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Published on: August 23, 2019
Inhibition of nitric oxide synthesis does not improve interleukin-2-mediated antitumor effects in vivo
G H Leder1, M Oppenheim, M Rosenstein
1Department of Surgery, University of Pittsburgh School of Medicine, USA.
Abstract:
Nitric oxide (NO) decreases cytotoxicity and proliferation of cytotoxic lymphocytes (CTLs) in vitro. Both can be prevented by inhibitors of the NO synthase (NOS). To elucidate whether inhibition of the IL-2-induced NOS could boost efficacy of IL-2-stimulated CTLs in vivo, we assessed lung metastases in mice injected with IL-2, the NOS inhibitor aminoguanidine (AG), their combination and the diluent. No improvement was observed for IL-2 + AG compared to IL-2 while NO production was normalized. Since NO causes one of the two major side effects of IL-2 treatment, hypotension, we further studied whether capillary leak could be attributed to NO, too. While IL-2-inducible NO was reduced to control levels by AG, pulmonary edema was unaffected. Thus a decrease in NO does not improve antitumor effects of IL-2-stimulated CTLs nor does it attenuate IL-2-associated capillary leak.
Insights
Inhibiting nitric oxide (NO) with aminoguanidine (AG) did not enhance interleukin-2 (IL-2) immunotherapy efficacy against lung metastases in mice. NO inhibition also failed to reduce IL-2-induced capillary leak, a major side effect.
Area of Science:
- Immunology
- Pharmacology
- Cancer Research
Background:
- Nitric oxide (NO) inhibits cytotoxic lymphocyte (CTL) activity in vitro.
- Interleukin-2 (IL-2) immunotherapy stimulates CTLs but causes side effects like hypotension.
- NO synthase (NOS) inhibitors can prevent NO production.
Purpose of the Study:
- To determine if inhibiting IL-2-induced NOS enhances CTL efficacy in vivo.
- To investigate if NO contributes to IL-2-associated capillary leak.
Main Methods:
- Mice with lung metastases were treated with IL-2, a NOS inhibitor (aminoguanidine, AG), or both.
- Lung metastases, NO production, and pulmonary edema were assessed.
Main Results:
- Combination therapy (IL-2 + AG) showed no improvement in reducing lung metastases compared to IL-2 alone.
- AG normalized NO production but did not affect IL-2-induced pulmonary edema.
- NO inhibition did not improve antitumor effects or reduce capillary leak.
Conclusions:
- Inhibition of IL-2-induced NO does not enhance the antitumor efficacy of IL-2-stimulated CTLs in vivo.
- NO does not appear to be the primary mediator of IL-2-associated capillary leak syndrome.
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