The effect of preoperative local interleukin-2 (IL-2) injections in patients with head and neck squamous cell carcinoma. An immunological study

Acta Otolaryngol. 1991;111(2):428-33. doi: 10.3109/00016489109137414.

Abstract

Clinical, immunological, immunophenotypical, pathological and molecular biological studies were performed on tumor infiltrating lymphocytes (TIL) and lymph node lymphocytes (LN-ly) of 8 patients with squamous cell carcinoma of the oral cavity and oropharynx treated with 10 daily locoregional injections of low doses of IL-2 before surgery. No complications were seen during or after surgery. In 3 cases the LN-ly showed a moderate LAK activity, higher in the LN-ly omolateral to the tumor and near the IL-2 injection site; in 2 of these 3 patients a good LAK activity was induced after 6-day culture with IL-2. The LN-ly derived from nodes next to the tumor showed a decreased NK activity and proliferative ability both in basal conditions and after in vitro lymphokine challenging. LN-ly of 2 IL-2 treated patients showed high levels of mRNA encoding for IL-2-R, while it was absent in 2 untreated cases. Immunophenotypical studies on TIL showed statistically improved levels of CD25+ and LAK1+ cells in treated cases. Clusters of CD11c+ (macrophages) cells were seen close to the neoplastic sheets.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Antigens, CD / analysis
  • Carcinoma, Squamous Cell / drug therapy*
  • Carcinoma, Squamous Cell / immunology
  • Carcinoma, Squamous Cell / surgery
  • Combined Modality Therapy
  • Female
  • Humans
  • Injections, Intramuscular
  • Interleukin-2 / administration & dosage
  • Interleukin-2 / therapeutic use*
  • Killer Cells, Lymphokine-Activated / physiology
  • Killer Cells, Natural / physiology
  • Lymph Nodes / immunology
  • Lymphocytes / immunology
  • Lymphocytes, Tumor-Infiltrating / immunology
  • Male
  • Middle Aged
  • Mouth Neoplasms / drug therapy*
  • Mouth Neoplasms / immunology
  • Mouth Neoplasms / surgery
  • Oropharyngeal Neoplasms / drug therapy*
  • Oropharyngeal Neoplasms / immunology
  • Oropharyngeal Neoplasms / surgery
  • Pilot Projects
  • Premedication
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / therapeutic use

Substances

  • Antigens, CD
  • Interleukin-2
  • Recombinant Proteins