Da. Saltzman et al., ANTITUMOR MECHANISMS OF ATTENUATED SALMONELLA-TYPHIMURIUM CONTAINING THE GENE FOR HUMAN INTERLEUKIN-2 - A NOVEL ANTITUMOR AGENT, Journal of pediatric surgery, 32(2), 1997, pp. 301-306
Currently, there is no long-term effective treatment for unresectable
hepatic malignancies. Salmonella species are known to naturally track
to the liver during active infection. To develop a biological vector f
or delivery of interleukin-2 (IL-2) to the liver for antitumor purpose
s, the (chi)4550 attenuated strain of Salmonella typhimurium was used
as a vector for IL-2. The gene for human IL-2 was cloned into plasmid
pYA292 and inserted into the attenuated S typhimurium and renamed [(ch
i)4550(pIL-2)]: MCA-38 murine adenocarcinoma cells were injected intra
splenically into C57BL/6 mice to produce hepatic metastases that were
subsequently enumerated after 12 days. Wi previously have demonstrated
that the (chi)4550(plL-2) produces biologically active IL-2 and that
a single gavage feeding of 10(7) (chi)4550(plL-2) significantly reduce
d the number of hepatic metastases' when compared with animals fed sal
monella lacking the IL-2 gene or nontreated controls. The aims of the
current studies were to determine which host effector cell populations
were responsible for the antitumor effect seen with (chi)4550(plL-2)
by depletion of natural killer (NK), cytotoxic T lymphocytes (CD8(+)),
T helper (CD4(+)) cells, and Kupffer cells. Multiple experiments were
conducted for each host effector cell population depleted. We found a
consistent reduction in the mean number of hepatic: metastases in ani
mals fed (chi)4550(pIL-2) (55.6 metastases; n = 54) when compared with
controls (162.3 metastases; n = 53) (P <.0001). Depletion of NK cells
and CD8(+) T cells significantly inhibited the antitumor effect of (c
hi)4550(pIL-2) (analysis of variance [ANOVA], P <.01). Elimination of
CD4(+) T cells and Kupffer cells had no significant impact on the anti
tumor effect of (chi)4550(pIL-2) (ANOVA, P value was not significant).
Salmonella IL-2 may represent a novel form of in vivo biotherapy for
unresectable hepatic malignancies that employs the oral route of admin
istration. Furthermore, both NK cells or CD8(+) cells are required for
the antitumor effect seen while CD4(+) T cells and Kupffer cells do n
ot appear to be as essential. Copyright (C) 1997 by W.B. Saunders Comp
any.