Journal of immunotherapy : official journal of the Society for Biological Therapy最新文献

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Rapid cytokine release in cancer patients treated with interleukin-2. 白细胞介素-2治疗癌症患者细胞因子的快速释放。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00007
E Weidmann, L Bergmann, J Stock, R Kirsten, P S Mitrou
{"title":"Rapid cytokine release in cancer patients treated with interleukin-2.","authors":"E Weidmann,&nbsp;L Bergmann,&nbsp;J Stock,&nbsp;R Kirsten,&nbsp;P S Mitrou","doi":"10.1097/00002371-199208000-00007","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00007","url":null,"abstract":"<p><p>Serum concentrations of interleukin-2 (IL-2), tumor necrosis factor-alpha (TNF-alpha), interferon-gamma (IFN-gamma), interleukin-6 (IL-6), interleukin-1 (IL-1) and interferon-alpha (IFN-alpha) were determined by commercially available enzyme-linked immunosorbent assay (ELISA) or radioimmunoassay (RIA) in cancer patients treated with recombinant IL-2 (rIL-2) either as 1-h infusion (3 or 5 x 10(6)/m2) or continuous intravenous infusion for 5 days (3 x 10(6)/m2/day). A significant increase of TNF-alpha and IL-6 serum levels was observed in each patient. One-hour infusion of IL-2 induced a very rapid secretion of TNF-alpha, IL-6 and IFN-gamma with considerably higher peak levels than during IL-2 continuous intravenous infusion. IFN-gamma was released into the blood of all patients receiving IL-2 1-h infusion, but only occasionally during or after IL-2 continuous intravenous infusion. Neither IFN-alpha nor IL-1 were detectable in the serum before, during, or following IL-2 treatment in all patients studied. The kinetics of IL-2 after 1-h infusion fitted to a two-compartment model, suggesting the synthesis of considerable amounts of endogenous IL-2. Following IL-2 1-h infusion, rising TNF-alpha serum levels preceded the increase of serum IFN-gamma or IL-6. The serum peak levels of IFN-gamma and IL-6 decreased rapidly with a half-life of 0.29 to 2.5 h. The concentration time profiles of TNF following 1-h infusion of IL-2 demonstrated a considerably longer half-life than that of intravenously administered recombinant TNF as done in other studies.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"123-31"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 40
Bryostatin 1 activates T cells that have antitumor activity. 苔藓虫素1激活具有抗肿瘤活性的T细胞。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00001
T M Tuttle, T H Inge, C P Wirt, J L Frank, C M McCrady, H D Bear
{"title":"Bryostatin 1 activates T cells that have antitumor activity.","authors":"T M Tuttle,&nbsp;T H Inge,&nbsp;C P Wirt,&nbsp;J L Frank,&nbsp;C M McCrady,&nbsp;H D Bear","doi":"10.1097/00002371-199208000-00001","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00001","url":null,"abstract":"<p><p>Several strategies have been used to stimulate the growth of tumor-specific T cells in place of tumor antigen. One approach is to use pharmacologic agents to activate the second messenger pathways of T-cell activation. In the present study, we examined the ability of the protein kinase C activator bryostatin 1 (B) plus the calcium ionophore ionomycin (I) to stimulate the growth of lymphocytes obtained from the axillary lymph nodes (DLN) draining a progressively growing intradermal plasmacytoma tumor. Draining lymph node cells were initially cultured with autologous tumor cells and 20 U/ml of interleukin-2 (IL-2) for 7 days. The lymphocytes were then incubated with various concentrations of bryostatin 1 plus 1 microM ionomycin and cultured for an additional 14 days in IL-2. DLN cells initially cultured with autologous tumor and then restimulated with 5 nM bryostatin 1 and 1 microM ionomycin exhibited marked in vitro proliferation and 15-fold expansion of cell numbers over 2 weeks. The cells expanded with B/I were predominantly CD8+ T cells and retained specific in vitro cytotoxicity against autologous tumor. When adoptively transferred to mice with established liver metastases, DLN cells restimulated with B/I-mediated specific tumor regression.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Modulation of tumor-infiltrating lymphocytes derived from human renal cell carcinoma by interleukin-4. 白细胞介素-4对人肾细胞癌肿瘤浸润淋巴细胞的调节作用。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00002
