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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2004-4-22
pubmed:abstractText
The objective of this Phase II study was to evaluate the pharmacodynamic and immune effects of intratumorally administered recombinant human interleukin-12 (IL-12) on regional lymph nodes, primary tumor, and peripheral blood. Ten previously untreated patients with head and neck squamous cell carcinoma were injected in the primary tumor two to three times, once/week, at two dose levels of 100 or 300 ng/kg, before surgery. We compared these patients with 20 control (non-IL-12-treated) patients. Toxicity was high, with unexpected dose-limiting toxicities at the 300 ng/kg dose level. Dose-dependent plasma IFN-gamma and IL-10 increments were detected. These cytokine levels were higher after the first injection than after the subsequent injections. A rapid, transient reduction in lymphocytes, monocytes, and all lymphocyte subsets, especially natural killer cells, was observed, due to a redistribution to the lymph nodes. In the enlarged lymph nodes of the IL-12-treated patients, a higher percentage of natural killer cells and a lower percentage of T-helper cells were found compared with control patients. The same pattern was detected in the infiltrate in the primary tumor. Real-time semiquantitative PCR analysis of peripheral blood mononuclear cells in the peripheral blood showed a transient decrease of T-bet mRNA. Interestingly, the peripheral blood mononuclear cells in the lymph nodes showed a 128-fold (mean) increase of IFN-gamma mRNA. A switch from the Th2 to a Th1 profile in the lymph nodes compared with the peripheral blood occurred in the IL-12-treated patients. In conclusion, in previously untreated head and neck squamous cell carcinoma patients, recombinant human IL-12 intratumorally showed dose-limiting toxicities at the dose level of 300 ng/kg and resulted in measurable immunological responses locoregionally at both dose levels.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1078-0432
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2626-35
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:15102664-Adult, pubmed-meshheading:15102664-Aged, pubmed-meshheading:15102664-Area Under Curve, pubmed-meshheading:15102664-Carcinoma, Squamous Cell, pubmed-meshheading:15102664-Case-Control Studies, pubmed-meshheading:15102664-Cytokines, pubmed-meshheading:15102664-Female, pubmed-meshheading:15102664-Head and Neck Neoplasms, pubmed-meshheading:15102664-Humans, pubmed-meshheading:15102664-Interferon-gamma, pubmed-meshheading:15102664-Interleukin-10, pubmed-meshheading:15102664-Interleukin-12, pubmed-meshheading:15102664-Kinetics, pubmed-meshheading:15102664-Leukocytes, Mononuclear, pubmed-meshheading:15102664-Lymph Nodes, pubmed-meshheading:15102664-Lymphocyte Subsets, pubmed-meshheading:15102664-Male, pubmed-meshheading:15102664-Middle Aged, pubmed-meshheading:15102664-Polymerase Chain Reaction, pubmed-meshheading:15102664-RNA, Messenger, pubmed-meshheading:15102664-Recombinant Proteins, pubmed-meshheading:15102664-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:15102664-Th1 Cells, pubmed-meshheading:15102664-Time Factors, pubmed-meshheading:15102664-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Intratumoral administration of recombinant human interleukin 12 in head and neck squamous cell carcinoma patients elicits a T-helper 1 profile in the locoregional lymph nodes.
pubmed:affiliation
Department of Medical Oncology, UMC Nijmegen, Nijmegen, The Netherlands. C.vanherpen@onco.umcn.nl
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't, Clinical Trial, Phase II