Adoptive immunotherapy of cancer with pharmacologically activated lymph node lymphocytes: a pilot clinical trial

被引:0
作者
Harry D. Bear
John Roberts
David Cornell
Mary Beth Tombes
Brenda Kyle
机构
[1] Massey Cancer Center,
[2] Medical College of Virginia,undefined
[3] Virginia Commonwealth University,undefined
[4] Richmond,undefined
[5] USA,undefined
[6] Department of Medicine,undefined
[7] Medical College of Virginia,undefined
[8] Virginia Commonwealth University,undefined
[9] Richmond,undefined
[10] USA,undefined
[11] Department of Surgery,undefined
[12] Lincoln Hospital and Cornell University School of Medicine,undefined
[13] Division of Surgical Oncology,undefined
[14] Virginia Commonwealth University,undefined
[15] Box 980011,undefined
[16] Richmond,undefined
[17] VA 23298-0011,undefined
[18] USA e-mail: hbear@hsc.vcu.edu Tel.: +1-804-8289325; Fax: +1-804-8284808,undefined
来源
Cancer Immunology, Immunotherapy | 2001年 / 50卷
关键词
Key words Immunotherapy; Lymphocytes; Bryostatin 1; Ionomycin; Interleukin-2;
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摘要
 Adoptive immunotherapy (AIT) of cancer with T lymphocytes may be limited by the need to activate tumor antigen-sensitized cells in vitro. In murine models, we have shown that AIT with tumor-sensitized T cells that have been pharmacologically activated with bryostatin 1 and ionomycin plus interleukin-2 can induce tumor regression. A Phase I clinical trial was carried out to assess the feasibility and toxicity associated with using tumor- or vaccine-draining lymph node cells, activated pharmacologically and expanded in culture with low-dose interleukin-2 and infused intravenously, followed by IL-2 infusion. Nine patients were entered into the trial, and six were treated as planned. Average expansion of cell numbers over 13 to 27 days in culture was 118-fold. No patient's cells reached the target cell number (2.5 × 1010). Infusion of these cells did not result in any unexpected toxicities. The toxicities observed were related to IL-2 infusion, and conformed to the expected range of side-effects. Based on these Phase I results, additional trials, with tumor antigen vaccine-sensitized DLN and technical modifications of the culture technique, are planned.
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页码:269 / 274
页数:5
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