ERADICATION OF SPONTANEOUS AND EXPERIMENTAL ADENOCARCINOMA METASTASES WITH CHRONIC INDOMETHACIN AND INTERMITTENT IL-2 THERAPY

ERADICATION OF SPONTANEOUS AND EXPERIMENTAL ADENOCARCINOMA METASTASES WITH CHRONIC INDOMETHACIN AND INTERMITTENT IL-2 THERAPY
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DOI:
10.1002/ijc.2910540425
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发表时间:
1993-06-19
影响因子:
6.4
通讯作者:
PARHAR, RS
PARHAR, RS
中科院分区:
医学1区
文献类型:
--
作者:
LALA, PK;PARHAR, RS

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我们先前已经证明,荷瘤导致宿主巨噬细胞来源的PGE 2使IL-2依赖性效应细胞失活,并且旨在阻断前列腺素合成的慢性吲哚美辛治疗(CIT)结合多轮IL-2可以治愈小鼠多种肿瘤的实验性转移。我们现在已经测试了这种疗法对C3 H/HeJ小鼠中C3-LS乳腺癌的自发性以及实验性转移的功效。小鼠皮下移植C3-LS细胞(并且在第7天和第10天之间显示可见的自发性肺转移)的受试者从第15天开始给予CIT,加上2轮5天的IL-2或单独的IL-2。静脉内注射10(4)个C3-LS细胞(并且在第5天显示肺微转移)的小鼠在第5天被置于CIT上,并且给予3轮5天的IL-2或单独用IL-2治疗。对照小鼠仅接受媒介物。结果显示,在自发转移模型中,CIT + IL-2联合治疗引起原发性肿瘤消退,在第25-35天肺转移评分显著降低,宿主存活显著延长(79%治愈)。在第210天用10(4)个肿瘤细胞静脉内再激发的存活者抵抗肿瘤生长。在实验转移模型中,这种疗法也显著减少了肺转移,延长了动物存活率(50%治愈)。在两种模型中,联合治疗导致脾和肺中存在具有AGM-1+、Lyt-2-和Thy-1+/-表型的高活性杀肿瘤(针对C3-L5和YAC-1淋巴瘤靶点)淋巴细胞和巨噬细胞,以及血清中的ADCC促进活性。因此,CIT + IL-2治疗可以有效地根除小鼠中的自发性和实验性乳腺癌转移。它原位激活天然效应细胞,在血清中产生ADCC促进活性,并在这种中等免疫原性肿瘤模型中导致对肿瘤摄取的抗性。(C)1993 Wiley-Liss,Inc.
We had earlier shown that tumor-bearing results in an inactivation of IL-2-dependent effector cells by host macrophage-derived PGE2, and that chronic indomethacin therapy (CIT) aimed at blocking prostaglandin synthesis, combined with multiple rounds of IL-2, can cure experimental metastases of a variety of tumors in mice. We have now tested the efficacy of this therapy on spontaneous as well as experimental metastasis of C3-LS mammary adenocarcinoma in C3H/HeJ mice. Mice transplanted s.c. with C3-LS cells (and showing visible spontaneous lung metastases between days 7 and 10) were given CIT starting on day 1S, plus 2 5-day rounds of IL-2 or IL-2 alone. Mice injected i.v. with 10(4) C3-LS cells (and showing lung micrometastases on day 5) were placed on CIT on day 5 and given 3 5-day rounds of IL-2 or treated with IL-2 alone. Control mice received vehicles alone. Results revealed that combined CIT + IL-2 therapy in the spontaneous metastasis model caused a regression of primary tumors, a marked reduction in lung metastases scored on days 25-35 and a marked prolongation of host survival (79% cured). Survivors rechallenged with 10(4) tumor cells i.v. on day 2 1 0 resisted tumor growth. In the experimental metastasis model, this therapy also markedly reduced lung metastases and prolonged animal survival (50% cured). In both models, the combination therapy led to the presence of highly active tumoricidal (for C3-L5 and YAC-1 lymphoma targets) lymphocytes with AGM-1+, Lyt-2- and Thy-1+/- phenotype and macrophages in the spleen and the lungs, and ADCC-promoting activity in the serum. CIT + IL-2 therapy can thus effectively eradicate spontaneous and experimental mammary adenocarcinoma metastasis in mice. It activates natural effector cells in situ, generates ADCC-promoting activity in the serum and results in resistance to tumor take in this moderately immunogenic tumor model. (C) 1993 Wiley-Liss, Inc.