PMID- 24038990 OWN - NLM STAT- MEDLINE DCOM- 20140514 LR - 20211203 IS - 1521-2254 (Electronic) IS - 1099-498X (Linking) VI - 15 IP - 10 DP - 2013 Oct TI - Interleukin-15 gene therapy and the mammalian target of rapamycin inhibitor everolimus inhibit the growth of metastatic breast cancer. PG - 366-74 LID - 10.1002/jgm.2739 [doi] AB - BACKGROUND: Novel methods to control and treat metastatic breast cancer are needed. Interleukin (IL)-15 is a promising cytokine for cancer immunotherapy, and everolimus is an orally administered mammalian target of rapamycin (mTOR) inhibitor, which is already approved for cancer treatment. In the present study, we investigated the efficacy of IL-15 gene therapy and explored the possibility of combining IL-15 therapy with everolimus to treat metastatic breast cancer. METHODS: A plasmid encoding IL-15 and everolimus were given to mice inoculated with 4 T1 mouse breast cancer cells. Tumor size and metastasis were monitored to assess the effect of different treatment regimens. Immunohistochemistry was used to detect CD4(+), CD8(+) and NKG2D(+) cells and also the expression of Ki-67 in tumor tissue; these analyses helped establish the immunization status and tumor proliferation rate of different treatment groups. Terminal deoxynucleotidyl transferase dUTP nick end labeling assays were performed to assess cellular apoptosis in tumor tissues. RESULTS: Both IL-15 and everolimus significantly decreased tumor size. IL-15 gene therapy increased the proportion of CD4(+) T and natural killer (NK) cells but had no effect on CD8(+) T cells. By contrast, everolimus decreased the number of CD8(+) T cells but had no effect on CD4(+) T and NK cells compared to the control group. Both IL-15 and everolimus decreased expression of Ki-67 and increased rates of apoptosis. Although effective on their own, no synergistic effect was observed with a combined treatment of everolimus and IL-15 gene therapy. CONCLUSIONS: IL-15 gene therapy was potentially useful for the treatment of metastatic breast cancer. The possibility of combining immunotherapy with everolimus requires further study. CI - Copyright (c) 2013 John Wiley & Sons, Ltd. FAU - Zhao, Na AU - Zhao N AD - Department of General Surgery, Tianjin Medical University General Hospital, Tianjin, China. FAU - Li, Xiaodan AU - Li X FAU - He, Xianghui AU - He X FAU - Qiu, Yujie AU - Qiu Y FAU - Zhu, Liwei AU - Zhu L FAU - Qi, Feng AU - Qi F LA - eng PT - Journal Article PL - England TA - J Gene Med JT - The journal of gene medicine JID - 9815764 RN - 0 (Antineoplastic Agents) RN - 0 (Interleukin-15) RN - 0 (Protein Kinase Inhibitors) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antineoplastic Agents/administration & dosage/*pharmacology MH - Apoptosis/drug effects MH - Breast Neoplasms/*genetics/immunology/pathology/*therapy MH - Cell Line MH - Cell Proliferation/drug effects MH - Combined Modality Therapy MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Everolimus MH - Female MH - Gene Order MH - Genetic Therapy MH - Genetic Vectors/genetics MH - Immunotherapy MH - Interleukin-15/*genetics MH - Mice MH - Neoplasm Metastasis MH - Protein Kinase Inhibitors/administration & dosage/*pharmacology MH - Sirolimus/administration & dosage/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/antagonists & inhibitors MH - Tumor Burden/drug effects/genetics OTO - NOTNLM OT - breast cancer OT - everolimus OT - gene therapy OT - interleukin-15 EDAT- 2013/09/17 06:00 MHDA- 2014/05/16 06:00 CRDT- 2013/09/17 06:00 PHST- 2013/03/08 00:00 [received] PHST- 2013/08/10 00:00 [revised] PHST- 2013/08/27 00:00 [accepted] PHST- 2013/09/17 06:00 [entrez] PHST- 2013/09/17 06:00 [pubmed] PHST- 2014/05/16 06:00 [medline] AID - 10.1002/jgm.2739 [doi] PST - ppublish SO - J Gene Med. 2013 Oct;15(10):366-74. doi: 10.1002/jgm.2739.