S. Benedetti et al., Eradication of rat malignant gliomas by retroviral-mediated, in vivo delivery of the interleukin 4 gene, CANCER RES, 59(3), 1999, pp. 645-652
Overexpression of interleukin 4 (IL-4) can impair the tumorigenicity of gli
oma cells, but direct evidence of its antitumor efficacy after Ct vivo gene
transfer into malignant gliomas has not been provided. To test this, we fi
rst injected into the brain of Sprague Dawley rats a 1:1 mixture of C6 rat
glioblastoma cells and Psi 2.L4SN(20) or E86.L4SN(50) retroviral producer c
ells (RPCs), secreting 20 and 50 ng of IL-4/5 x 10(5) cells/48 h, respectiv
ely. Twenty-seven and 56% of rats receiving injections with these low- or m
edium-level IL-4 RPCs, respectively, survived tumor injection, whereas cont
rol rats died in about 1 month. E86.L4SN(50) RPCs coinjected with 9L gliosa
rcoma cells into syngeneic Fischer 344 rats yielded similar results. A nove
l IL-4 RPC clone expressing higher levels of IL-4, E86.L4SN(200), coinjecte
d with 9L cells increased to 75% the fraction of long-term survivors and in
duced tumor regression in 50% of rats when injected into established 9L gli
osarcomas. Cured rats developed an immunological memory because they reject
ed a challenge of wild-type 9L cells into the contralateral hemisphere. Mag
netic resonance imaging was used to monitor 9L and C6 gliomas and gave dire
ct evidence for tumor rejection in treated rats. Immunohistology showed inf
lammatory infiltrates in IL-4-treated tumors in which CD8+ T lymphocytes we
re more abundant, although CD4+ T lymphocytes, B lymphocytes, and macrophag
es were also present. Overall, these findings suggest that IL-4 gene transf
er is a new, promising approach for treating malignant gliomas.