PMID- 9610908 OWN - NLM STAT- MEDLINE DCOM- 19980717 LR - 20191102 IS - 1524-9557 (Print) IS - 1524-9557 (Linking) VI - 21 IP - 3 DP - 1998 May TI - Adenovirus-mediated interleukin-2 production by tumors induces growth of cytotoxic tumor-infiltrating lymphocytes against human renal cell carcinoma. PG - 170-80 AB - Combination therapy with interleukin-2 (IL-2) and tumor-infiltrating lymphocytes (TILs) demonstrates significant clinical activity in patients with metastatic renal cell carcinoma (RCC). To investigate whether local delivery of IL-2 via gene transfer is capable of improving the potency and efficacy of in vitro propagated TILs as compared with standard growth conditions [400 BRMP U (BU)/ml], a replication-deficient adenovirus expressing the human IL-2 gene under control of the cytomegalovirus (CMV) promoter (Ad-IL-2) has been constructed in our laboratory. RCC-TIL cultures were initiated by directly infecting RCC tumor suspension with Ad-IL-2 at a multiplicity of infection of 10:1. Subsequently the TIL cultures were restimulated with nonirradiated autologous RCC infected with Ad-IL-2 (RCC-Ad-IL-2) every 10 days (TIL/tumor = 50:1). Cell growth, phenotype, cytotoxicity, and cytokine messenger RNA (mRNA) expression were analyzed and compared with TIL growth stimulated with exogenous IL-2 (400 BU/ml). All five TILs tested responded to RCC-Ad-IL-2 activation, and a completed clearance of tumor cells was observed in cultures within 7-10 days. Lysis of nonirradiated RCC-Ad-IL-2 cells by TILs also was observed in cultures 3-5 days after restimulation. The IL-2 concentration in cell culture supernatants was maintained between 10 BU and 35 BU/ml (2 and 7 ng/ml), respectively. When compared with exogenous IL-2, RCC-Ad-IL-2 induced less growth expansion of TILs whereas a reduced CD56+ (23 +/- 14% vs. 44 +/- 13%; p < 0.05) but increased CD3+CD4+ cell population (32 +/- 11% vs. 15 +/- 6%; p < 0.05) with enhanced T cell-receptor use (59 +/- 10% vs. 42 +/- 7%; p < 0.005) was determined. An augmented human leukocyte antigen (HLA)-restricted and tumor-specific cytotoxicity was detected in RCC-Ad-IL-2-expanded TILs (day 35, 15.3 +/- 4.2 LU vs. 4.6 +/- 1.8 LU; p < 0.005). These properties were mediated by the CD8+ and CD4+ T-cell populations, as demonstrated by antibody-blocking assays. A unique cytokine profile also was detected in RCC-Ad-IL-2-induced TILs, which demonstrated an upregulation of both GM-CSF and IL-6 mRNA as compared with TILs expanded in the presence of exogenous IL-2. These data suggest that RCC-Ad-IL-2 is a potent immune stimulant that can be used in vitro as an immunogen to propagate cytotoxic RCC-TILs for adoptive immunotherapy or potentially in vivo by direct injection as a live tumor vaccine. FAU - Mulders, P AU - Mulders P AD - Department of Urology, The Jonsson Comprehensive Cancer Center, UCLA School of Medicine, Los Angeles, California 90024, USA. FAU - Tso, C L AU - Tso CL FAU - Pang, S AU - Pang S FAU - Kaboo, R AU - Kaboo R FAU - McBride, W H AU - McBride WH FAU - Hinkel, A AU - Hinkel A FAU - Gitlitz, B AU - Gitlitz B FAU - Dannull, J AU - Dannull J FAU - Figlin, R AU - Figlin R FAU - Belldegrun, A AU - Belldegrun A LA - eng PT - Journal Article PL - United States TA - J Immunother JT - Journal of immunotherapy (Hagerstown, Md. : 1997) JID - 9706083 RN - 0 (Interleukin-2) SB - IM MH - Adenoviridae/*genetics MH - Carcinoma, Renal Cell/*immunology MH - Cells, Cultured MH - Cytotoxicity, Immunologic MH - Flow Cytometry MH - Gene Expression MH - Genetic Vectors MH - Humans MH - Immunotherapy, Adoptive MH - Interleukin-2/*genetics MH - Kidney Neoplasms/*immunology/metabolism/therapy MH - Lymphocytes, Tumor-Infiltrating/*immunology MH - Phenotype MH - Polymerase Chain Reaction MH - *Transfection MH - Tumor Cells, Cultured EDAT- 1998/06/04 00:00 MHDA- 1998/06/04 00:01 CRDT- 1998/06/04 00:00 PHST- 1998/06/04 00:00 [pubmed] PHST- 1998/06/04 00:01 [medline] PHST- 1998/06/04 00:00 [entrez] AID - 10.1097/00002371-199805000-00002 [doi] PST - ppublish SO - J Immunother. 1998 May;21(3):170-80. doi: 10.1097/00002371-199805000-00002.