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      Effects of stimulating interleukin -2/anti- interleukin -2 antibody complexes on renal cell carcinoma

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          Abstract

          Background

          Current therapies for advanced renal cell carcinoma (RCC) have low cure rates or significant side effects. It has been reported that complexes composed of interleukin (IL)-2 and stimulating anti-IL-2 antibody (IL-2C) suppress malignant melanoma growth. We investigated whether it could have similar effects on RCC.

          Methods

          A syngeneic RCC model was established by subcutaneously injecting RENCA cells into BALB/c mice, which were administered IL-2C or phosphate-buffered saline every other day for 4 weeks. RCC size was measured serially, and its weight was assessed 4 weeks after RENCA injection. Immune cell infiltration into RCC lesions and spleen was assessed by flow cytometry and immunohistochemistry.

          Results

          IL-2C treatment increased the numbers of CD8 + memory T and natural killer (NK) cells in healthy BALB/c mice ( P < 0.01). In the spleen of RCC mice, IL-2C treatment also increased the number of CD8 + memory T, NK cells, and macrophages as compared to PBS-treated controls ( P < 0.01). The number of interferon-γ- and IL-10-producing splenocytes increased and decreased, respectively after 4 weeks in the IL-2C-treated mice ( P < 0.01). Tumor-infiltrating immune cells including CD4 + T, CD8 + T, NK cells as well as macrophages were increased in IL-2C-treated mice than controls ( P < 0.05). Pulmonary edema, the most serious side effect of IL-2 therapy, was not exacerbated by IL-2C treatment. However, IL-2C had insignificant inhibitory effect on RCC growth (P = 0.1756).

          Conclusions

          IL-2C enhanced immune response without significant side effects; however, this activity was not sufficient to inhibit RCC growth in a syngeneic, murine model.

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          Most cited references23

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          Selective stimulation of T cell subsets with antibody-cytokine immune complexes.

          Interleukin-2 (IL-2), which is a growth factor for T lymphocytes, can also sometimes be inhibitory. Thus, the proliferation of CD8+ T cells in vivo is increased after the injection of a monoclonal antibody that is specific for IL-2 (IL-2 mAb), perhaps reflecting the removal of IL-2-dependent CD4+ T regulatory cells (T regs). Instead, we show here that IL-2 mAb augments the proliferation of CD8+ cells in mice simply by increasing the biological activity of preexisting IL-2 through the formation of immune complexes. When coupled with recombinant IL-2, some IL-2/IL-2 mAb complexes cause massive (>100-fold) expansion of CD8+ cells in vivo, whereas others selectively stimulate CD4+ T regs. Thus, different cytokine-antibody complexes can be used to selectively boost or inhibit the immune response.
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            Improved IL-2 immunotherapy by selective stimulation of IL-2 receptors on lymphocytes and endothelial cells.

            IL-2 immunotherapy is an attractive treatment option for certain metastatic cancers. However, administration of IL-2 to patients can lead, by ill-defined mechanisms, to toxic adverse effects including severe pulmonary edema. Here, we show that IL-2-induced pulmonary edema is caused by direct interaction of IL-2 with functional IL-2 receptors (IL-2R) on lung endothelial cells in vivo. Treatment of mice with high-dose IL-2 led to efficient expansion of effector immune cells expressing high levels of IL-2Rbetagamma, including CD8(+) T cells and natural killer cells, which resulted in a considerable antitumor response against s.c. and pulmonary B16 melanoma nodules. However, high-dose IL-2 treatment also affected immune cell lineage marker-negative CD31(+) pulmonary endothelial cells via binding to functional alphabetagamma IL-2Rs, expressed at low to intermediate levels on these cells, thus causing pulmonary edema. Notably, IL-2-mediated pulmonary edema was abrogated by a blocking antibody to IL-2Ralpha (CD25), genetic disruption of CD25, or the use of IL-2Rbetagamma-directed IL-2/anti-IL-2 antibody complexes, thereby interfering with IL-2 binding to IL-2Ralphabetagamma(+) pulmonary endothelial cells. Moreover, IL-2/anti-IL-2 antibody complexes led to vigorous activation of IL-2Rbetagamma(+) effector immune cells, which generated a dramatic antitumor response. Thus, IL-2/anti-IL-2 antibody complexes might improve current strategies of IL-2-based tumor immunotherapy.
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              IL-15 enhances the in vivo antitumor activity of tumor-reactive CD8+ T cells.

              IL-15 and IL-2 possess similar properties, including the ability to induce T cell proliferation. However, whereas IL-2 can promote apoptosis and limit CD8(+) memory T cell survival and proliferation, IL-15 helps maintain a memory CD8(+) T cell population and can inhibit apoptosis. We sought to determine whether IL-15 could enhance the in vivo function of tumor/self-reactive CD8(+) T cells by using a T cell receptor transgenic mouse (pmel-1) whose CD8(+) T cells recognize an epitope derived from the self/melanoma antigen gp100. By removing endogenous IL-15 by using tumor-bearing IL-15 knockout hosts or supplementing IL-15 by means of exogenous administration, as a component of culture media or as a transgene expressed by adoptively transferred T cells, we demonstrate that IL-15 can improve the in vivo antitumor activity of adoptively transferred CD8(+) T cells. These results provide several avenues for improving adoptive immunotherapy of cancer in patients.
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                Author and article information

                Contributors
                truehan1@empas.com
                carnagekim@nate.com
                jjyanpharm@gmail.com
                jaeghi@gmail.com
                vita77@snu.ac.kr
                myeun81@hanmail.net
                ejsquare@hanmail.net
                kangseong@empas.com
                ihyejin01@naver.com
                marvin77@empal.com
                curie@snu.ac.kr
                +82-2-2072-4128 , jcyjs@dreamwiz.com
                Journal
                BMC Urol
                BMC Urol
                BMC Urology
                BioMed Central (London )
                1471-2490
                16 January 2016
                16 January 2016
                2016
                : 16
                : 2
                Affiliations
                [ ]Transplantation Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea
                [ ]Nephrology clinic, Center for Clinical Specialty, National Cancer Center, Seoul, Republic of Korea
                [ ]Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea
                [ ]Transplantation Center, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110-744 Republic of Korea
                Article
                121
                10.1186/s12894-016-0121-2
                4715282
                26772545
                bdc5a64a-b013-4c1c-8fbb-a9839874ef69
                © Han et al. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 8 August 2015
                : 13 January 2016
                Funding
                Funded by: Korean Health Technology R&D Project, Ministry of Health & Welfare, Republic of Korea
                Award ID: A111355
                Award Recipient :
                Funded by: SNUH Research Fund
                Award ID: 0320140430, 2014-1033
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Urology
                cd8+ t cell,immune complex,interleukin-2,nk cell,renal cell carcinoma,tumor
                Urology
                cd8+ t cell, immune complex, interleukin-2, nk cell, renal cell carcinoma, tumor

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