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Repeated Administrations of Interleukin (IL)-12 Are Associated with Persistently Elevated Plasma Levels of IL-10 and Declining IFN-γ, Tumor Necrosis Factor-α, IL-6, and IL-8 Responses

Johanna E. A. Portielje, Cor H. J. Lamers, Wim H. J. Kruit, Alex Sparreboom, Reinder L. H. Bolhuis, Gerrit Stoter, Christoph Huber and Jan W. Gratama
Johanna E. A. Portielje
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Cor H. J. Lamers
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Wim H. J. Kruit
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Alex Sparreboom
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Reinder L. H. Bolhuis
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Gerrit Stoter
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Christoph Huber
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Jan W. Gratama
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DOI:  Published January 2003
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    Fig. 1.

    Plasma concentrations of IFN-γ, IL-10, TNF-α, IL-8, IL-6, IL-4, and IL-12 after the first s.c. injection of IL-12. Median plasma concentrations of IFN-γ, IL-10, TNF-α, IL-8, IL-6, and IL-4 were assessed immediately before and during 7 days after the first s.c. injection of 0.1 μg/kg rHuIL-12 (♦, 3 patients), 0.5 μg/kg (○, 19 patients), or 1 μg/kg (▴, 4 patients). Dotted lines, top limit of the normal range.

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    Fig. 2.

    Cytokine concentrations after the first injection of IL-12 (A), compared with concentrations after the seventh injection at the same (B) or escalated dose of IL-12 (C). Median plasma concentrations of IL-10 (top panels), TNF-α (middle panels), and IFN-γ (bottom panels) were assessed immediately before and during 7 days after the first and seventh injections of rHuIL-12. The first injection of 0.5 μg/kg was given to 13 patients (A, D, and G). Seven of these patients received subsequent injections at the same dose level (B, E, and H), and the remaining 6 patients received subsequent injections at the 1 or 1.25 μg/kg dose levels (C, F, and I). Significant differences (P < 0.05) between cytokine concentrations before and after each IL-12 injection are indicated by asterisks. Dotted lines, top limit of the normal range.

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    Fig. 3.

    Lymphocyte subsets after repeated injections of rHuIL-12. Absolute numbers of NK cells (CD3−, 16+, and/or 56+), B cells (CD19+), T-helper cells (CD3+ and 4+), and cytotoxic T cells (CD3+ and 8+) were assessed immediately before and during 26 days after the first rHuIL-12 injection of 0.5 μg/kg in 9 patients. Subsequent injections were at the 0.5 μg/kg (n = 4), 1 μg/kg (n = 3), or 1.25 μg/kg (n = 2) dose levels. Arrows, rHuIL-12 injections. For each time point, the median result of the 9 patients is depicted as a diamond, and the interquartile range is depicted with horizontal dashes. Dotted lines, bottom and (for CD3+ and 8+ T cells only) top limits of the normal range as assessed in 61 healthy controls. Significant differences (P < 0.05) between baseline lymphocyte subset counts and the respective counts during or after rHuIL-12 treatment are indicated by asterisks.

Tables

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  • Table 1

    Baseline and peak cytokine concentrations after the first s.c. administration of rHuIL-12

    0.1 μg/kg (n = 3)0.5 μg/kg (n = 19)1 μg/kg (n = 4)
    BaselinePeakBaselinePeakBaselinePeak
    MedianRangeMedianRangeMedianRangeMedianRangeMedianRangeMedianRange
    IL-12 (pg/ml)<50<50<50a298g116–830<50548475–2630
    IFN-γ (IU/ml)<0.03<0.03–0.42.6h1.4–2.9<0.03<0.03–1.413g1.5–410.4<0.03–0.55512–184
    IL-10 (pg/ml)<1b15<1c<1–622g 4–49<137h27–81 
    TNF-α (pg/ml)2621–4084h73–108258–8395g 60–143257–33168h149–223 
    IL-8 (pg/ml)5<1–152411–5311d<1–3538h 14–223<1<1–853h32–87 
    IL-6 (pg/ml)6e<2–102522–2716f<2–7982g 17–280<283h42–137
    • As described in “Results,” induction of the various cytokines did not occur in all patients. Only data from patients with increments of cytokine concentrations post-IL-12 in comparison with baseline are shown. Symbols denote numbers of patients in which increments of cytokine concentrations have been observed.

    • a n = 10.

    • b n = 1.

    • c n = 13.

    • d n = 14.

    • e n = 2.

    • f n = 16.

    • g P < 0.001; paired comparison between peak and baseline levels.

    • h P < 0.05.

  • Table 2

    Leucocyte subsets after the first s.c. injection of rHuIL-12

    0.1 μg/kg (n = 3)0.5 μg/kg (n = 15)1 μg/kg (n = 4)
    Baseline cell countaNadiraBaseline cell countaNadiraBaseline cell countaNadira
    MedianRangeMedianRangeMedianRangeMedianRangeMedianRangeMedianRange
    Lymphocytes1.81.5–1.90.8b0.5–0.81.30.5–2.90.5b0.1–1.11.41.0–2.30.3c0.2–0.5
    Neutrophils4.03.5–4.10.94.22.7–6.81.5b0.7–4.73.72.9–5.31.4c1.1–1.7
    Monocytes0.530.46–0.660.210.17–0.380.300.17–0.580.15b0.03–0.430.350.29–0.50.11c0.02–0.16
    • a Absolute numbers are expressed as (number of cells × 109/liter).

    • b P < 0.001; paired comparisons between nadirs and baseline counts.

    • c P < 0.05.

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Clinical Cancer Research: 9 (1)
January 2003
Volume 9, Issue 1
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Repeated Administrations of Interleukin (IL)-12 Are Associated with Persistently Elevated Plasma Levels of IL-10 and Declining IFN-γ, Tumor Necrosis Factor-α, IL-6, and IL-8 Responses
Johanna E. A. Portielje, Cor H. J. Lamers, Wim H. J. Kruit, Alex Sparreboom, Reinder L. H. Bolhuis, Gerrit Stoter, Christoph Huber and Jan W. Gratama
Clin Cancer Res January 1 2003 (9) (1) 76-83;

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Repeated Administrations of Interleukin (IL)-12 Are Associated with Persistently Elevated Plasma Levels of IL-10 and Declining IFN-γ, Tumor Necrosis Factor-α, IL-6, and IL-8 Responses
Johanna E. A. Portielje, Cor H. J. Lamers, Wim H. J. Kruit, Alex Sparreboom, Reinder L. H. Bolhuis, Gerrit Stoter, Christoph Huber and Jan W. Gratama
Clin Cancer Res January 1 2003 (9) (1) 76-83;
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