Medical Clinic of Oncology and Hematology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Anticancer Res. 2010 Oct;30(10):3959-65.
Immunotherapy of cancer by vaccination is hampered by tumour-mediated immune suppression, to which pro-inflammatory cytokines such as interleukin-1 (IL-1) and IL-6 contribute. In mouse models, IL-1-receptor antagonist (IL-1 Ra) diminished inflammation and tumour growth when administered during or shortly after tumour inoculation.
The capacity of IL-1 Ra anakinra to reduce IL-1-induced production of IL-6 in order to improve the efficacy of a subsequent booster vaccination with survivin-derived peptides and soluble β-glucan as adjuvant was tested in colon-26 adenocarcinoma-bearing Balb/c-mice.
Bolus administration of anakinra into non-immunized mice with macroscopic tumour significantly lowered serum levels of IL-6 without inhibiting tumour growth. When administered to pre-immunized mice bearing a palpable tumour, IL-1 Ra enhanced growth inhibition of a subsequent booster vaccination, although serum-IL-6 was not reduced and the number of IFN-γ-producing splenic CD8(+) T-cells was not increased.
Anakinra contributes to growth-inhibition of small tumours, presumably by blocking IL-1 as tumour growth-promoting factor rather than by facilitating an enhanced CTL response.
癌症的免疫疗法通过接种疫苗受到肿瘤介导的免疫抑制的阻碍,而白细胞介素-1(IL-1)和 IL-6 等促炎细胞因子对此有贡献。在小鼠模型中,白细胞介素-1 受体拮抗剂(IL-1Ra)在肿瘤接种期间或之后不久给药时可减轻炎症和肿瘤生长。
IL-1Ra 阿那白滞素降低 IL-1 诱导的 IL-6 产生的能力,以提高随后用生存素衍生肽和可溶性β-葡聚糖作为佐剂进行加强疫苗接种的疗效,在结肠-26 腺癌荷瘤 Balb/c 小鼠中进行了测试。
在有肉眼可见肿瘤的非免疫小鼠中,阿那白滞素的单次给药显著降低了血清中 IL-6 的水平,而没有抑制肿瘤生长。当给予有可触及肿瘤的预先免疫的小鼠时,IL-1Ra 增强了随后加强疫苗接种的生长抑制作用,尽管血清 IL-6 没有降低,脾 CD8+T 细胞中 IFN-γ 产生的数量也没有增加。
阿那白滞素有助于抑制小肿瘤的生长,可能是通过阻断作为肿瘤生长促进因子的 IL-1,而不是通过促进增强的 CTL 反应。