Kimoto Y, Taguchi T
Dept. of Oncologic Surgery, Research Institute for Microbial Diseases, Osaka University, Japan.
Gan To Kagaku Ryoho. 1988 Apr;15(4 Pt 2-1):788-96.
Adoptive immunotherapy of malignant diseases was tried using LAK cells induced from peripheral blood lymphocytes with recombinant IL-2 (TGP-3) and fresh human plasma. The cytotoxicity of autologous and mixed cultured allogeneic LAK cells reached maximum after two weeks, and after 7 to 10 days of incubation, respectively. The necessary dose of IL-2 combined with LAK cells was 1000 or 2000 units for maintenance and enhancement of LAK activity, which did not cause any lethal side effect, i.e., capillary permeability leak syndrome. A clinical effect was observed in cases of carcinomatous pleural effusion of colon cancer, pulmonary metastases from breast cancer and rhabdomyosarcoma, and pulmonary, hepatic and abdominal wall metastases from squamous cell carcinoma of the epipharynx. The only side effect observed was fever. No pathological reaction occurred after frequent injection of allogeneic LAK cells. The most important problem to be solved is how to induce a large amount of LAK cells.
采用重组白细胞介素-2(TGP-3)和新鲜人血浆从外周血淋巴细胞诱导的LAK细胞对恶性疾病进行过继免疫治疗。自体和混合培养的同种异体LAK细胞的细胞毒性分别在两周后和孵育7至10天后达到最大值。维持和增强LAK活性所需的白细胞介素-2与LAK细胞联合使用的剂量为1000或2000单位,未引起任何致命的副作用,即毛细血管通透性渗漏综合征。在结肠癌癌性胸腔积液、乳腺癌和横纹肌肉瘤肺转移以及下咽鳞状细胞癌肺、肝和腹壁转移的病例中观察到了临床效果。观察到的唯一副作用是发热。频繁注射同种异体LAK细胞后未发生病理反应。有待解决的最重要问题是如何诱导大量的LAK细胞。