Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2003-2-13
pubmed:abstractText
In murine models, transgenic chemokine-cytokine tumor vaccines overcome many of the limitations of single-agent immunotherapy by producing the sequence of T-cell attraction followed by proliferation. The safety and immunologic effects of this approach in humans were tested in 21 patients with relapsed or refractory neuroblastoma. They received up to 8 subcutaneous injections of a vaccine combining lymphotactin (Lptn)- and interleukin-2 (IL-2)-secreting allogeneic neuroblastoma cells in a dose-escalating scheme. Severe adverse reactions were limited to reversible panniculitis in 5 patients and bone pain in 1 patient. Injection-site biopsies revealed increased cellularity caused by infiltration of CD4+ and CD8+ lymphocytes, eosinophils, and Langerhans cells. Systemically, the vaccine produced a 2-fold (P =.035) expansion of CD4+ T cells, a 3.5-fold (P =.039) expansion of natural killer (NK) cells, a 2.1-fold (P =.014) expansion of eosinophils, and a 1.6-fold (P =.049) increase in serum IL-5. When restimulated in vitro by the immunizing cell line, T cells collected after vaccination showed a 2.3-fold increase (P =.02) of T-helper (TH2)-type CD3+IL-4+ cells. Supernatant collected from restimulated cells showed increased amounts of IL-4 (11.4-fold; P =.021) and IL-5 (8.7-fold; P =.002). Six patients had significant increases in NK cytolytic activity. Fifteen patients made immunoglobulin G (IgG) antibodies that bound to the immunizing cell line. Measurable tumor responses included complete remission in 2 patients and partial response in 1 patient. Hence, allogeneic tumor cell vaccines combining transgenic Lptn with IL-2 appear to have little toxicity in humans and can induce an antitumor immune response.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
101
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1718-26
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:12406881-Adolescent, pubmed-meshheading:12406881-CD4 Lymphocyte Count, pubmed-meshheading:12406881-CD4-Positive T-Lymphocytes, pubmed-meshheading:12406881-Cancer Vaccines, pubmed-meshheading:12406881-Chemokines, C, pubmed-meshheading:12406881-Child, pubmed-meshheading:12406881-Child, Preschool, pubmed-meshheading:12406881-Cytokines, pubmed-meshheading:12406881-DNA, Complementary, pubmed-meshheading:12406881-Female, pubmed-meshheading:12406881-Humans, pubmed-meshheading:12406881-Hypersensitivity, Delayed, pubmed-meshheading:12406881-Immunization Schedule, pubmed-meshheading:12406881-Immunoglobulin G, pubmed-meshheading:12406881-Immunophenotyping, pubmed-meshheading:12406881-Infant, pubmed-meshheading:12406881-Injections, Subcutaneous, pubmed-meshheading:12406881-Interleukin-2, pubmed-meshheading:12406881-Killer Cells, Natural, pubmed-meshheading:12406881-Lymphokines, pubmed-meshheading:12406881-Male, pubmed-meshheading:12406881-Neuroblastoma, pubmed-meshheading:12406881-Panniculitis, pubmed-meshheading:12406881-Recombinant Fusion Proteins, pubmed-meshheading:12406881-Remission Induction, pubmed-meshheading:12406881-Salvage Therapy, pubmed-meshheading:12406881-Sialoglycoproteins, pubmed-meshheading:12406881-Skin, pubmed-meshheading:12406881-Th2 Cells, pubmed-meshheading:12406881-Transduction, Genetic, pubmed-meshheading:12406881-Treatment Outcome, pubmed-meshheading:12406881-Tumor Cells, Cultured
pubmed:year
2003
pubmed:articleTitle
Local and systemic effects of an allogeneic tumor cell vaccine combining transgenic human lymphotactin with interleukin-2 in patients with advanced or refractory neuroblastoma.
pubmed:affiliation
Center for Cell and Gene Therapy, Texas Children's Cancer Center, and the Department of Pathology, Baylor College of Medicine, Houston, TX 77030, USA. rfrousse@txccc.org
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't, Clinical Trial, Phase I