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Cancer Immunology, Immunotherapy : CII logoLink to Cancer Immunology, Immunotherapy : CII
. 1992 Sep;34(5):337–342. doi: 10.1007/BF01741555

Continuous intravenous infusion of high-dose recombinant interleukin-2 for acute myeloid leukaemia — a phase II study

S H Lim 1,, A C Newland 3, S Kelsey 3, A Bell 4, E Offerman 5, C Rist 6, D Gozzard 7, D Bareford 8, M P Smith 1, A H Goldstone 1
PMCID: PMC11038385  PMID: 1540980

Abstract

A group of 13 patients with acute myeloid leukaemia of differing disease status were treated with continuous intravenous infusion of high-dose recombinant interleukin-2 (rIL-2). There was up-regulation of the cellular cytotoxic functions in all these patients following the rIL-2 therapy, with increase in the natural killer (NK) activity, lectin-dependent cellular cytotoxicity, induction of cytotoxicity-linked cytoplasmic serine esterase and lymphocyte activation. However, the clinical response to rIL-2 in these patients was disappointing, especially in patients treated in frank relapse. Although 1 patient treated in early second relapse achieved a third complete remission, the duration of the remission was brief and lasted only 6 months. Adverse reactions among these patients were common. Whether or not lymphokine-activated killer cells are needed to improve the response rate over rIL-2 alone in these patients deserves further investigation.

