Sw. Dow et al., Intravenous cytokine gene delivery by lipid-DNA complexes controls the growth of established lung metastases, HUM GENE TH, 10(18), 1999, pp. 2961-2972
Local expression of cytokine genes by ex vivo transfection or intratumoral
gene delivery can control the growth of cutaneous tumors. However, control
of tumor metastases by conventional nonviral gene therapy approaches is mor
e difficult. Intravenous injection of lipid-DNA complexes containing noncod
ing plasmid DNA can significantly inhibit the growth of early metastatic lu
ng tumors. Therefore, we hypothesized that delivery of a cytokine gene by l
ipid-plasmid DNA complexes could induce even greater antitumor activity in
mice with established lung metastases. The effectiveness of treatment with
lipid-DNA complexes containing the IL-2 or IL-12 gene was compared with the
effectiveness, of treatment with complexes containing noncoding (empty vec
tor) DNA. Treatment effects were evaluated in mice with either early (day 3
) or late (day 6) established lung tumors. Lung tumor burdens and local int
rapulmonary immune responses were assessed. Treatment with either noncoding
plasmid DNA or with the IL-2 or IL-12 gene significantly inhibited the gro
wth of early tumors. However, only treatment with the IL-2 or IL-12 gene in
duced a significant reduction in lung tumor burden in mice with more advanc
ed metastases. Furthermore, the reduction in tumor burden was substantially
greater than that achieved by treatment with recombinant cytokines, Treatm
ent with the IL-2 or IL-12 gene was accompanied by increased numbers of NK
cells and CD8(+) T cells within lung tissues, increased cytotoxic activity,
and increased local production of IFN-gamma by lung tissues, compared with
treatment with noncoding DNA. Thus, cytokine gene delivery to the lungs by
means of intravenously administered lipid-DNA complexes may be an effectiv
e method of controlling lung tumor metastases.