You Tian-Geng, Wang Hong-Shun, Yang Jia-He, Qian Qi-Jun, Fan Rui-Fang, Wu Meng-Chao
Department of Comprehensive Treatment III, Eastern Hepatobiliary Hospital, Second Military Medical University, Changhai Road 225, Shanghai 200433, China.
World J Gastroenterol. 2004 Aug 1;10(15):2190-4. doi: 10.3748/wjg.v10.i15.2190.
To test the efficacy of gene therapy in rat liver tumor.
A retroviral vector GCIL12EIL2PN encoding human IL-2 (hIL-2) and mouse IL-12 (mIL-12) fused gene and its packaging cell were constructed. The packaging cell lines contained of IL-2 and/or IL-12 genes were injected intrasplenically to transfect splenocyte at different time. The therapeutic effect, immune function and toxic effect were evaluated.
The average survival times of the 4 groups using IL genes at days 1, 3, 5 and 7 after tumor implantation were 53.3+/-3.7, 49.3+/-4.2, 31.0+/-2.1 and 24.3+/-1.4 d respectively in IL-2/IL-12 fused gene group, 25.0+/-2.5, 23.5+/-2.0, 18.3+/-2.4 and 12.0+/-1.8 d respectively in IL-2 gene treatment group, and 39.0+/-4.8, 32.0+/-3.9, 23.0+/-2.5 and 19.4+/-2.1 d respectively in IL-12 gene treatment group (P<0.01, n=10). In the IL-12/IL-2 fused gene treatment group, 30% of rats treated at days 1 and 3 survived more than 60 d and serum mIL-12 and hIL-2 levels were still high at day 3 after treatment. Compared with IL alone, NK cell activity was strongly stimulated by IL-2/IL-12 gene. Microscopy showed that livers were infiltrated by a number of lymphocytes.
IL-2 and/or IL-12 genes injected directly into spleen increase serum IL-2 and IL-12 levels and enhance the NK cell activity, which may inhibit the liver tumor growth. The therapy of fused gene IL-2/IL-12 is of low toxicity and relatively high NK cell activity. Our data suggest that IL-2/IL-12 fused gene may be a safe and efficient gene therapy for liver tumor. The gene therapy should be administrated as early as possible.
检测基因治疗对大鼠肝肿瘤的疗效。
构建编码人白细胞介素-2(hIL-2)和小鼠白细胞介素-12(mIL-12)融合基因的逆转录病毒载体GCIL12EIL2PN及其包装细胞。将含IL-2和/或IL-12基因的包装细胞系于不同时间经脾内注射转染脾细胞。评估治疗效果、免疫功能和毒性作用。
肿瘤接种后第1、3、5和7天使用IL基因的4组中,IL-2/IL-12融合基因组大鼠的平均存活时间分别为53.3±3.7、49.3±4.2、31.0±2.1和24.3±1.4天;IL-2基因治疗组分别为25.0±2.5、23.5±2.0、18.3±2.4和12.0±1.8天;IL-12基因治疗组分别为39.0±4.8、32.0±3.9、23.0±2.5和19.4±2.1天(P<0.01,n=10)。在IL-12/IL-2融合基因治疗组中,第1天和第3天接受治疗的大鼠中有30%存活超过60天,且治疗后第3天血清mIL-12和hIL-2水平仍较高。与单独使用IL相比,IL-2/IL-12基因强烈刺激NK细胞活性。显微镜检查显示肝脏有大量淋巴细胞浸润。
直接注入脾脏的IL-2和/或IL-12基因可提高血清IL-2和IL-12水平并增强NK细胞活性,这可能抑制肝肿瘤生长。IL-2/IL-12融合基因治疗毒性低且NK细胞活性相对较高。我们的数据表明,IL-2/IL-12融合基因可能是一种安全有效的肝肿瘤基因治疗方法。基因治疗应尽早进行。