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Published online June 17, 2009
The Journal of Immunology, 2009, doi:10.4049/jimmunol.0804166
Copyright © 2009 by The American Association of Immunologists, Inc.

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*Lung Cancer

Coexpression of IL-18 Strongly Attenuates IL-12-Induced Systemic Toxicity through a Rapid Induction of IL-10 without Affecting its Antitumor Capacity

Maria Cecilia Rodriguez-Galan*, Della Reynolds*, Silvia G. Correa{ddagger}, Pablo Iribarren{dagger}, Morihiro Watanabe* and Howard A. Young*

*Laboratory of Experimental Immunology, {dagger}Laboratory of Molecular Immunoregulation, Cancer and Inflammation Program, Center for Cancer Research, National Cancer Institute-Frederick, Frederick, MD 21702; and {ddagger}Inmunología. Centro de Investígaciones en Bioquímica Clínica e Inmunología and Consejo Nacional de Investigaciones Científicas y Técnicas, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Córdoba, Argentina

IL-12 is an excellent candidate for the treatment of cancer due to its ability to drive strong antitumor responses. Recombinant IL-12 protein is currently used in cancer patients; however, systemic expression of rIL-12 presents disadvantages including cost and dose limitation due to its toxicity. In this study, we used hydrodynamic shear of cDNA as a tool to achieve systemic expression of IL-12. We found that sustained but toxic levels of serum IL-12 could be generated in 6- to 7-wk-old B6 mice after a single injection of the cDNA. Unexpectedly, we observed that when IL-12 cDNA is coinjected with IL-18 cDNA, IL-12 antitumor activity was maintained, but there was a significant attenuation of IL-12 toxicity, as evidenced by a greater survival index and a diminution of liver enzymes (ALT and AST). Interestingly, after IL-12 plus IL-18 cDNA administration, more rapid and higher IL-10 levels were observed than after IL-12 cDNA treatment alone. To understand the mechanism of protection, we coinjected IL-12 plus IL-10 cDNAs and observed an increase in survival that correlated with diminished serum levels of the inflammatory cytokines TNF-{alpha} and IFN-{gamma}. Confirming the protective role of early IL-10 expression, we observed a significant decrease in survival in IL-10 knockout mice or IL-10R-blocked B6 mice after IL-12 plus IL-18 treatment. Thus, our data demonstrate that the high and early IL-10 expression induced after IL-12 plus IL-18 cDNA treatment is critical to rapidly attenuate IL-12 toxicity without affecting its antitumor capacity. These data could highly contribute to the design of more efficient/less toxic protocols for the treatment of cancer.

Address correspondence and reprint requests to Maria Cecilia Rodriguez-Galan, Inmunologí8a. CIBICI-CONICET, Haya de la Torre y Medina Allende. Facultad de Ciencias Químicas. Universidad Nacional de Córdoba. Argentina. E-mail address: crodri{at}bioclin.fcq.unc.edu.ar.







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