C L Tso, T Duckett, J B deKernion, A S Belldegrun
{"title":"Modulation of tumor-infiltrating lymphocytes derived from human renal cell carcinoma by interleukin-4.","authors":"C L Tso,&nbsp;T Duckett,&nbsp;J B deKernion,&nbsp;A S Belldegrun","doi":"10.1097/00002371-199208000-00002","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00002","url":null,"abstract":"<p><p>Current methods of expanding tumor-infiltrating lymphocytes (TILs) from renal cell carcinoma bulk cultures result in a heterogeneous population of cells with low tumor-killing specificity. To improve the yield of cells with higher autologous and lower nonspecific cytotoxicity, interleukin-4 (IL-4) was added to high (1,000 U/ml)- and low (20 U/ml)-dose IL-2 and compared to cultures grown without IL-4 for proliferation, phenotype, and cytotoxicity against targets including autologous and allogeneic tumors. When compared to culture in IL-2 alone, the addition of IL-4 improved overall expansion in both high-dose (mean fold expansion of 2,061 vs. 1,087) and low-dose (mean fold expansion of 1,904 vs. 262) IL-2. Enhancement of TIL proliferation was dependent on the timing of IL-4 addition to the culture; augmented growth occurred only when IL-4 was added with or following activation by IL-2. The phenotype consisted primarily of CD3+/CD4+ lymphocytes with a reciprocal reduction in CD56+/CD16+ cells. Finally, there was a significant reduction in nonspecific cytotoxicity against K-562, M-14, and allogeneic tumor targets, but no significant change against autologous tumor. We conclude that IL-4 has an important regulatory effect on the expansion of renal cell carcinoma TILs in IL-2 by the promoting growth of CD3+/CD4+ lymphocytes and inhibiting the growth and nonspecific cytotoxicity associated with LAK-like CD16+/CD56+ cells. These findings may be beneficial in extracting more potent effector cells from bulk TIL culture for use in clinical trials.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"82-9"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Circulating intercellular adhesion molecule-1 in melanoma patients: induction by interleukin-2 therapy. 黑色素瘤患者循环细胞间粘附分子-1:白介素-2治疗诱导。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00010
J C Becker, R Dummer, A Schwinn, A A Hartmann, G Burg
{"title":"Circulating intercellular adhesion molecule-1 in melanoma patients: induction by interleukin-2 therapy.","authors":"J C Becker,&nbsp;R Dummer,&nbsp;A Schwinn,&nbsp;A A Hartmann,&nbsp;G Burg","doi":"10.1097/00002371-199208000-00010","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00010","url":null,"abstract":"<p><p>Intercellular adhesion molecule-1 (ICAM-1, CD54), a molecule bound to the cell surface membrane, mediates various cell-cell interactions in inflammation and immunosurveillance. By means of a new specific enzyme-linked immunosorbent assay (ELISA) for soluble ICAM-1, free circulating ICAM-1 was measured in serum from five healthy volunteers, 10 melanoma patients at different stages of their disease, and eight patients receiving high-dose interleukin-2 (IL-2) for metastatic melanoma. No correlation between the concentration of circulating ICAM-1 and the tumor burden could be detected. In melanoma patients receiving high-dose IL-2, we observed an increase of circulating ICAM-1 of up to 200%, compared to the concentration prior to therapy, ranging between 4 and 13 ng/ml. The increase in circulating ICAM-1 was associated with the induction of tumor necrosis factor-alpha and interferon-gamma.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"147-50"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12527298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 24
A phase II study of recombinant interleukin-2 with or without recombinant interferon-beta in non-Hodgkin's lymphoma. A study of the Cancer and Leukemia Group B. 重组白细胞介素-2联合或不联合重组干扰素- β治疗非霍奇金淋巴瘤的II期研究。癌症和白血病B组的研究。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00006
D B Duggan, M T Santarelli, K Zamkoff, S Lichtman, J Ellerton, R Cooper, B Poiesz, J R Anderson, C D Bloomfield, B A Peterson
