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The Journal of Immunology, 2004, 172: 7368-7376.
Copyright © 2004 by The American Association of Immunologists

IL-12 Pretreatments Enhance IFN-{alpha}-Induced Janus Kinase-STAT Signaling and Potentiate the Antitumor Effects of IFN-{alpha} in a Murine Model of Malignant Melanoma1

Gregory B. Lesinski*, Brian Badgwell{dagger}, Jason Zimmerer*, Tim Crespin§, Yan Hu{dagger}, Gerard Abood{dagger} and William E. Carson, III2,*,{dagger},{ddagger}

* Departments of Human Cancer Genetics, {dagger} Surgery and {ddagger} Medical Microbiology, Virology and Immunology, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Ohio State University, Columbus, OH 43210; and § Primetrics, Inc., Hilliard, OH 43026

IFN-{alpha} 2b (IFN-{alpha}) has been used to treat patients with metastatic malignant melanoma and patients rendered disease-free via surgery but at high risk for recurrence. We hypothesized that IL-12 pretreatments would result in endogenous IFN-{gamma} production, and that this, in turn, would up-regulate levels of Janus kinase-STAT signaling intermediates and lead to increased expression of genes regulated by IFN-{alpha}. Treatment of PBMCs with IL-12 stimulated a significant and dose-dependent production of IFN-{gamma}. Pretreatment of PBMCs and tumor cells with IFN-{gamma}-containing supernatants from IL-12-stimulated PBMCs led to up-regulation of STAT1, STAT2, and IFN regulatory factor 9 (IRF9) and potentiated IFN-{alpha}-induced STAT signaling within PBMCs and tumor cells. These effects were abrogated by neutralization of IFN-{gamma} in the PBMC supernatants with an anti-IFN-{gamma} Ab. Pretreatment of HT144 melanoma cells and PBMCs with IFN-{gamma} or IFN-{gamma}-containing supernatants enhanced the actions of IFN-{alpha} at the transcriptional level, as measured by real-time RT PCR analysis of the IFN-stimulated gene 15. Experiments in wild-type C57BL/6 and IFN-{gamma} receptor knockout (B6.129S7-Ifngrtm1Agt) mice demonstrated that a regimen of IL-12 pretreatment, followed by IFN-{alpha}, could cure mice of i.p. B16F1 melanoma tumors (p < 0.007), whereas mice treated with either agent alone or PBS succumbed to fatal tumor burden. However, this treatment regimen did not significantly prolong the survival of IFN-{gamma}-deficient (B6.129S7-Ifngtm1Ts) mice compared with mice treated with IFN-{alpha} alone. These results suggest that the response to IFN-{alpha} immunotherapy can be significantly enhanced by IL-12 pretreatment, and this effect is dependent upon endogenous IFN-{gamma} production and its actions on melanoma cells.




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