Evaluation of potential antineoplastic therapies would be enhanced by nonin
vasive detection of tumor cells in living animals. Because light is transmi
tted through mammalian tissues, it was possible to use bioluminescence to m
onitor (both externally and quantitatively) growth and regression of labele
d human cervical carcinoma (HeLa) cells engrafted into immunodeficient mice
. The efficacy of both chemotherapy and immunotherapeutic treatment with ex
vivo expanded human T cell-derived effector cells was evaluated. In the ab
sence of therapy, animals showed progressive increases in signal intensity
over time. Animals treated with cisplatin had marked reductions in tumor si
gnal; 5'-fluorouracil was less effective, and cyclophosphamide was ineffect
ive. Immunotherapy dramatically reduced signals at high effector-to-target
cell ratios, and significant decreases were observed with lower ratios. Thi
s model system allowed sensitive, quantitative, real-time spatiotemporal an
alyses of the dynamics of neoplastic cell growth and facilitated rapid opti
mization of effective treatment regimens.