Cytokines can stimulate the immune response by directly activating eff
ector cells and/or by inducing the release of secondary cytostatic or
immunomodulatory molecules. Systemic administration of cytokines, howe
ver, often causes numerous side effects in the patient and may not pro
vide a constant level at the tumor site, owing to the variable and gen
erally short half-lifes of cytokines. This has led to the development
of novel strategies to deliver cytokines specifically to tumor sites i
n vivo. These include: the use of monoclonal antibodies directed again
st tumor antigens; cellular vehicles designed to carry genes to tumor
sites; genetically engineered tumor cell vaccines; and targetable vira
l vectors.