Wojtowicz-Praga S, Verma U N, Wakefield L, Esteban J M, Hartmann D, Mazumder A
Division of Bone Marrow Transplantation, Vincent T. Lombardi Cancer Center, Washington, D.C. 20007-2197, USA.
J Immunother Emphasis Tumor Immunol. 1996 May;19(3):169-75. doi: 10.1097/00002371-199605000-00001.
Earlier evidence suggests that transforming growth factor beta (TGF beta) plays a significant role in tumor progression and metastasis. The most likely mechanism of the action of TGF beta is induction of immunosuppression in the host, allowing for unchecked tumor growth and metastasis. We attempted to test that hypothesis and to compare antitumor effects of anti-TGF beta antibody alone and in combination with interleukin-2 (IL-2). Six- to 8-week-old female C57B1-6 mice were induced with murine B16 melanoma by tail vein injection. Therapy was started 48 h after tumor injections. Monoclonal anti-TGF beta antibody (2G7) was administered intraperitoneally (i.p.) at 500 micrograms every other day, and IL-2 at 10,000 U i.p. twice daily, for 21 days. A threefold decrease in the number of lesions in the anti-TGF beta/IL-2 treatment group compared with the control group was observed, a highly significant statistical difference (p = 0.002). No statistically significant differences were seen between the control group and other studied groups (IL-2 alone, anti-TGF beta alone). Analysis of TGF beta levels in plasma by the TGF beta-1 Quantikine assay indicated normal levels in the control and IL-2 groups, and significantly diminished levels in the two groups that received TGF beta antibody. However, acid-ethanol extraction of plasma (to reverse antibody binding before assay) showed normal plasma TGF beta levels in all groups, suggesting that the antibody may alter the availability of TGF beta in vivo. Microscopic analysis of metastases revealed a decrease in the average size of lesions in the groups treated with IL-2. Thus, combination therapy using anti-TGF beta antibody and IL-2 may be a novel, less toxic approach to tumor immunotherapy.
早期证据表明,转化生长因子β(TGF-β)在肿瘤进展和转移中起重要作用。TGF-β发挥作用最可能的机制是诱导宿主免疫抑制,从而使肿瘤生长和转移不受控制。我们试图验证这一假说,并比较抗TGF-β抗体单独使用以及与白细胞介素-2(IL-2)联合使用时的抗肿瘤效果。6至8周龄的雌性C57B1-6小鼠通过尾静脉注射诱导产生鼠B16黑色素瘤。在肿瘤注射后48小时开始治疗。单克隆抗TGF-β抗体(2G7)每隔一天腹腔注射(i.p.)500微克,IL-2每天腹腔注射两次,每次10000 U,持续21天。与对照组相比,抗TGF-β/IL-2治疗组的病灶数量减少了三倍,具有高度显著的统计学差异(p = 0.002)。对照组与其他研究组(单独使用IL-2、单独使用抗TGF-β)之间未观察到统计学上的显著差异。通过TGF-β-1 Quantikine检测法分析血浆中的TGF-β水平,结果表明对照组和IL-2组的水平正常,而接受TGF-β抗体的两组水平显著降低。然而,血浆的酸乙醇提取(在检测前逆转抗体结合)显示所有组的血浆TGF-β水平正常,这表明该抗体可能会改变体内TGF-β的可用性。对转移灶的显微镜分析显示,IL-2治疗组的病灶平均大小有所减小。因此,使用抗TGF-β抗体和IL-2的联合治疗可能是一种新型的、毒性较小的肿瘤免疫治疗方法。