Cancer cell progression and chemoimmunotherapy--dual effects in the induction of resistance to therapy

Br J Cancer. 1996 Feb;73(4):465-71. doi: 10.1038/bjc.1996.82.

Abstract

To determine whether resistance to chemoimmunotherapy is acquired during therapy, we investigated the effects of chemotherapeutic agents and anti-tumour polysaccharide, lentinan, on the progression of Rous sarcoma virus-induced S908.D2 fibrosarcomas. The chemoimmunotherapy was effective against the parental S908.D2-bearing mice. Nearly all the mice that were treated with cyclophosphamide (CY) and lentinan achieved complete tumour regression. Only a few of the mice that achieved complete regression of the primary tumours showed a recurrence of the tumour in regional lymph nodes. S908.D2-vp.1 was established from metastatic tumours that developed in the regional lymph nodes of parental S908.D2-bearing mice during therapy. S908.D2-vp.2-or vp.3 cells were sequentially derived in a similar way from S908.D2-vp.1-or-vp.2-bearing mice respectively, in which complete tumour regression at each primary site was achieved during therapy. These lines acquired resistance to CY and lentinan and also to 5-fluorouracil (5-FU)/5'-deoxy-5-fluorouracil and lentinan. No significant difference in either the sensitivity to 5-FU or 4-deoxycyclophosphamide in vitro or in the susceptibility to immune effector cells was observed between the parental and progressed lines (S908.D2-vp1 -vp3). There was an increase in the level of prostaglandin E2 (PGE2) in the progressed lines during repeated therapy (parental, 1171 pg ml(-1); vp.1, 2199 pg ml(-1); vp.2, 5500pg ml(-1); vp3, 16187 pg ml(-1)). There was no significant increase in the production of transforming growth factor beta (TGF-beta). The amount of interleukin-2 (IL-2) produced by spleen cells isolated from the S908.D2-vp.2-bearing mice was decreased compared with the amount produced by the parental S908.D2- bearing mice. Furthermore, combination therapy with lentinan and IL-2 achieved complete tumour regression in all the mice transplanted with S908.D2 progressed tumour lines, although IL-2 alone did not show any anti-tumour effects in either the S908.D2 parental or progressed lines. The findings suggest that the reduced production of IL-2 induced an increase in the production of the PGE2 by progressed tumour lines is involved in the acquisition of resistance.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Avian Sarcoma Viruses
  • Combined Modality Therapy
  • Cyclophosphamide / therapeutic use*
  • Dinoprostone / biosynthesis
  • Disease Progression
  • Drug Resistance, Neoplasm
  • Female
  • Fibrosarcoma / drug therapy*
  • Fibrosarcoma / immunology
  • Fibrosarcoma / pathology
  • Fluorouracil / therapeutic use*
  • Immunotherapy
  • Interleukin-2 / biosynthesis
  • Lentinan / therapeutic use*
  • Mice
  • Mice, Inbred Strains
  • Transforming Growth Factor beta / biosynthesis

Substances

  • Interleukin-2
  • Transforming Growth Factor beta
  • Lentinan
  • Cyclophosphamide
  • Dinoprostone
  • Fluorouracil