Anti-tumor effects of local irradiation in combination with peritumoral administration of low doses of recombinant interleukin-2 (rIL-2)

Radiat Oncol Investig. 1997;5(2):54-61. doi: 10.1002/(SICI)1520-6823(1997)5:2<54::AID-ROI3>3.0.CO;2-I.

Abstract

The aim of this work was to improve radiotherapy results by immune stimulation. We tested the effects of a combination of radio- and immunotherapy, i.e., local low dose recombinant interleukin-2 (rIL-2) treatment, in two murine tumor models. Syngeneic tumors (SL2 lymphoma or M8013 mammary carcinoma) were induced subcutaneously on one or both flanks of mice. Irradiation was given either as a single dose (20 Gy) or fractionated (25 Gy) in 2 weeks. One or two cycles of rIL-2 were given concurrent with or subsequent to radiotherapy. One cycle of rIL-2 consisted of peritumoral injections administered on 5 consecutive days. Treatment effects were measured in terms of local tumor response and disease-free survival (DFS). The combined treatment modality was significantly better than treatment with either irradiation alone or rIL-2 alone. When tumors were inoculated on both flanks of the mice, combined radioimmunotherapy of one of the tumors also resulted in regression of the contralateral untreated tumor, indicating that a systemic anti-tumor immune reaction was induced. Additional rIL-2 injections did not enhance radiation toxicity. In conclusion supplementing irradiation with locally administered low doses of rIL-2 results in better local anti-tumor responses and DFS rates than either treatment alone without enhanced treatment toxicity. Furthermore, the local treatment induces a systemic anti-tumor reaction, influencing the growth patterns of a second, untreated tumor.

MeSH terms

  • Animals
  • Cell Division / drug effects
  • Cell Division / radiation effects
  • Combined Modality Therapy
  • Disease-Free Survival
  • Dose-Response Relationship, Drug
  • Dose-Response Relationship, Radiation
  • Female
  • Immunotherapy
  • Interleukin-2 / administration & dosage
  • Interleukin-2 / therapeutic use*
  • Lymphoma / drug therapy
  • Lymphoma / pathology
  • Lymphoma / radiotherapy*
  • Mammary Neoplasms, Experimental / drug therapy
  • Mammary Neoplasms, Experimental / pathology
  • Mammary Neoplasms, Experimental / radiotherapy*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred DBA
  • Recombinant Proteins
  • Tumor Cells, Cultured

Substances

  • Interleukin-2
  • Recombinant Proteins