title: Increased soluble interleukin-2 receptor concentration in plasma predicts a decreased cellular response to IL-2.
abstract: Interleukin 2 (IL-2) immunotherapy has met with limited success in the treatment of renal cell carcinoma (RCC) and malignant melanoma (MM). However, non-responders still account for up to 80% of those patients receiving IL-2. A high concentration of soluble IL-2 receptor (sIL-2R) is commonly found in the blood of such patients. We investigated the possibility that high sIL-2R concentration pretreatment may interfere with the bioavailability of IL-2. The mean concentration of sIL-2R in plasma from patients with MM, RCC and head and neck cancer was 3378 U ml-1, 8778 U ml-1 and 764 U ml-1 respectively, compared with 1315 U ml-1 in plasma from healthy volunteers. Inclusion of plasma from patients with RCC and MM patient plasma in cytotoxic T-lymphocyte leukaemic (CTLL) cell/IL-2 assays inhibited the ability of CTLL cells to respond to IL-2, and an inverse correlation was found between the concentration of sIL-2R and the growth response of CTLL cell to IL-2 (r = -0.86, P = 0.003). Plasma with soluble IL-2R concentrations greater than 3000 U ml-1 produced a reduction in cell growth of more than 50% when included in CTLL IL-2 assays. The addition of increasing concentrations of IL-2 to cultures containing suppressive plasma failed to restore CTLL cell growth response to normal. Failure to saturate sIL-2R by exogenous IL-2 addition therefore suggests that another factor, initially present at a concentration similar to the sIL-2R concentration, is responsible for the observed effect. Determination of the suppressive effect of patient plasma as presented here may allow more effective IL-2 dosing schedules.
authors.affiliation: Department of Haematology, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
authors.forename: R
authors.initials: R
authors.lastname: Gooding
authors.forename: P
authors.initials: P
authors.lastname: Riches
authors.forename: G
authors.initials: G
authors.lastname: Dadian
authors.forename: J
authors.initials: J
authors.lastname: Moore
authors.forename: M
authors.initials: M
authors.lastname: Gore
mesh_terms: D000818:Animals; D001682:Biological Availability; D002292:Carcinoma, Renal Cell / Q000097:blood; D002455:Cell Division / Q000187:drug effects; D005260:Female; D006258:Head and Neck Neoplasms / Q000097:blood; D006801:Humans; D007167:Immunotherapy; D007376:Interleukin-2 / Q000037:antagonists & inhibitors / Q000493:pharmacokinetics / Q000494:pharmacology*; D015847:Interleukin-4 / Q000494:pharmacology; D007680:Kidney Neoplasms / Q000097:blood; D015458:Leukemia, T-Cell / Q000473:pathology; D008297:Male; D008545:Melanoma / Q000097:blood; D051379:Mice; D009369:Neoplasms / Q000097:blood* / Q000473:pathology / Q000628:therapy*; D009374:Neoplasms, Experimental / Q000097:blood / Q000473:pathology / Q000628:therapy; D011237:Predictive Value of Tests; D015375:Receptors, Interleukin-2 / Q000378:metabolism*; D012995:Solubility; D013268:Stimulation, Chemical; D013602:T-Lymphocytes, Cytotoxic / Q000473:pathology; D014407:Tumor Cells, Cultured / Q000187:drug effects
chemical_list: D007376:Interleukin-2; D015375:Receptors, Interleukin-2; D015847:Interleukin-4