Key words: Acute myeloid leukaemia, Recombinant interleukin-2

References

  • 1.Adler A, Chervenick IA, Whiteside T, Lotzova E, Herberman RB. Interleukin 2 induction of lymphokine-activated killer (LAK) activity in the peripheral blood and bone marrow of acute leukemia patients: I. Feasibility of LAK generation in adult patients with active disease and in remission. Blood. 1988;71:709–716. [PubMed] [Google Scholar]
  • 2.Barrett AJ (1989) IL-2 in treatment of haematological malignancies. Presented at the Grantholder's meeting, Leukaemia Research Fund, London, November 1989
  • 3.Beran M, Hansson M, Kiessling R. Human natural killer cells can inhibit clonogenic growth of fresh leukemic cells. Blood. 1983;61:596–599. [PubMed] [Google Scholar]
  • 4.Champlin RE, Ho WG, Gale RP, et al. Treatment of acute myelogenous leukemia: a prospective controlled trial of bone marrow transplantation versus consolidation chemotherapy. Ann Intern Med. 1985;102:285–291. doi: 10.7326/0003-4819-102-3-285. [DOI] [PubMed] [Google Scholar]
  • 5.Fletcher M, Goldstone AL. Recent advances in the understanding of the biochemistry and clinical pharmacology of interleukin-2. Lymphokine Res. 1987;6:45–57. [PubMed] [Google Scholar]
  • 6.Foa R, Meloni G, Tosti S, et al. Treatment of residual disease in acute leukemia patients with recombinant interleukin-2 (IL-2): clinical and biological findings. Bone Marrow Transplant. 1990;6(Suppl 1):98–102. [PubMed] [Google Scholar]
  • 7.Foa R, Caretto P, Fierro MT, et al. Interleukin 2 does not promote the in vitro and in vivo proliferation and growth of human acute leukaemia cells of myeloid and lymphoid origin. Br J Haematol. 1990;75:34–40. doi: 10.1111/j.1365-2141.1990.tb02613.x. [DOI] [PubMed] [Google Scholar]
  • 8.Gillis S, Smith KA. Long-term culture of tumour-specific cytotoxic T-cells. Nature. 1977;268:154–156. doi: 10.1038/268154a0. [DOI] [PubMed] [Google Scholar]
  • 9.Grimm EA, Mazumder A, Zhang HZ, Rosenberg SA. Lymphokine-activated killer cell phenomenon. Lysis of natural killer-resistant fresh solid tumour cells by interleukin 2-activated autologous human peripheral blood. J Exp Med. 1982;155:1823–1841. doi: 10.1084/jem.155.6.1823. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Henney CS, Kurybayashi K, Kern DE, Gillis S. Interleukin-2 augments natural killer cell activity. Nature. 1981;291:335–338. doi: 10.1038/291335a0. [DOI] [PubMed] [Google Scholar]
  • 11.Lafreniere R, Rosenberg SA. Successful immunotherapy of murine experimental hepatic metastases with lymphokine-activated killer cells and recombinant interleukin-2. Cancer Res. 1985;45:3735–3741. [PubMed] [Google Scholar]
  • 12.Lim SH, Callaghan T, Goldstone AH. Thyroid disorders in two cases of AML following treatment with recombinant interleukin-2. Acta Hematol (Basel) 1991;85:49–50. doi: 10.1159/000204854. [DOI] [PubMed] [Google Scholar]
  • 13.Lim SH, Worman CP, Jewell AP, Goldstone AH. Cellular cytotoxic function and potential in acute myelogenous leukaemia. Leuk Res. 1991;15:6411–6444. doi: 10.1016/0145-2126(91)90033-p. [DOI] [PubMed] [Google Scholar]
  • 14.Lim SH, Worman CP, Jewell A, Tsakona C, Giles FJ, Goldstone AH. Lymphocytes activation and serine esterase induction following recombinant interleukin-2 infusion for lymphoma and acute leukaemias. Cancer Immunol Immunother. 1991;33:133–137. doi: 10.1007/BF01742542. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Lim SH, Worman CP, Jewell AP, Goldstone AH. Production of tumour-derived suppressor factor in patients with acute myeloid leukaemia. Leuk Res. 1991;15:263–268. doi: 10.1016/0145-2126(91)90129-h. [DOI] [PubMed] [Google Scholar]
  • 16.Lista P, Fierro MT, Liao XS, et al. Lymphokine-activated killer (LAK) cells inhibit the clonogenic growth of human leukaemia stem cells. Eur J Haematol. 1989;42:425–430. doi: 10.1111/j.1600-0609.1989.tb01465.x. [DOI] [PubMed] [Google Scholar]
  • 17.Miller AB, Hoogstraten B, Staquet M, Winkler A. Reporting results of cancer treatment. Cancer. 1981;47:207–214. doi: 10.1002/1097-0142(19810101)47:1<207::aid-cncr2820470134>3.0.co;2-6. [DOI] [PubMed] [Google Scholar]
  • 18.Mule JJ, Shu S, Schwarz SL, Rosenberg SA. Adoptive immunotherapy of established pulmonary metastases with LAK cells and recombinant interleukin-2. Science. 1984;255:1487–1489. doi: 10.1126/science.6332379. [DOI] [PubMed] [Google Scholar]
  • 19.Powles RL, Morgenstern G, Clink HM. The place of bone marrow transplantation in acute myelogenous leukaemia. Lancet. 1980;1:1047–1050. doi: 10.1016/s0140-6736(80)91497-x. [DOI] [PubMed] [Google Scholar]
  • 20.Price G, Brenner MK, Prentice HG, Hoffbrand AV, Newland AC. Cytotoxic effects of tumour necrosis factor and gamma-interferon on acute myeloid leukemia blasts. Cancer. 1987;55:287–290. doi: 10.1038/bjc.1987.55. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Rees JKH, Gray RG, Swirsky E, Hayhoe FGJ. Principal results of the Medical Research Council's 8th acute myeloid leukaemia trial. Lancet. 1986;2:1236–1241. doi: 10.1016/s0140-6736(86)92674-7. [DOI] [PubMed] [Google Scholar]
  • 22.Rosenberg SA, Lotze MT, Muul LM, et al. Observation on the systemic administration of autologous lymphokine-activated killer cells and recombinant interleukin-2 to patients with metastatic cancer. N Engl J Med. 1985;313:1485–1492. doi: 10.1056/NEJM198512053132327. [DOI] [PubMed] [Google Scholar]
  • 23.Rosenberg SA, Lotze MT, Muul LM, et al. A progress report on the treatment of 157 patients with advanced cancer using lymphokine-activated killer cells and interleukin-2 or high dose interleukin-2 alone. N Engl J Med. 1987;316:889–897. doi: 10.1056/NEJM198704093161501. [DOI] [PubMed] [Google Scholar]
  • 24.Rosenstein M, Yron I, Kaufmann Y, Rosenberg SA. Lymphokine-activated killer cells: lysis of fresh syngeneic natural killer-resistant murine lymphocytes cultured in interleukin-2. Cancer Res. 1984;44:1946–1953. [PubMed] [Google Scholar]
  • 25.West WH, Tauer KW, Yanelli JR, et al. Constant infusion recombinant interleukin-2 in adoptive immunotherapy of advanced cancer. N Engl J Med. 1987;316:898–905. doi: 10.1056/NEJM198704093161502. [DOI] [PubMed] [Google Scholar]

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