OBJECTIVE: Interleukin-12 (IL-12) may be useful for immunotherapy agai
nst gliomas because it can reverse the glioma-induced suppression of T
-cell proliferation and interferon-gamma production. We postulated tha
t peripheral infusion of IL-12 along with irradiated tumor cells can l
ead to immunological rejection of 9L glioma. METHODS: 9L gliosarcoma f
lank tumors were established in syngeneic Fischer 344 rats. Osmotic mi
nipumps delivered IL-12 subcutaneously, and irradiated 9L cells were i
njected on Days 0, 3, 7, 14, and 21. Tumor volumes were measured by a
blinded observer. For tumor rechallenge, animals initially cured of 9L
flank tumors received either another implantation of flank tumor or a
stereotactic injection of 10(6) 9L cells into the right striatum. Del
ayed-type hypersensitivity was measured after injecting 10(6) irradiat
ed 9L tumor cells into the right pinnae. RESULTS: Tumor growth curves
were significantly different between treated and control animals. Amon
g the animals that received 1 ng per day of IL-12, 40% did not develop
any measurable tumors at all. A combination of irradiated 9L cells an
d IL-12 was necessary for optimal effect. Cured animals rejected futur
e flank tumors. All animals rechallenged with intraparenchymal brain t
umors survived, whereas control animals all died by Day 22. Delayed-ty
pe hypersensitivity measurements showed a specific and long-lasting re
sponse against 9L cells. CONCLUSION: Continuous administration of the
lymphokine IL-12, in the presence of irradiated tumor cells for antige
n presentation, circumvents the need for gene transfection for generat
ing tumor cell vaccines. We have demonstrated that the combination of
IL-12 and irradiated tumor cells can lead to regression of 9L flank tu
mors and resistance to future flank and central nervous system tumor c
hallenges.