Nishimura T, Terashima Y, Hattori T, Satoh M, Kondo Y, Kimura G, Yoshida K, Akimoto M
Nippon Medical School, Tokyo, Japan.
Urol Int. 1991;47 Suppl 1:83-5. doi: 10.1159/000282260.
We studied subsets and cytotoxicity of recombinant interleukin-2 (rIL-2)-expanded tumor-infiltrating lymphocytes (TIL) from renal cell cancer (RCC) patients. TIL were successfully expanded in 13 of 14 RCC cases using anti-CD3 during the initial 48 h of culture. Percentages of CD8-positive cells among rIL-2-expanded TIL at 1-4 week(s) of culture were 56.2 +/- 15.1% (range 26.2-79.8%, n = 13) and not necessarily predominant over CD4-positive cells. Natural killer and lymphokine-activated killer (LAK) activities of TIL at 3-6 weeks of culture were 31.6 +/- 15.8% (range 1.4-57.4%, n = 9) and 16.6 +/- 11.6% (range 3.8-35.6%, n = 6), respectively. Autologous and allogeneic RCC cytotoxicity of TIL at 3-4 weeks of culture were 17.9 +/- 19.7% (range 0-47.6%, n = 4) and 18.9 +/- 14.8% (range 0-47.3%, n = 12), respectively. Since there was no statistical difference between them, autologous specific cytotoxicity was not demonstrated. From these result of the present study, it is unlikely that most of effector cells of rIL-2-expanded TIL in autologous RCC lysis are major histocompatibility complex-restricted cytotoxic T cells. We concluded that it is doubtful whether TIL is significantly superior over LAK cells in immunotherapy of human RCC.
我们研究了肾细胞癌(RCC)患者中重组白细胞介素-2(rIL-2)扩增的肿瘤浸润淋巴细胞(TIL)的亚群和细胞毒性。在培养的最初48小时内,使用抗CD3成功地在14例RCC病例中的13例中扩增了TIL。培养1至4周时,rIL-2扩增的TIL中CD8阳性细胞的百分比为56.2±15.1%(范围26.2 - 79.8%,n = 13),不一定比CD4阳性细胞占优势。培养3至6周时,TIL的自然杀伤和淋巴因子激活的杀伤(LAK)活性分别为31.6±15.8%(范围1.4 - 57.4%,n = 9)和16.6±11.6%(范围3.8 - 35.6%,n = 6)。培养3至4周时,TIL对自体和异体RCC的细胞毒性分别为17.9±19.7%(范围0 - 47.6%,n = 4)和18.9±14.8%(范围0 - 47.3%,n = 12)。由于两者之间无统计学差异,未证明有自体特异性细胞毒性。根据本研究的这些结果,rIL-2扩增的TIL在自体RCC裂解中的大多数效应细胞不太可能是主要组织相容性复合体限制的细胞毒性T细胞。我们得出结论,在人类RCC的免疫治疗中,TIL是否明显优于LAK细胞值得怀疑。