{"title":"A phase II study of recombinant interleukin-2 with or without recombinant interferon-beta in non-Hodgkin's lymphoma. A study of the Cancer and Leukemia Group B.","authors":"D B Duggan,&nbsp;M T Santarelli,&nbsp;K Zamkoff,&nbsp;S Lichtman,&nbsp;J Ellerton,&nbsp;R Cooper,&nbsp;B Poiesz,&nbsp;J R Anderson,&nbsp;C D Bloomfield,&nbsp;B A Peterson","doi":"10.1097/00002371-199208000-00006","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00006","url":null,"abstract":"Interleukin-2 (IL-2) and interferon-beta (IFN-beta) have demonstrated activity against lymphoid malignancies, presumably mediated by the augmentation of lymphokine-activated killer (LAK) cell and natural killer (NK) cell activity. There is in vitro and in vivo evidence to suggest that the combination of IL-2 and IFN-beta is synergistic. The Cancer and Leukemia Group B (CALGB) conducted a randomized phase II trial of IL-2 with or without IFN-beta in 49 patients with relapsed or refractory non-Hodgkin's lymphoma (NHL). Overall toxicity was severe, with 17 patients experiencing life-threatening toxicity. Three patients had treatment-related deaths. Responses were noted in seven patients (17%). There were no meaningful differences between treatment arms in toxicity profile, response rate, or modulation of in vivo NK and LAK activity. We conclude that IL-2 with or without IFN-beta is not effective therapy for NHL in the doses and schedule used in this study.","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"115-22"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
In vivo administration of recombinant macrophage colony-stimulating factor induces macrophage-mediated antibody-dependent cytotoxicity of tumor cells. 体内给药重组巨噬细胞集落刺激因子可诱导巨噬细胞介导的抗体依赖性肿瘤细胞毒性。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00008
M G Sanda, E Bolton, J J Mulé, S A Rosenberg
{"title":"In vivo administration of recombinant macrophage colony-stimulating factor induces macrophage-mediated antibody-dependent cytotoxicity of tumor cells.","authors":"M G Sanda,&nbsp;E Bolton,&nbsp;J J Mulé,&nbsp;S A Rosenberg","doi":"10.1097/00002371-199208000-00008","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00008","url":null,"abstract":"<p><p>Macrophage colony-stimulating factor (M-CSF) has been previously shown to facilitate the in vitro survival and differentiation of mononuclear phagocytes. We assessed whether M-CSF administration in vivo could induce macrophages capable of killing tumor via an antibody-dependent mechanism. C57BL/6 mice were given intraperitoneal M-CSF, and peritoneal macrophages were assayed for their ability to kill fluorochrome-labeled R1.1 thymoma cells in vitro in the presence or absence of target-specific antibody. Two-color flow cytometry was used in measuring tumor ingestion by macrophages; macrophages from M-CSF-treated mice eliminated greater than 90% of R1.1 thymoma target within 24 hours, while macrophages from saline-treated controls were ineffective. R1.1 tumor elimination by macrophages depended on the presence of target-specific antibody. These are the first studies that demonstrate the in vivo induction, by M-CSF, of macrophages directly capable of ingesting antibody-conjugated tumor cells.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"132-7"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 24
Activation of human monocytes by interleukin-2 and various cytokines. 白细胞介素-2和各种细胞因子对人单核细胞的激活。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00003
Y Nishimura, N Higashi, T Tsuji, M Higuchi, T Osawa
{"title":"Activation of human monocytes by interleukin-2 and various cytokines.","authors":"Y Nishimura,&nbsp;N Higashi,&nbsp;T Tsuji,&nbsp;M Higuchi,&nbsp;T Osawa","doi":"10.1097/00002371-199208000-00003","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00003","url":null,"abstract":"<p><p>We previously reported that human macrophages cultured with IL-2 for a long period (lymphokine-activated macrophages, LAMs) showed high tumoricidal activity against human and murine leukemic cell lines through a different mechanism from lymphokine-activated killer (LAK) cells. In this report, we investigated the effects of various cytokines