Ikeuchi K
Department of Urology, School of Medicine, Keio University, Tokyo, Japan.
Keio J Med. 1991 Sep;40(3):132-8. doi: 10.2302/kjm.40.132.
Augmentation of anti-tumor effect of interleukin 2 (IL-2) with sizofiran (SPG) was demonstrated with in vivo and in vitro experiments. C3H/He mice with subcutaneously inoculated X5563 tumor were used as experimental models. IL-2 at a dose of 2 X 10(4) units per mouse by subcutaneous injection, and/or SPG at a dose of 0.1 g per mouse by intramuscular injection were given every other day for a total of ten times. Tumor infiltrating lymphocytes (TIL) were investigated with the avidin-biotin peroxidase complex method. Cytotoxic activity of mice spleen cells after the therapies against YAC-1, X5563 and MH134 were tested with 51Cr release assay. IL-2 or SPG alone suppressed tumor growth in vivo, although not significantly. Combination therapy with IL-2 and SPG suppressed tumor growth in vivo significantly (p = 0.04). Mice treated with the combination survived longer than the mice treated with the single drug (p less than 0.05) and the controls (p less than 0.001). Immunohistologically, more TILs were seen in the combination group than the other groups. In the cytotoxicity study, 3 days after initiation of the therapies, augmentation of natural killer (NK) activity was greater by the combination than by IL-2 or SPG alone. After incubation with IL-2, the spleen cells from mice treated with the combination showed higher cytotoxicity against X5563 or MH134 tumors than those treated with the single drug or controls. Obtained results suggested that combination therapy with IL-2 and SPG effectively induced NK cells and lymphokine-activated killer cells in vivo and may lead to greater clinical benefit in the treatment of malignancies.
体内和体外实验均证实了裂褶多糖(SPG)可增强白细胞介素2(IL-2)的抗肿瘤作用。将皮下接种X5563肿瘤的C3H/He小鼠作为实验模型。每隔一天皮下注射每只小鼠2×10⁴单位的IL-2,和/或肌肉注射每只小鼠0.1g的SPG,共给药十次。采用抗生物素蛋白-生物素过氧化物酶复合物法研究肿瘤浸润淋巴细胞(TIL)。用⁵¹Cr释放试验检测治疗后小鼠脾细胞对YAC-1、X5563和MH134的细胞毒活性。单独使用IL-2或SPG可在体内抑制肿瘤生长,尽管效果不显著。IL-2与SPG联合治疗在体内显著抑制肿瘤生长(p = 0.04)。联合治疗的小鼠比单药治疗的小鼠存活时间更长(p < 0.05),且比对照组存活时间更长(p < 0.001)。免疫组织学检查显示,联合治疗组的TIL比其他组更多。在细胞毒性研究中,治疗开始3天后,联合治疗组的自然杀伤(NK)活性增强程度大于单独使用IL-2或SPG组。与IL-2孵育后,联合治疗小鼠的脾细胞对X5563或MH134肿瘤的细胞毒性高于单药治疗组或对照组。所得结果表明,IL-2与SPG联合治疗可在体内有效诱导NK细胞和淋巴因子激活的杀伤细胞,可能在恶性肿瘤治疗中带来更大的临床益处。