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化疗与白细胞介素-2联合应用对晚期肺肿瘤小鼠的治疗效果

Combined effects of chemotherapy and interleukin 2 in the therapy of mice with advanced pulmonary tumors.

作者信息

Papa M Z, Yang J C, Vetto J T, Shiloni E, Eisenthal A, Rosenberg S A

机构信息

Surgery Branch, National Cancer Institute, Bethesda, Maryland 20892.

出版信息

Cancer Res. 1988 Jan 1;48(1):122-9.

PMID:3257159
Abstract

We have evaluated the effects of chemotherapeutic agents on the toxicity and antitumor benefit of therapy of established murine tumors by high-dose interleukin 2 (IL-2). Cyclophosphamide (Cy), doxorubicin, and bischloroethylnitrosourea were given to normal mice prior to IL-2 administration to test the effects of these agents on IL-2-induced toxicity. Cy at doses of 100 mg/kg and 150 mg/kg completely protected mice from a 100% lethal dose of IL-2, and doses of 50 mg/kg and 150 mg/kg allowed the administration of a median of 4.5 and 10.0 more doses of IL-2, respectively, before death from IL-2 toxicity occurred. Doxorubicin at 8 mg/kg and bischloroethylnitrosourea at 20 mg/kg did not impact on toxicity in IL-2-treated mice. In mice bearing pulmonary metastases of the weakly immunogenic MCA-105 sarcoma, IL-2 increased median survival time from 33 (no IL-2) to greater than 60 days for all doses of IL-2 tested when combined with a single injection of Cy at 75 mg/kg (P less than 0.002). Increasing doses of either Cy or IL-2 produced increasing benefits on survival which were always greater than either treatment alone. These effects of Cy and IL-2 were also seen in mice bearing the nonimmunogenic MCA-101 sarcoma and a murine adenocarcinoma (MCA-38). Doxorubicin and bischloroethylnitrosourea did not consistently enhance the effects of IL-2 treatment. Cy appears to reduce the yield of in vivo generated lymphokine-activated killer cells, but these lymphokine-activated killer cells are still lytic for fresh tumor targets in vitro. Thus, the mechanism of this synergy does not appear to involve stimulation of lymphokine-activated killer cell activity, but may in part involve reduction of tumor burden by the chemotherapeutic agent, an increase in susceptibility of tumor to cellular immune lysis, and/or a decrease in suppressor cell activity mediated by the chemotherapy.

摘要

我们评估了化疗药物对高剂量白细胞介素2(IL-2)治疗已建立的小鼠肿瘤的毒性及抗肿瘤效果的影响。在给予IL-2之前,对正常小鼠给予环磷酰胺(Cy)、阿霉素和双氯乙基亚硝脲,以测试这些药物对IL-2诱导毒性的影响。剂量为100mg/kg和150mg/kg的Cy可使小鼠完全免受100%致死剂量的IL-2影响,剂量为50mg/kg和150mg/kg时,分别在因IL-2毒性死亡前可多给予中位数为4.5和10.0剂量的IL-2。8mg/kg的阿霉素和20mg/kg的双氯乙基亚硝脲对接受IL-2治疗的小鼠的毒性没有影响。在携带弱免疫原性MCA-105肉瘤肺转移的小鼠中,当与单次注射75mg/kg的Cy联合使用时,对于所有测试剂量的IL-2,IL-2可使中位生存时间从33天(未用IL-2)增加至大于60天(P小于0.002)。Cy或IL-2剂量增加对生存产生的益处增加,且总是大于单独使用任何一种治疗。在携带非免疫原性MCA-101肉瘤和小鼠腺癌(MCA-38)的小鼠中也观察到了Cy和IL-2的这些效果。阿霉素和双氯乙基亚硝脲并不能持续增强IL-2治疗的效果。Cy似乎会降低体内产生的淋巴因子激活的杀伤细胞的产量,但这些淋巴因子激活的杀伤细胞在体外仍对新鲜肿瘤靶标具有细胞溶解作用。因此,这种协同作用的机制似乎不涉及刺激淋巴因子激活的杀伤细胞活性,而可能部分涉及化疗药物减轻肿瘤负荷、增加肿瘤对细胞免疫溶解的敏感性和/或降低化疗介导的抑制细胞活性。

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