however, significantly retarded compared with that of i.c. wild-type tumors. The growth of i.c. wild-type tumors was significantly suppressed when the rats concurrently received 9L/IL-2 cells s.c. Moreover, most of the rats that were inoculated i.c. with 9L/IL-2 cells did not develop brain tumors when concurrently injected s.c. with 9L/IL-2 cells. Immunohistochemical analysis on i.c. 9L/IL-2 tumors, when the rats were concurrently inoculated s.c. with 9L/IL-2 cells, revealed that migration of CD4+ or CD8+ T cells, monocytes/microglias, and macrophages was markedly augmented to a similar level as found in the s.c. 9L/IL-2 tumors. These results showed that systemic immune responses to brain tumor were induced in an immunologically privileged site by concurrent s.c. inoculation of the same tumors that produce IL-2. The present study may also raise the possibility of a therapeutic strategy for brain tumors by the combinatory expression of IL-2 gene using s.c. immunization followed by direct gene transfer into brain tumors.
中枢神经系统对激活的宿主免疫反应表现出耐受性,这种相对无反应性可能会降低脑肿瘤免疫治疗的疗效。我们使用产生白细胞介素-2(IL-2)的9L大鼠胶质肉瘤细胞(9L/IL-2),研究皮下(s.c.)和/或脑内(i.c.)肿瘤分泌的IL-2是否能引发对脑肿瘤增强的免疫反应。同基因大鼠可以排斥皮下接种的9L/IL-2细胞,但脑内接种9L/IL-2细胞会形成脑肿瘤。然而,与脑内野生型肿瘤相比,脑内9L/IL-2肿瘤的生长明显受到抑制。当大鼠同时皮下接种9L/IL-2细胞时,脑内野生型肿瘤的生长受到显著抑制。此外,大多数脑内接种9L/IL-2细胞的大鼠在同时皮下注射9L/IL-2细胞时并未形成脑肿瘤。对脑内9L/IL-2肿瘤进行免疫组织化学分析,当大鼠同时皮下接种9L/IL-2细胞时,发现CD4+或CD8+T细胞、单核细胞/小胶质细胞和巨噬细胞的迁移明显增强,达到与皮下9L/IL-2肿瘤相似的水平。这些结果表明,通过同时皮下接种产生IL-2的相同肿瘤,在免疫特惠部位诱导了对脑肿瘤的全身免疫反应。本研究还可能提出一种脑肿瘤治疗策略的可能性,即通过皮下免疫联合IL-2基因的组合表达,随后将基因直接导入脑肿瘤。