Forecasting the cytokine storm following systematic interleukin (IL)-2 administration

被引:109
作者
Panelli M.C. [1 ]
White R. [2 ]
Foster M. [2 ]
Martin B. [3 ]
Wang E. [1 ]
Smith K. [1 ]
Marincola F.M. [1 ]
机构
[1] Immunogenetics Section, Department of Transfusion Medicine, National Institutes of Health, Bethesda, MD
[2] Carolinas Medical Center, Charlotte, NC
[3] Unit of Molecular Structure, National Institute of Mental Health, Bethesda, MD
关键词
Soluble Factor; Renal Cell Cancer; Cytokine Storm; Fourth Dose; Leukocyte Inhibitory Factor;
D O I
10.1186/1479-5876-2-17
中图分类号
学科分类号
摘要
Extensive clinical experience has shown that systemic interleukin (IL)-2 administration can induce complete or partial regression of renal cell cancer (RCC) metastases in 15 to 20 % of patients. Since IL-2 has no direct anti-cancer effects, it is believed that cancer regression is mediated either by a direct modulation of immune cell effector functions or through the mediation of soluble factors released as a result of IL-2 administration. We previously observed that transcriptional and protein changes induced by systemic IL-2 administration affect predominantly mononuclear phagocytes with little effect, particularly within the tumor microenvironment, on T cell activation, localization and proliferation. It further appeared that mononuclear phagocyte activation could be best explained by the indirect mediation of a secondary release of cytokines by IL-2 responsive cells either in the circulation or in peripheral tissues. © 2004 Panelli et al; licensee BioMed Central Ltd.
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页数:14
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