PMID- 20712569 OWN - NLM STAT- MEDLINE DCOM- 20110126 LR - 20220317 IS - 1875-533X (Electronic) IS - 0929-8673 (Linking) VI - 17 IP - 29 DP - 2010 TI - Interleukin-18: biology and role in the immunotherapy of cancer. PG - 3353-7 AB - Interleukin-18 (IL-18) is an immunostimulatory cytokine belonging to the IL-1 family. IL-18 can regulate both innate and adaptive immune responses through its effects on natural killer (NK) cells, monocytes, dendritic cells, T cells, and B cells. IL-18 acts synergistically with other pro-inflammatory cytokines to promote interferon-gamma (IFN-gamma) production by NK cells, T cells, and possibly other cell types. Systemic administration of IL-18 has been shown to have significant antitumor activity in several preclinical animal models. Phase I clinical trials of recombinant human IL-18 have demonstrated that it can be safely administered to patients with advanced cancer. Biologic effects of IL-18 therapy include activation of monocytes, NK cells, and T cells and production of IFN-gamma as well as other cytokines in vivo. A phase II study of IL-18 in patients with metastatic melanoma confirmed its safety but suggested limited efficacy of IL-18 monotherapy in this setting. IL-18 appears to act predominantly as a costimulatory cytokine and its optimal use for cancer immunotherapy may be in combination with other immunostimulatory cytokines, vaccines, or monoclonal antibodies. FAU - Srivastava, S AU - Srivastava S AD - Bone Marrow and Stem Cell Transplantation Program, Division of Hematology/Oncology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA. srivasts@iupui.edu FAU - Salim, N AU - Salim N FAU - Robertson, M J AU - Robertson MJ LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Med Chem JT - Current medicinal chemistry JID - 9440157 RN - 0 (Antineoplastic Agents) RN - 0 (Interleukin-18) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Clinical Trials as Topic MH - Combined Modality Therapy MH - Hematopoietic Stem Cell Transplantation MH - Humans MH - Interleukin-18/metabolism/physiology/*therapeutic use MH - Killer Cells, Natural/immunology/metabolism MH - Neoplasms/*drug therapy/metabolism/therapy MH - T-Lymphocytes/immunology/metabolism EDAT- 2010/08/18 06:00 MHDA- 2011/01/28 06:00 CRDT- 2010/08/18 06:00 PHST- 2010/04/29 00:00 [received] PHST- 2010/07/22 00:00 [accepted] PHST- 2010/08/18 06:00 [entrez] PHST- 2010/08/18 06:00 [pubmed] PHST- 2011/01/28 06:00 [medline] AID - BSP/CMC/E-Pub/ 213 [pii] AID - 10.2174/092986710793176348 [doi] PST - ppublish SO - Curr Med Chem. 2010;17(29):3353-7. doi: 10.2174/092986710793176348.