Peplinski G R, Tsung K, Meko J B, Norton J A
Department of Surgery, Washington University School of Medicine, St. Louis, Mo 63110, USA.
Surgery. 1995 Aug;118(2):185-90; discussion 190-1. doi: 10.1016/s0039-6060(05)80322-8.
Recombinant vaccinia virus (VV) encoding human interleukin-1 beta (vMJ601hIL-1 beta) given intravenously persists in tumor tissue and expresses hIL-1 beta for at least 9 days after treatment and is associated with significant retardation of tumor growth. To document the significance of this approach and to further elucidate the mechanism, this study compares the antitumor effect of vMJ601hIL-1 beta administered either intravenously or intratumorally and intravenous recombinant hIL-1 beta protein.
C57BL/6 mice with established subcutaneous pancreatic tumors were randomized to treatment with intravenous or intratumoral vMJ601hIL-1 beta, wild-type VV, saline solution, or intravenous recombinant hIL-1 beta protein in a blinded fashion. Toxicity and tumor size were measured. Data were analyzed with the Kruskal-Wallis and Wilcoxon tests.
Treatment with intratumoral vMJ601hIL-1 beta repeatedly resulted in significant reduction in tumor size as compared with saline treated controls (p < 0.001). Tumor growth inhibition was consistently similar after intravenous or intratumoral vMJ601hIL-1 beta administration (p > 0.52). Wild-type VV given intratumorally or intravenously had no antitumor effect versus saline controls (p > 0.30). No significant toxicity or deaths resulted from vMJ601hIL-1 beta treatment. Recombinant hIL-1 beta protein administered intravenously caused severe toxicity (median lethal dose approximately 100 micrograms/kg), and no significant antitumor effect was observed at sublethal doses versus saline controls (p = 0.19).
Direct, in vivo hIL-1 beta gene delivery and expression by recombinant VV given intravenously or intratumorally results in significant tumor growth inhibition, which appears to be a consequence of local, intratumoral vaccinia infection and production of hIL-1 beta.
静脉注射编码人白细胞介素-1β的重组痘苗病毒(vMJ601hIL-1β)后,其在肿瘤组织中持续存在,并在治疗后至少9天表达hIL-1β,且与肿瘤生长显著迟缓相关。为了证明这种方法的重要性并进一步阐明其机制,本研究比较了静脉注射或瘤内注射vMJ601hIL-1β与静脉注射重组hIL-1β蛋白的抗肿瘤效果。
将已建立皮下胰腺肿瘤的C57BL/6小鼠随机分为静脉注射或瘤内注射vMJ601hIL-1β、野生型痘苗病毒、生理盐水溶液或静脉注射重组hIL-1β蛋白组,采用盲法进行治疗。测量毒性和肿瘤大小。数据采用Kruskal-Wallis和Wilcoxon检验进行分析。
与生理盐水处理的对照组相比,瘤内注射vMJ601hIL-1β治疗反复导致肿瘤大小显著减小(p < 0.001)。静脉注射或瘤内注射vMJ601hIL-1β后,肿瘤生长抑制始终相似(p > 0.52)。瘤内或静脉注射野生型痘苗病毒与生理盐水对照组相比无抗肿瘤作用(p > 0.30)。vMJ601hIL-1β治疗未导致显著毒性或死亡。静脉注射重组hIL-1β蛋白引起严重毒性(半数致死剂量约为100微克/千克),在亚致死剂量下与生理盐水对照组相比未观察到显著抗肿瘤作用(p = 0.19)。
静脉注射或瘤内注射重组痘苗病毒直接在体内递送和表达hIL-1β基因可导致显著的肿瘤生长抑制,这似乎是局部瘤内痘苗感染和hIL-1β产生的结果。