on the tumoricidal activity of IL-2-induced LAMs against HeLa cells. CSF-1 and IL-1 were found to enhance the tumoricidal activity of LAM in a dose-dependent manner, whereas IFN-gamma and TNF had inhibitory effects. CSF-1 in combination with a low dose of IL-2 synergistically induced LAMs with highly tumoricidal activity. We also found that monocytes from some donors that did not respond to IL-2 were differentiated to tumoricidal macrophages by treatment with a combination of CSF-1 and IL-2. Furthermore, IL-2-induced LAMs were found to produce cytotoxic factors in the culture medium when they were cocultured with tumor cells, and the cytotoxic activity in the culture supernatant of LAMs was also increased by the incubation of LAMs with CSF-1. The cytotoxicity of the supernatants from macrophages with different tumoricidal activity correlated with their cell-mediated cytotoxicity. It is suggested from these results that the cytotoxicity of LAMs is regulated by CSF-1, IL-1, IFN-gamma, and TNF, and that the production of cytotoxic molecules is involved in cell-mediated killing by LAMs.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"90-7"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Effects of granulocyte colony-stimulating factor, interleukin-1 alpha, and interleukin-6 on prolonged myelosuppression induced by nimustine hydrochloride in rats. 粒细胞集落刺激因子、白细胞介素-1 α和白细胞介素-6对盐酸尼莫司汀诱导的大鼠长时间骨髓抑制的影响。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00004
Y Mizushima, T Kashii, K Nakagawa, S Monno, S Yano
{"title":"Effects of granulocyte colony-stimulating factor, interleukin-1 alpha, and interleukin-6 on prolonged myelosuppression induced by nimustine hydrochloride in rats.","authors":"Y Mizushima,&nbsp;T Kashii,&nbsp;K Nakagawa,&nbsp;S Monno,&nbsp;S Yano","doi":"10.1097/00002371-199208000-00004","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00004","url":null,"abstract":"<p><p>The myelorestorative effects of granulocyte colony-stimulating factor (G-CSF), interleukin-1 alpha (IL-1 alpha) and interleukin-6 (IL-6) were studied in F-344 rats which had been treated with cyclophosphamide (CY), carboplatin (CBDCA), or nimustine hydrochloride (ACNU). In CY- or CBDCA-pretreated rats, significantly higher peripheral white blood cell (WBC) count was observed in animals treated with G-CSF and IL-1 alpha, while the platelet (PLT) count was elevated by IL-6 treatment. All of the cytokines had little effect on the hemoglobin (HB) value. Animals treated with ACNU had prolonged myelosuppression. Treatment of these animals with G-CSF and IL-1 alpha significantly enhanced the recovery of HB value as well as WBC count. Higher PLT counts were observed in treated groups, but a statistical difference was not evident. Combination therapy with G-CSF and IL-1 alpha, G-CSF and IL-6, or IL-1 alpha and IL-6 did not have any significant beneficial effects on the peripheral blood cell count in ACNU-pretreated rats over single agent therapy. Conversely, the combination of IL-6 and G-CSF had an unfavorable effect on HB and PLT levels. In rats which received multiple doses of ACNU, G-CSF treatment exhibited a beneficial effect on WBC, HB, and PLT levels, the most prominent on the HB value. These findings suggest that treatment with hematopoietic cytokines may be most beneficial when combined with anticancer drugs which are known to cause prolonged myelosuppression.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12552107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Phase I study of recombinant human interleukin-2 for pediatric malignancies: feasibility of outpatient therapy. A Pediatric Oncology Group Study. 重组人白细胞介素-2治疗儿科恶性肿瘤的I期研究:门诊治疗的可行性。一项儿科肿瘤小组研究。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-08-01 DOI: 10.1097/00002371-199208000-00009
R C Pais, A Abdel-Mageed, T T Ghim, D Ode, E Melendez, H S Kim, H Findley, A H Ragab
