We studied the effect of recombinant murine granulocyte-macrophage colony-s
timulating factor (rmGM-CSF) on the cytotoxic potential of murine peritonea
l cells. Mice received rmGM-CSF intraperitoneally using different dosages a
nd injection schemes. At different time points after the last injection, mi
ce were sacrificed, peritoneal cells isolated and their tumour cytotoxicity
was determined by a cytotoxicity assay using syngeneic [methyl-H-3]thymidi
ne-labelled colon carcinoma cells. Also, the cytotoxic response to a subseq
uent in vitro stimulation with lipopolysaccharide was determined. Upon dail
y injection of 6000-54 000 U rmGM-CSF over a B-day period, the number of pe
ritoneal cells increased over ten fold with the highest rmGM-CSF dose. Incr
eases in cell numbers was mainly due to increases in macrophage numbers. Up
on injection of three doses of 3000 U rmGM-CSF per day for 3 consecutive da
ys, the number of macrophages remained elevated for minimally 6 days. Altho
ugh the peritoneal cells from rmGM-CSF-treated mice were not activated to a
tumoricidal state, they could be activated to high levels of cytotoxicity
with an additional in vitro stimulation of lipopolysaccharide. Resident cel
ls isolated from control mice could be activated only to low levels of tumo
ur cytotoxicity with lipopolysaccharide. Tumour cytotoxicity strongly corre
lated with nitric oxide secretion. When inhibiting nitric oxide synthase, t
umour cell lysis decreased. Thus, the expanded peritoneal cell population i
nduced by multiple injections of rmGM-CSF has a strong tumour cytotoxic pot
ential and might provide a favourable condition for immunotherapeutic treat
ment of peritoneal neoplasms.