Interleukin 12 (IL-12) is a pleiotropic cytokine and mediates several
biological activities on human T and natural killer (NK) cells, includ
ing induction of IFN-gamma production, enhancement of cell-mediated cy
totoxicity and comitogenic effects on resting T-cells. The major cellu
lar sources producing IL-12 are antigen-stimulated monocytes, macropha
ges, and B-cells isolated from peripheral blood mononuclear cells (PBM
C). Our laboratory has investigated the regulation of IL-12 gene expre
ssion in both cord blood and adult PBMC, and the effects of IL-12 on i
nduction of IFN-gamma production, NK, and lymphokine-activated killer
(LAK) cytotoxicity. IL-12 mRNA expression and protein production in LP
S-stimulated cord blood MNC were 3-4 fold decreased when compared with
adult PBMC. There were no differences between cord blood and adult PB
MC in both basal levels of transcription or the degree of transcriptio
nal activation of the IL-12 gene. Additionally, the half-life of IL-12
p40 mRNA was 3-fold lower in activated cord blood compared to adult P
BMC. Exogenous IL-12 induced a significant increase of IFN-gamma from
both cord and adult PBMC. Cord MNC has significantly reduced levels of
NK activity, and IL-12 significantly enhanced cord blood NK cytotoxic
ity upto similar levels in adult PBMC. IL-12 also significantly enhanc
ed cord blood NK and LAK activities against a broad range of neuroblas
toma, leukemia, and lymphoma cell lines. Lower doses of IL-12 and IL-1
5 concomitantly generated either synergistic or additive effects on co
rd blood NK and LAK cytotoxicities. In light of the important biologic
al functions of IL-12, reduced expression and production of IL-12 from
activated cord blood may contribute to the immaturity of cord blood c
ellular immunity and contribute, in part, to decreased severe graft vs
, host disease following unrelated cord blood stem cell transplantatio
n. IL-12 enhancement of IFN-gamma, NK, and LAK activity in activated c
ord blood MNC upto comparable levels in adult PBMC suggests that exoge
nous IL-12 stimulation can compensate for the immaturity in cord blood
cellular immunity. These characteristics of IL-12 biological activity
strongly suggest its potential usefulness in future cancer immunother
apy.