Barnavon Y, Iwaki H, Bash J A, Brettschneider F, Hilsenbeck S, Darnell E, Wallack M K
Department of Surgery, Mount Sinai Medical Center, Miami Beach, Florida.
J Surg Res. 1988 Dec;45(6):523-30. doi: 10.1016/0022-4804(88)90139-4.
To evaluate the feasibility and utility of vaccinia colon oncolysates (VCO) and low-dose interleukin-2 (IL-2) immunotherapy for advanced colon cancer, we have developed a murine model and tested the efficacy of combined treatment regimens. We employed intrasplenic injection of cultured colon adenocarcinomas (C-C36) in syngeneic Balb/c mice to produce experimental hepatic metastases. In the first set of experiments, animals were challenged with 5 X 10(5) tumor cells and sacrificed 14 days following tumor challenge. In the second set of experiments, animals were challenged with 2 X 10(5) tumor cells and followed for survival over the ensuing 90 days. In the first set of experiments, animals were treated prophylactically with VCO (40 micrograms, sc, 14 and 7 days prior to challenge) and/or therapeutically with IL-2 (25,000 u, Hoffmann-LaRoche rIL-2, ip BID, on Days 1-3 following challenge). In the second set of experiments, animals were treated with either the identical regimens or therapeutically with VCO (same dose, sc, 2 and 10 days following challenge) and/or IL-2 (same dose, ip BID, on Days 9-11 following challenge). Tumor burden data from sacrificed animals was in agreement with survival data and showed significant tumor burden reduction in the combined treatment group as assessed by liver weight and tumor nodule enumeration. Survival data demonstrated highly significant survival advantage for animals treated with the two biological response modifiers: VCO (P less than 0.0021), and IL-2 (P less than 0.0017). The data presented suggest a synergistic effect for these two agents.(ABSTRACT TRUNCATED AT 250 WORDS)
为评估牛痘结肠溶瘤物(VCO)和低剂量白细胞介素-2(IL-2)免疫疗法用于晚期结肠癌的可行性和效用,我们建立了一个小鼠模型并测试联合治疗方案的疗效。我们通过在同基因的Balb/c小鼠脾内注射培养的结肠腺癌(C-C36)来产生实验性肝转移。在第一组实验中,用5×10⁵个肿瘤细胞攻击动物,并在肿瘤攻击后14天处死。在第二组实验中,用2×10⁵个肿瘤细胞攻击动物,并在随后的90天内观察生存情况。在第一组实验中,动物在攻击前14天和7天预防性给予VCO(40微克,皮下注射)和/或在攻击后第1 - 3天治疗性给予IL-2(25,000单位,霍夫曼-罗氏重组IL-2,腹腔注射,每日两次)。在第二组实验中,动物接受相同方案治疗,或在攻击后第2天和10天治疗性给予VCO(相同剂量,皮下注射)和/或在攻击后第9 - 11天治疗性给予IL-2(相同剂量,腹腔注射,每日两次)。处死动物的肿瘤负荷数据与生存数据一致,并且通过肝脏重量和肿瘤结节计数评估显示联合治疗组的肿瘤负荷显著降低。生存数据表明,接受两种生物反应调节剂治疗的动物具有高度显著的生存优势:VCO(P<0.0021)和IL-2(P<0.0017)。所呈现的数据表明这两种药物具有协同作用。(摘要截断于250字)