Eggermont A M, Sugarbaker P H
Department of Surgical Oncology, Dr. Danïel Den Hoed Cancer Center, Rotterdam, The Netherlands.
Cancer Detect Prev. 1990;14(4):483-90.
We have shown previously that interleukin-2 (IL-2) and the interferon inducer ABPP can induce lymphokine activated killer (LAK) cell activity in vivo after intraperitoneal (i.p.) administration. The antitumor effects of various immunotherapy regimens with IL-2, LAK cells, ABPP, and cyclophosphamide (CY) on microscopic (day 3) and on macroscopic (day 8) i.p. tumors, differing in histology and immunogenicity, were studied in C57BL6 mice. The immunogenic sarcomas MCA-105, -106, and the colon adenocarcinoma MCA-38, and the nonimmunogenic sarcomas MCA-101, -102 were used. After i.p. inoculation of 1 X 10(5) tumor cells i.p. on day 0, therapy with IL-2 +/- LAK cells consisted of 1 X 10(8) LAK cells, i.p., on day 3 and IL-2, 10k to 25k U, i.p., b.i.d., on days 3 to 7. Treatment with ABPP +/- CY consisted of CY, 50 mg/kg, i.p., on day 3 and/or 8 ABPP, 250 mg/kg on days 3, 4 and/or 8, 9. In the treatment of micrometastases, IL-2 + LAK cell therapy was effective against all tumors. Therapy with low dose IL-2 alone was effective only against immunogenic tumors. Combined therapy with CY was very effective against the immunogenic tumors and prolonged survival significantly. Only marginal antitumor effects were seen against nonimmunogenic tumors. In the setting of advanced tumor, chemoimmunotherapy was only successful against immunogenic tumors. These observations demonstrate that the immunogenicity of the tumor is of major importance in the outcome of immunotherapy, especially in the setting of advanced disease. This indicates that, apart from LAK cells, the in vivo activation of other cytotoxic effector cells is important in the rejection of immunogenic tumors.
我们之前已经表明,白细胞介素-2(IL-2)和干扰素诱导剂ABPP腹腔内(i.p.)给药后可在体内诱导淋巴因子激活的杀伤(LAK)细胞活性。在C57BL6小鼠中研究了用IL-2、LAK细胞、ABPP和环磷酰胺(CY)进行的各种免疫治疗方案对微观(第3天)和宏观(第8天)腹腔内肿瘤的抗肿瘤作用,这些肿瘤在组织学和免疫原性方面存在差异。使用了免疫原性肉瘤MCA-105、-106和结肠腺癌MCA-38,以及非免疫原性肉瘤MCA-101、-102。在第0天腹腔内接种1×10⁵个肿瘤细胞后,用IL-2±LAK细胞进行的治疗包括在第3天腹腔内注射1×10⁸个LAK细胞,以及在第3至7天每天两次腹腔内注射10k至25k U的IL-2。用ABPP±CY进行的治疗包括在第3天腹腔内注射50 mg/kg的CY和/或在第3、4天和/或第8、9天腹腔内注射250 mg/kg的ABPP。在微转移灶的治疗中,IL-2 + LAK细胞疗法对所有肿瘤均有效。单独使用低剂量IL-2疗法仅对免疫原性肿瘤有效。与CY联合治疗对免疫原性肿瘤非常有效,并显著延长了生存期。对非免疫原性肿瘤仅观察到微弱的抗肿瘤作用。在晚期肿瘤的情况下,化学免疫疗法仅对免疫原性肿瘤成功。这些观察结果表明,肿瘤的免疫原性在免疫治疗的结果中至关重要,尤其是在晚期疾病的情况下。这表明,除了LAK细胞外,其他细胞毒性效应细胞的体内激活在免疫原性肿瘤的排斥中也很重要。