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Updated: Aug 10, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Treatment of malignant melanoma with interleukin-2
1Division of Hematology and Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, MI. 48201, USA.
Abstract:
Treatment of metastatic malignant melanoma with recombinant interleukin-2 (rIL-2) represents one of the earliest attempts at systemic immunomodulation as a therapy for cancer. Initial reports showed objective response rates with single-agent rIL-2 therapy in the range of 15% to 20% with some durable responses; however, the overall response rates were lower than originally anticipated. In addition, in contrast to animal models, it appears that coadministration of lymphokine-activated killer (LAK) cells, generated ex vivo with rIL-2, does not enhance the response rates achieved with single-agent rIL-2. Despite a multitude of studies with various rIL-2 regimens, with and without coadministration of LAK cells or tumor-infiltrating lymphocytes, the optimum dose and treatment schedule for rIL-2-based therapy in metastatic melanoma remains a topic of controversy. To date, there are also no clear immunologic parameters that can predict biologic response to rIL-2-based therapy.
Insights
Recombinant interleukin-2 (rIL-2) was an early cancer immunotherapy for melanoma. Studies show rIL-2 alone has limited response rates, and adding immune cells like LAK cells does not improve outcomes.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Recombinant interleukin-2 (rIL-2) pioneered systemic immunomodulation for cancer treatment.
- Metastatic malignant melanoma therapy has explored rIL-2 as a treatment option.
Purpose of the Study:
- To evaluate the efficacy of single-agent rIL-2 therapy in metastatic melanoma.
- To assess the impact of co-administering lymphokine-activated killer (LAK) cells with rIL-2.
Main Methods:
- Review of initial reports and subsequent studies on rIL-2 therapy for metastatic melanoma.
- Analysis of response rates with single-agent rIL-2 versus combination therapy with LAK cells.
Main Results:
- Single-agent rIL-2 therapy demonstrated objective response rates of 15% to 20%, with some durable responses.
- Coadministration of LAK cells, generated ex vivo with rIL-2, did not enhance response rates compared to single-agent rIL-2.
- Optimal dosing and scheduling for rIL-2-based therapy remain controversial.
Conclusions:
- rIL-2 represents an early but limited approach to melanoma immunotherapy.
- The addition of LAK cells does not appear to improve therapeutic outcomes in this context.
- Predictive immunologic markers for response to rIL-2 therapy are currently lacking.
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