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重组人白细胞介素-2联合索拉非尼对小鼠肾细胞癌的抗肿瘤疗效

Antitumor efficacy of recombinant human interleukin-2 combined with sorafenib against mouse renal cell carcinoma.

作者信息

Iguchi Motofumi, Matsumoto Mitsunobu, Hojo Kanji, Wada Toru, Matsuo Yoshiyuki, Arimura Akinori, Abe Kenji

机构信息

Discovery Research Laboratories, Shionogi & Co Ltd, Osaka, Japan.

出版信息

Jpn J Clin Oncol. 2009 May;39(5):303-9. doi: 10.1093/jjco/hyp021. Epub 2009 Mar 31.

DOI:10.1093/jjco/hyp021
PMID:19336449
Abstract

OBJECTIVE

Recombinant human interleukin-2 (rhIL-2) has been clinically used in the treatment of renal cell carcinoma (RCC). Sorafenib, a multi-targeted kinase inhibitor, has been approved for RCC as well as IL-2. The purpose of this study was to evaluate the antitumor efficacy of IL-2 combined with sorafenib in three different murine renal cancer models using Renca cells.

METHODS

We established the subcutaneous tumor model by inoculating wild-type Renca cells into the backs of BALB/c mice, the pulmonary metastatic tumor model by an intravenous injection of luciferase-expressing Renca cells into the tail vain and the orthotopic tumor model by injecting luciferase-expressing Renca cells into the renal subcapsule. These tumor-bearing mice were treated intra-peritoneally with rhIL-2 and/or per os with sorafenib. The antitumor efficacy was evaluated by measuring the tumor size of the subcutaneous tumor or photon intensity of the pulmonary metastatic tumor and the orthotopic tumor.

RESULTS

When rhIL-2 was combined with sorafenib, the antitumor efficacy was significantly augmented in comparison with either rhIL-2 or sorafenib alone in all the models. Sorafenib did not inhibit rhIL-2-induced natural killer cell expansion and rhIL-2 had no effect on the anti-angiogenic activity of sorafenib.

CONCLUSIONS

The results suggest that the combination of rhIL-2 and sorafenib may offer significant potential as a novel therapeutic approach for patients with RCC.

摘要

目的

重组人白细胞介素-2(rhIL-2)已在临床上用于治疗肾细胞癌(RCC)。索拉非尼是一种多靶点激酶抑制剂,已被批准用于治疗RCC,与IL-2的作用相同。本研究的目的是使用Renca细胞,在三种不同的小鼠肾癌模型中评估IL-2联合索拉非尼的抗肿瘤疗效。

方法

我们通过将野生型Renca细胞接种到BALB/c小鼠背部建立皮下肿瘤模型,通过将表达荧光素酶的Renca细胞尾静脉注射建立肺转移瘤模型,通过将表达荧光素酶的Renca细胞注射到肾被膜下建立原位肿瘤模型。这些荷瘤小鼠腹腔注射rhIL-2和/或口服索拉非尼进行治疗。通过测量皮下肿瘤大小或肺转移瘤及原位肿瘤的光子强度来评估抗肿瘤疗效。

结果

在所有模型中,rhIL-2与索拉非尼联合使用时,与单独使用rhIL-2或索拉非尼相比,抗肿瘤疗效显著增强。索拉非尼不抑制rhIL-2诱导的自然杀伤细胞扩增,rhIL-2对索拉非尼的抗血管生成活性也无影响。

结论

结果表明,rhIL-2与索拉非尼联合使用可能作为一种新的治疗方法,为RCC患者提供显著的治疗潜力。

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