Jean W C, Spellman S R, Wallenfriedman M A, Hall W A, Low W C
Department of Neurosurgery, University of Minnesota, Minneapolis 55455, USA.
Neurosurgery. 1998 Apr;42(4):850-6; discussion 856-7. doi: 10.1097/00006123-199804000-00097.
Interleukin-12 (IL-12) may be useful for immunotherapy against gliomas because it can reverse the glioma-induced suppression of T-cell proliferation and interferon-gamma production. We postulated that peripheral infusion of IL-12 along with irradiated tumor cells can lead to immunological rejection of 9L glioma.
9L gliosarcoma flank tumors were established in syngeneic Fischer 344 rats. Osmotic minipumps delivered IL-12 subcutaneously, and irradiated 9L cells were injected on Days 0, 3, 7, 14, and 21. Tumor volumes were measured by a blinded observer. For tumor rechallenge, animals initially cured of 9L flank tumors received either another implantation of flank tumor or a stereotactic injection of 10(6) 9L cells into the right striatum. Delayed-type hypersensitivity was measured after injecting 10(6) irradiated 9L tumor cells into the right pinnae.
Tumor growth curves were significantly different between treated and control animals. Among the animals that received 1 ng per day of IL-12, 40% did not develop any measurable tumors at all. A combination of irradiated 9L cells and IL-12 was necessary for optimal effect. Cured animals rejected future flank tumors. All animals rechallenged with intraparenchymal brain tumors survived, whereas control animals all died by Day 22. Delayed-type hypersensitivity measurements showed a specific and long-lasting response against 9L cells.
Continuous administration of the lymphokine IL-12, in the presence of irradiated tumor cells for antigen presentation, circumvents the need for gene transfection for generating tumor cell vaccines. We have demonstrated that the combination of IL-12 and irradiated tumor cells can lead to regression of 9L flank tumors and resistance to future flank and central nervous system tumor challenges.
白细胞介素-12(IL-12)可能对神经胶质瘤的免疫治疗有用,因为它可以逆转神经胶质瘤诱导的T细胞增殖抑制和γ干扰素产生。我们推测,外周输注IL-12并联合照射后的肿瘤细胞可导致9L神经胶质瘤的免疫排斥。
在同基因的Fischer 344大鼠中建立9L胶质肉瘤胁腹肿瘤。渗透微型泵皮下输送IL-12,并在第0、3、7、14和21天注射照射后的9L细胞。由一位不知情的观察者测量肿瘤体积。对于肿瘤再激发,最初治愈9L胁腹肿瘤的动物接受胁腹肿瘤的再次植入或向右侧纹状体立体定向注射10⁶个9L细胞。在将10⁶个照射后的9L肿瘤细胞注射到右耳廓后测量迟发型超敏反应。
治疗组和对照组动物的肿瘤生长曲线有显著差异。在每天接受1 ng IL-12的动物中,40%根本没有出现任何可测量的肿瘤。照射后的9L细胞和IL-12联合使用对于达到最佳效果是必要的。治愈的动物排斥未来的胁腹肿瘤。所有接受脑实质内肿瘤再激发的动物都存活了下来,而对照组动物在第22天全部死亡。迟发型超敏反应测量显示对9L细胞有特异性且持久的反应。
在存在照射后的肿瘤细胞用于抗原呈递的情况下,持续给予淋巴因子IL-12避免了生成肿瘤细胞疫苗所需的基因转染。我们已经证明,IL-12和照射后的肿瘤细胞联合使用可导致9L胁腹肿瘤消退,并对未来的胁腹和中枢神经系统肿瘤激发产生抗性。