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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1989-7-20
pubmed:abstractText
The toxicity and therapeutic efficacy of the combination of recombinant interferon gamma (rIFN-gamma) and alpha (rIFN-alpha) was investigated in 15 patients with metastatic melanoma. Patients were treated with an escalating dose of rIFN-gamma and a fixed dose of rIFN-alpha administered s.c. 3 times a week. The maximum dose was well tolerated. The median survival time of the patients was 7 months; no clinical remissions were observed. In the majority of cases, expression of HLA class-I and -II antigens on the patients' peripheral blood lymphocytes and monocytes increased markedly during treatment. An increase in HLA-DR expression of peripheral blood T lymphocytes was correlated with a longer survival time. This suggests that activation of T lymphocytes may have a favourable influence on the course of metastatic disease. The in vitro anti-proliferative activity of IFNs on melanoma cell lines isolated from melanoma metastases during treatment of 3 patients was determined. In contrast to the lack of in vivo anti-tumour effect in patients, both rIFN-gamma and rIFN-alpha inhibited DNA synthesis of these melanoma cell lines in vitro, combined IFNs acting synergistically. Anti-proliferative activity observed in vitro occurred at IFN concentrations below the peak serum levels achieved in vivo.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0020-7136
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
43
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1001-6
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:2499552-Cell Division, pubmed-meshheading:2499552-Cell Separation, pubmed-meshheading:2499552-Clinical Trials as Topic, pubmed-meshheading:2499552-Dose-Response Relationship, Drug, pubmed-meshheading:2499552-Drug Synergism, pubmed-meshheading:2499552-Drug Therapy, Combination, pubmed-meshheading:2499552-Flow Cytometry, pubmed-meshheading:2499552-Histocompatibility Antigens Class I, pubmed-meshheading:2499552-Histocompatibility Antigens Class II, pubmed-meshheading:2499552-Humans, pubmed-meshheading:2499552-Injections, Subcutaneous, pubmed-meshheading:2499552-Interferon Type I, pubmed-meshheading:2499552-Interferon-gamma, pubmed-meshheading:2499552-Leukocytes, Mononuclear, pubmed-meshheading:2499552-Melanoma, pubmed-meshheading:2499552-Neoplasm Metastasis, pubmed-meshheading:2499552-Recombinant Proteins, pubmed-meshheading:2499552-Time Factors, pubmed-meshheading:2499552-Tumor Cells, Cultured
pubmed:year
1989
pubmed:articleTitle
In vivo effects of combination treatment with recombinant interferon-gamma and -alpha in metastatic melanoma.
pubmed:affiliation
Department of Clinical Oncology, University Hospital, Leiden, The Netherlands.
pubmed:publicationType
Journal Article, Clinical Trial