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The Journal of Immunology, 2003, 170: 400-412.
Copyright © 2003 by The American Association of Immunologists

Human CD4+ T Cells Present Within the Microenvironment of Human Lung Tumors Are Mobilized by the Local and Sustained Release of IL-12 to Kill Tumors In Situ by Indirect Effects of IFN-{gamma}1

Stephen D. Hess*, Nejat K. Egilmez*, Nicola Bailey{dagger}, Timothy M. Anderson{ddagger}, Edith Mathiowitz{dagger}, Steven H. Bernstein§ and Richard B. Bankert2,*

* Department of Microbiology, State University of New York, Buffalo, NY 14214; {dagger} Department of Molecular Pharmacology, Physiology, and Biotechnology, Brown University, Providence, RI 02912; {ddagger} Department of Surgical Oncology, Roswell Park Cancer Institute, Buffalo, NY 14263; and § Lymphoma Biology Program, Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY 14642

By implanting nondisrupted pieces of human lung tumor biopsy tissues into SCID mice, it has been possible to establish viable grafts of the tumor, as well as the tumor-associated microenvironment, including inflammatory cells, fibroblasts, tumor vasculature, and the extracellular matrix. Using this xenograft model, we have evaluated and characterized the effects of a local and sustained release of human rIL-12 (rhIL-12) from biodegradable microspheres. In response to rhIL-12, the human CD45+ inflammatory cells present within the xenograft mediate the suppression or the complete arrest of tumor growth in SCID mice. Analysis of the cellular events reveals that human CD4+ and CD8+ T cells are induced by rhIL-12 to produce and secrete IFN-{gamma}. Serum levels of human IFN-{gamma} in mice bearing rhIL-12-treated tumor xenografts correlate directly with the degree of tumor suppression, while neutralizing Abs to human IFN-{gamma} abrogate the IL-12-mediated tumor suppression. Gene expression profiling of tumors responding to intratumoral rhIL-12 demonstrates an up-regulation of IFN-{gamma} and IFN-{gamma}-dependent genes not observed in control-treated tumors. Genes encoding a number of proinflammatory cytokines, chemokines (and their receptors), adhesion molecules, activation markers, and the inducible NO synthase are up-regulated following the introduction of rhIL-12, while genes associated with tumor growth, angiogenesis, and metastasis are decreased in expression. NO contributes to the tumor killing because an inhibitor of inducible NO synthase prevents IL-12-induced tumor suppression. Cell depletion studies reveal that the IL-12-induced tumor suppression, IFN-{gamma} production, and the associated changes in gene expression are all dependent upon CD4+ T cells.




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