{"title":"Phase I study of recombinant human interleukin-2 for pediatric malignancies: feasibility of outpatient therapy. A Pediatric Oncology Group Study.","authors":"R C Pais,&nbsp;A Abdel-Mageed,&nbsp;T T Ghim,&nbsp;D Ode,&nbsp;E Melendez,&nbsp;H S Kim,&nbsp;H Findley,&nbsp;A H Ragab","doi":"10.1097/00002371-199208000-00009","DOIUrl":"https://doi.org/10.1097/00002371-199208000-00009","url":null,"abstract":"<p><p>Published data indicate that when recombinant interleukin-2 (rIL-2) is administered to children as a 15-min i.v. bolus, doses of 18 x 10(6) IU/m2 are poorly tolerated, requiring intensive care unit (ICU) management of IL-2-induced hypotension. We administered rIL-2 as a 1- or 2-h i.v. infusion to 11 children with malignancies refractory to conventional therapy. IL-2 was given every Monday/Wednesday/Friday for 3 weeks. Four children received 12 x 10(6) IU/m2/dose, four received 18 x 10(6) IU/m2/dose, and three received 24 x 10(6) IU/m2/dose (1 Cetus Unit = 6 IU). Fever, chills, flushing, nausea, vomiting, transient weight gain, and oliguria were observed at all three dose levels (not dose-limiting toxicities). Cardiovascular toxicity was significantly reduced compared to the bolus regimen. Mild hypotension was observed at all three dose levels; however, there was no severe dose-limiting hypotension. Because of reduced cardiovascular toxicity, IL-2 was safely administered on an outpatient basis. This regimen induced marginal transient increases in natural killer cell activity and lymphokine-activated killer cell activity. No measurable clinical tumor response was observed in any of the 11 children. The maximum-tolerated dose has not been reached. This regimen allows for a considerable cost reduction (outpatient care instead of ICU care) and safety, making further clinical trials on the use of IL-2 in children more feasible.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 2","pages":"138-46"},"PeriodicalIF":0.0,"publicationDate":"1992-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199208000-00009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12672843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Interferon-gamma induced by administration of recombinant interleukin-2 to patients with cancer: kinetics, dose dependence, and correlation with physiological and therapeutic response. 重组白细胞介素-2对癌症患者的干扰素γ诱导:动力学、剂量依赖性以及与生理和治疗反应的相关性。
Journal of immunotherapy : official journal of the Society for Biological Therapy Pub Date : 1992-07-01 DOI: 10.1097/00002371-199207000-00007
M W Konrad, S K DeWitt, E C Bradley, G Goodman, E C Groves, E M Hersh, R L Krigel, A Rudolph
{"title":"Interferon-gamma induced by administration of recombinant interleukin-2 to patients with cancer: kinetics, dose dependence, and correlation with physiological and therapeutic response.","authors":"M W Konrad,&nbsp;S K DeWitt,&nbsp;E C Bradley,&nbsp;G Goodman,&nbsp;E C Groves,&nbsp;E M Hersh,&nbsp;R L Krigel,&nbsp;A Rudolph","doi":"10.1097/00002371-199207000-00007","DOIUrl":"https://doi.org/10.1097/00002371-199207000-00007","url":null,"abstract":"<p><p>The administration of recombinant interleukin-2 as an i.v. bolus at dose levels of from 1 to 30 MIU/m2 to patients with cancer induces easily measurable serum interferon-gamma levels of 1 to 500 U/ml. After a lag of 1 h, interferon-gamma rises to a maximum at 4 h and then slowly decreases. The peak values are poorly correlated with the dose of interleukin-2, and thus must be also be dependent on other factors. Successive administration of interleukin-2 typically increases the peak level of interferon-gamma fourfold, but does not diminish the lag period. Peak levels of interferon-gamma are also increased by concurrent administration of interferon-beta with interleukin-2. Continuous i.v. infusion of 1.5 to 20 MIU/m2 of interleukin-2/day results in interferon-gamma levels of 1 to 7 U/ml. Hypotension, which is characteristically associated with interleukin-2 administration, is correlated with interferon-gamma levels in only some patients. There was no apparent correlation between tumor regression and serum interferon-gamma levels.</p>","PeriodicalId":77209,"journal":{"name":"Journal of immunotherapy : official journal of the Society for Biological Therapy","volume":"12 1","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00002371-199207000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12804576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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