Table 4.

Effect of NK Cell Activation on Anti-GD2Antibody IL-2 Fusion Protein Therapy of Established Experimental Neuroblastoma Metastases

Activation3-150Treatment3-151Bone Marrow Liver LiverChallenge3-152
  Metastatic score3-153 Metastatic score¶ Weight [mg]  Subcutaneous tumor [μL]  
None  PBS 2, 2, 2, 2, 2, 1  4, 4, 4, 3, 3, 1  2,620 ± 1,101 129 ± 19  
 ch14.18 + IL-2  2, 1, 1, 1, 1, 1  4, 4, 4, 2, 1, 1  2,231 ± 1,173  119 ± 21 
 ch14.18–IL-23-155 2, 2, 1, 1, 1, 1, 1, 1  2, 2, 1, 1, 1, 1  1,170 ± 535  141 ± 15  
Poly IC  PBS  2, 2, 2, 2, 2, 1  4, 4, 2, 2, 1, 1  1,623 ± 726 
 ch14.18 + IL-2  2, 2, 2, 2, 2, 1  1, 1, 1, 1, 1, 0 998 ± 70  
 ch14.18–IL-23-155 2, 2, 1, 1, 1, 0, 0, 0 0, 0, 0, 0, 0, 0  986 ± 89  
mIFN-γ  ch14.18–IL-23-155 0, 0, 0, 0, 0, 0, 0  0, 0, 0, 0, 0, 0, 0  1,077 ± 120  
Activation3-150Treatment3-151Bone Marrow Liver LiverChallenge3-152
  Metastatic score3-153 Metastatic score¶ Weight [mg]  Subcutaneous tumor [μL]  
None  PBS 2, 2, 2, 2, 2, 1  4, 4, 4, 3, 3, 1  2,620 ± 1,101 129 ± 19  
 ch14.18 + IL-2  2, 1, 1, 1, 1, 1  4, 4, 4, 2, 1, 1  2,231 ± 1,173  119 ± 21 
 ch14.18–IL-23-155 2, 2, 1, 1, 1, 1, 1, 1  2, 2, 1, 1, 1, 1  1,170 ± 535  141 ± 15  
Poly IC  PBS  2, 2, 2, 2, 2, 1  4, 4, 2, 2, 1, 1  1,623 ± 726 
 ch14.18 + IL-2  2, 2, 2, 2, 2, 1  1, 1, 1, 1, 1, 0 998 ± 70  
 ch14.18–IL-23-155 2, 2, 1, 1, 1, 0, 0, 0 0, 0, 0, 0, 0, 0  986 ± 89  
mIFN-γ  ch14.18–IL-23-155 0, 0, 0, 0, 0, 0, 0  0, 0, 0, 0, 0, 0, 0  1,077 ± 120  

Experimental bone marrow and liver metastases were induced by intravenous injection of 5 × 104 NXS2 hybrid neuroblastoma cells.

F3-150

Animals received either 3 daily injections of 100 μg polyriboinosinic:polyribocytidylic acid (poly IC) intraperitoneal or rmIFN-γ 300,000 IU subcutaneously during 6 days with a micro-osmotic pump (ALZET, Alza Corp, Palo Alto, CA), starting on day 4 after tumor cell inoculation.

F3-151

Treatment was initiated on day 5 after tumor cell inoculation by daily intravenous injections ×5 of either PBS, 10 μg ch14.18 antibody + 30,000 IU rhIL-2 or 10 μg ch14.18–IL-2 fusion protein.

F3-152

Mice were challenged by subcutaneous injection of 1 × 106 NXS2 cells 3 days after completion of treatment. Volumes of subcutaneous tumors were calculated by measuring width/2 × width × length at day 11 after subcutaneous inoculation and expressed as cubic millimeters ± standard error.

F3-153

Bone marrow metastasis was staged according to results obtained by high- and low-sensitivity tyrosine hydroxylase RT-PCR as described in Materials and Methods.

¶Liver metastases were staged according to the percentage of metastatic liver surface: 0, 0%; 1, <0% to 25%; 2, 25% to 50%; 3, 50% to 75%; 4, >75%.

F3-155

Differences in liver staging, or liver weights between fusion protein treatment and PBS control groups were statistically significant (P < .001).

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