Summary
Ten patients with recurrent malignant primary brain neoplasms were treated with adoptive immunotherapy using lymphokine-activated killer (LAK) cells and interleukin-2 (IL-2). Nine patients had supratentorial glioma and they received multiple intratumoral instillations of LAK cells through reservoir-catheter system or burrhole. The other patients with disseminated subarachnoid metastases from posterior fossa medulloblastoma received immunotherapy via lumbar subarachnoid route. A partial and transient clinical response was observed in two patients following the therapy, and a cystic transformation of the essentially solid tumor was noted on the CT scans of these two patients. No significant clinical or radiological response to the treatment was observed in the remaining 8 patients. The results of this preliminary study reveal limitations of the regional intratumoral adoptive immunotherapy using currently available techniques and provide sufficient evidence of its effectiveness to warrant further investigations.
Similar content being viewed by others
References
Shimizu K, Okamoto Y, Miyao Y, Yamada M, Ushio Y, Hayakawa T, Ikeda H, Mogagami H: Adoptive immunotherapy of human meningeal gliomatosis and carcinomatosis with LAK cells and recombinant interleukin-2. J Neurosurg 66: 519–521, 1987
Walker MD, Green SB, Byar DP, et al.: Randomized comparisons of radiotherapy and nitrosoureas in the treatment of malignant glioma after surgery. N Engl J Med 303: 1323–1329, 1980
Apuzzo MJ, Mitchell MS: Immunological aspects of intrinsic glial tumors. J Neurosurg 55: 1–18, 1981
Mahaley MS, Gillespie GY: Immunotherapy of patients with glioma: Fact, fancy and future. Prog Exp Tumor Res 28: 118–135, 1984
Cheever MA, Greenberg PD, Fefer A, et al.: Augmentation of the antitumor therapeutic efficacy of long term cultured T-lymphocytes by in vivo administration of purified interleukin-2. J Exp Med 155: 968–980, 1982
Steinbok P, Thomas JPW, Grossman L, Dolman CL: Intratumoral autologous mononuclear cells in the treatment of recurrent glioblastoma multiforme. J Neurooncol 2: 147–151, 1984
Young H, Kaplan A, Regllson W. Immunotherapy with autologous white cell infusions (lymphocytes) in the treatment of recurrent glioblastoma multiforme. A preliminary report. Cancer 40: 1037–1044, 1977
Grimm EA: Human lymphokine activated killer cells (LAK cells) as a potential immunotherapeutic modality. Biochem Biophys Acta 865: 267–279, 1986
Grimm EA, Mazumder A, Zhang HG, et al.: Lymphokine activated killer cell phenomenon. Lysis of natural killer resistant fresh solid tumor cells by interleukin-2 activated autologous human peripheral blood lymphocytes. J Exp Med 155: 1823–1841, 1982
Lotze MT, Grimm EA, Mazumder A, et al.: Lysis of fresh and cultured autologous tumor by human lymphocytes cultured in T -cell growth factor. Cancer Res 41: 4420–4425, 1981
Rosenberg SA, Lotze MT, Muul LM, Chang AE, Avis FP, Leitman S, Linehan WM, Robertson CN, Lee RE, Rubin JT, Seipp CA, Simpson CG, White DE: A progress report on the treatment of 157 patients with advanced cancer using lymphokine activated killer cells and interleukin-2 or high dose interleukin-2 alone. N Eng J Med 316: 889–897, 1987
Rosenberg SA: Adoptive immunotherapy of cancer using lymphokine activated killer cells and recombinant interleukin-2. In: Devita VT, Hellman S, Rosenberg SA (eds) Important Advances in Oncology, JB Lippincott, Philadelphia 55–91, 1986
Barba D, Saris SC, Holder C, Rosenberg SA, Oldfield EH: Intratumoral LAK cell and interleukin-2 therapy of human gliomas. J Neurosurg 70: 175–182, 1989
Ingram M, Jaques S, Freshwater DB, Techy GB, Shelden CH, Helsper JT: Salvage immunotherapy of malignant glioma. Arch Surg 122: 1483–1486, 1987
Jacobs SK, Wilson DJ, Melin G, Parham CW Holcomb B, Kornblith PL, Grimm EA: Interleukin-2 and lymphokine activated killer (LAK) cells in the treatment of malignant glioma: Clinical and experimental studies. Neurol Res 8: 81–87, 1986
Kitahara T, Watanabe O, Yamaura A, Makino H, Watanabe T, Suzuki G, Okumura K: Establishment of interleukin-2 dependent cytotoxic Tlymphocyte cell line specific for autologous brain tumor and its intracranial administration for therapy of the tumor. J Neurooncol 4: 329–336, 1987
Merchant RE, Grant AJ, Merchant LH, Young HF: Adoptive immunotherapy for recurrent glioblastoma multiforme using lymphokine activated killer (LAK) cells and recombinant interleukin-2. Cancer 62: 665–671, 1988
Yoshida S, Tanaka R, Takai N, Ono K: Local administration of autologous lymphokine activated killer cells and recombinant interleukin-2 to patients with malignant brain tumours. Cancer Res 48: 5011–5016, 1988
Jacobs SK, Wilson DJ, Kornblith PL, et al.: Interleukin-2 and autologous lymphokine activated killer cells in the treatment of malignant glioma. Preliminary report. J Neurosurg 64: 743–749, 1986
Jacobs SK, Wilson DJ, Kornblith PL, et al.: In vitro killing of human glioblastoma by interleukin-2 activated autologous lymphocytes. J Neurosurg 64: 114–117, 1986
Takakura K, Miki Y, Kulo O, Ogawa N, Matsutani M, Sana K: Adjuvant immunotherapy for malignant brain tumours. Jpn J Clin Oncol 12: 109–129, 1972
Bhagwati SN: Treatment of glioma with intratumoral instillation of autologous lymphocytes. Child's Nerv Syst 4: 1–3, 1988
Lillehei KO, Dawn MH, Stephen J, McCleary EL, Carol KA: Long term follow up of patients with recurrent malignant gliomas treated with adjuvant immunotherapy. Neurosurgery 28: 16–23, 1991
Grimm EA, Muul LM, Wilson DJ: The differential inhibitory effects exerted by cyclosporin and hydrocortisone on the activation of human cytotoxic lymphocytes by recombinant interleukin-2 versus allospecific CTL. Transplantation 39: 537–540, 1985
Papa MZ, Vetto IT, Ettinghausen SE, et al.: Effects of corticosteroids on the antitumor activity of lymphokine activated killer cells and interleukin-2 in mice. Cancer Res 46: 5618–5623, 1986
Vetto JT, Papa MZ, Lotze MT, et al.: Reduction of toxicity of interleukin-2 and lymphokine-activated killer cells in humans by the administration of corticosteroids. J Clin Oncol 5: 496–503, 1987
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sankhla, S.K., Nadkarni, J.S. & Bhagwati, S.N. Adoptive immunotherapy using lymphokine-activated killer (LAK) cells and interleukin-2 for recurrent malignant primary brain tumors. J Neuro-Oncol 27, 133–140 (1996). https://doi.org/10.1007/BF00177476
Issue Date:
DOI: https://doi.org/10.1007/BF00177476