Sugarbaker P H, Matthews W, Steller E P, Eggermont A M
J Biol Response Mod. 1987 Aug;6(4):430-45.
Not all cancer-bearing hosts respond to interleukin-2 (IL-2) and lymphokine-activated killer (LAK) cell immunotherapy. We wished to determine if modification of the host could change the immunotherapeutic effects. Alloimmunization of the host was used to study the suppression observed when LAK cells were generated in the presence of cytotoxic T lymphocytes (CTL). If C57BL/6 (BL/6, H-2b) mice were given P815 (H-2d) tumor prior to syngeneic tumor challenge, the immunotherapeutic effects of IL-2 were lost. Cells taken from mixed lymphocyte culture and incubated 3 days in IL-2 showed a reduced capability of generating LAK. However, their cytotoxicity toward an alloimmunogeneic target was markedly increased by 3 days of incubation in IL-2. In mixing experiments alloimmune cells from in vitro culture were markedly inhibitory to normal splenocytes in the generation of LAK cell cytotoxicity; they also interfered with the maintenance of LAK cell cytotoxicity. A T cell was responsible for the suppressive effects on LAK generation because suppression was abrogated by treatment of alloimmune cells with anti-T serum plus complement. The cytotoxic T cell did not lyse the LAK cell. If IL-2 was serially diluted and incubated with CTLs, the IL-2 titer was substantially reduced by 72 h incubation. If supernatants from CTLs were added to serially diluted IL-2, the IL-2 titer increased; this suggested that a soluble suppressor factor produced by CTLs did not cause the diminished IL-2 plus LAK effects. These in vitro experiments suggest that CTLs compete with normal lymphocytes or LAK cells for IL-2 and thereby suppress LAK cell responses. These studies are important in attempting to elucidate the role the host's immune system may play in IL-2 plus LAK immunotherapy of cancer or infectious disease processes.
并非所有患癌宿主都对白细胞介素-2(IL-2)和淋巴因子激活的杀伤(LAK)细胞免疫疗法有反应。我们希望确定宿主的改变是否会改变免疫治疗效果。宿主的同种异体免疫用于研究在细胞毒性T淋巴细胞(CTL)存在下产生LAK细胞时所观察到的抑制作用。如果在同基因肿瘤攻击前给C57BL/6(BL/6,H-2b)小鼠接种P815(H-2d)肿瘤,IL-2的免疫治疗效果就会丧失。取自混合淋巴细胞培养物并在IL-2中孵育3天的细胞产生LAK的能力降低。然而,它们对同种异体免疫基因靶标的细胞毒性在IL-2中孵育3天后明显增强。在混合实验中,来自体外培养的同种异体免疫细胞在LAK细胞毒性的产生中对正常脾细胞具有明显的抑制作用;它们也干扰LAK细胞毒性的维持。一种T细胞对LAK产生的抑制作用负责,因为用抗T血清加补体处理同种异体免疫细胞可消除抑制作用。细胞毒性T细胞不会裂解LAK细胞。如果将IL-2连续稀释并与CTL一起孵育,孵育72小时后IL-2效价会大幅降低。如果将CTL的上清液添加到连续稀释的IL-2中,IL-2效价会升高;这表明CTL产生的可溶性抑制因子不会导致IL-2加LAK效应减弱。这些体外实验表明,CTL与正常淋巴细胞或LAK细胞竞争IL-2,从而抑制LAK细胞反应。这些研究对于试图阐明宿主免疫系统在癌症或传染病过程的IL-2加LAK免疫治疗中可能发挥的作用很重要。