title: Interleukin-2-induced lymphocyte infiltration of multiple organs is differentially suppressed by soluble tumor necrosis factor receptor.
abstract: Interleukin-2 (IL-2) mediates the regression of metastatic cancer, but clinical application is restricted by associated toxicities. Previous studies implicate tumor necrosis factor (TNF) as an important mediator of certain IL-2-induced toxicities. We hypothesized that soluble TNF receptor (sTNFr), a TNF antagonist, would alter lymphocyte trafficking into normal tissues and ameliorate IL-2-induced toxicity. Four groups of C57BL/6 mice were treated for 4 days with intraperitoneal injections of 100,000 IU IL-2 alone, 100,000 IU IL-2 and 30 micrograms sTNFr combined, 30 micrograms sTNFr alone, or equal volumes of saline. Animal activity was graded and blood obtained for SGPT and SGOT. At necropsy, organs were harvested for wet:dry ratios as a measurement of organ edema. The lung, liver, and thymus were examined histologically for lymphocytic infiltration and graded on a scale of 1 to 5. IL-2-treated groups had a statistically significant increase in organ edema, lymphocytic infiltration into the lung and liver, liver enzyme elevation, and pancytopenia when compared with controls. Soluble TNFr significantly suppressed IL-2-induced pulmonary lymphocytic infiltration and associated serum lymphopenia without significant alteration of other IL-2-induced effects. These data implicate TNF as a mediator of the pulmonary lymphocytic infiltration and of lymphopenia that accompanies IL-2 therapy and further suggest that alternative mechanisms are involved in other IL-2-induced deleterious effects.
authors.affiliation: Department of Surgery, University of Louisville School of Medicine, Kentucky 40292.
authors.forename: T D
authors.initials: TD
authors.lastname: Quinn
authors.forename: F N
authors.initials: FN
authors.lastname: Miller
authors.forename: M A
authors.initials: MA
authors.lastname: Wilson
authors.forename: R N
authors.initials: RN
authors.lastname: Garrison
authors.forename: J A
authors.initials: JA
authors.lastname: Anderson
authors.forename: L G
authors.initials: LG
authors.lastname: Lenz
authors.forename: M J
authors.initials: MJ
authors.lastname: Edwards
mesh_terms: D000818:Animals; D002465:Cell Movement / Q000502:physiology; D004927:Escherichia coli Infections / Q000401:mortality; D005260:Female; D007376:Interleukin-2 / Q000494:pharmacology* / Q000506:poisoning; D008168:Lung / Q000187:drug effects / Q000473:pathology; D008214:Lymphocytes / Q000187:drug effects / Q000473:pathology / Q000502:physiology*; D051379:Mice; D008810:Mice, Inbred C57BL; D018124:Receptors, Tumor Necrosis Factor / Q000502:physiology*; D012995:Solubility; D016019:Survival Analysis
chemical_list: D007376:Interleukin-2; D018124:Receptors, Tumor Necrosis Factor