Okuno K, Ohnishi H, Takagi H, Nakamura T, Kokudo S, Yasutomi M
First Department of Surgery, Kinki University, School of Medicine, Osaka, Japan.
Nihon Geka Gakkai Zasshi. 1987 Jul;88(7):802-7.
The effect of interleukin-2 (IL-2), injected directly into the tumor-bearer's spleen, on inhibition of tumor metastasis was evaluated. C3H/HeN mice were inoculated intradermally with 2 X 10(6) X5563 syngeneic tumor cells on day 0, and the tumor was surgically resected on day 10. The operation failed to prevent tumor death of these mice within 3 weeks. Autopsy of these mice revealed that death was due to systemic metastasis of tumor cells to lymphoid organs including the liver although the tumors had been successfully removed without any visible local recurrence. In this model, we administered IL-2 by intrasplenic injection daily for 3 days after operation. Mice treated with an intrasplenic injection of IL-2 showed a significantly prolonged survival time. Histological findings after this treatment revealed lymphoid cell proliferation of the spleen, no metastatic foci were found in the liver. Lymphokine-activated killer (LAK) activity from IL-2 injected spleen was also augmented. Intravenous (i.v.) and subcutaneous (s.c.) administration of IL-2 were not effective. A major difficulty in achieving significant immunologic effect in vivo by IL-2 infusion is the relatively short half-life of IL-2. Therefore IL-2 administered directly into the responding lymphoid organ is theoretically reasonable. In fact, treatment with intrasplenic injection of IL-2 significantly augmented the antitumor activity. Splenic arterial infusion of IL-2 may be an appropriate route of administration for adjuvant immunotherapy in human cancer.
评估了直接注射到荷瘤小鼠脾脏中的白细胞介素-2(IL-2)对抑制肿瘤转移的作用。在第0天,给C3H/HeN小鼠皮内接种2×10⁶个同基因X5563肿瘤细胞,在第10天手术切除肿瘤。该手术未能防止这些小鼠在3周内肿瘤死亡。对这些小鼠进行尸检发现,死亡是由于肿瘤细胞全身转移至包括肝脏在内的淋巴器官,尽管肿瘤已成功切除且无任何可见的局部复发。在该模型中,我们在术后每天经脾内注射IL-2,共3天。经脾内注射IL-2治疗的小鼠存活时间显著延长。该治疗后的组织学检查结果显示脾脏有淋巴细胞增殖,肝脏未发现转移灶。注射IL-2的脾脏产生的淋巴因子激活的杀伤细胞(LAK)活性也增强。静脉内(i.v.)和皮下(s.c.)注射IL-2均无效。通过输注IL-2在体内实现显著免疫效果的一个主要困难是IL-2的半衰期相对较短。因此,将IL-2直接注射到反应性淋巴器官在理论上是合理的。事实上,经脾内注射IL-2治疗显著增强了抗肿瘤活性。脾动脉输注IL-2可能是人类癌症辅助免疫治疗的一种合适给药途径。