Antitumour activity of the novel immune modulator 5,6-dimethylxanthenone-4-acetic acid (DMXAA) in mice lacking the interferon-gamma receptor

Eur J Cancer. 1998 Jul;34(8):1282-9. doi: 10.1016/s0959-8049(98)00050-1.

Abstract

5,6-Dimethylxanthenone-4-acetic acid (DMXAA), a novel antitumour agent currently undergoing clinical evaluation, appears to mediate its antitumour effects through immune modulation and the production of cytokines. We used mice with a targeted disruption of the interferon-gamma (IFN-gamma) receptor gene as a model to evaluate the role of the host response to IFN-gamma in the antitumour action of DMXAA on colon 38 tumours. A feature of the results was that while DMXAA treatment induced both IFN-gamma and tumour necrosis factor (TNF) in serum, the increase was > 20-fold higher in IFN-gamma R0/0 mice than in wild-type mice. In contrast, mRNA levels for IFN-gamma and TNF were similar in the two mouse strains, suggesting that the concentrations of these cytokines were controlled by a post-transcriptional mechanism. Serum nitrate levels, used as a measure of nitric oxide production, were increased by DMXAA, but to a similar extent in both strains of mice. Complete regressions of colon 38 tumours were obtained in response to DMXAA in the knockout mice, although the dose required for 100% cure was higher and the reduction in tumour volume occurred more slowly than in the wild-type counterparts. The results demonstrate that the host response to IFN-gamma is not essential for an anti-tumour response. Similar results were obtained in mice that were immunosuppressed by treatment with cyclosporin A before treatment with DMXAA. The results are consistent with the concept that the antitumour activity of DMXAA involves complex immunomodulation, probably with significant redundancy in contributing cytokines.

MeSH terms

  • Animals
  • Colonic Neoplasms / drug therapy
  • Colonic Neoplasms / immunology*
  • Cyclosporine / pharmacology
  • Enzyme-Linked Immunosorbent Assay
  • Immunosuppressive Agents / pharmacology
  • Interferon gamma Receptor
  • Interferon-gamma / immunology*
  • Lipopolysaccharides / pharmacology
  • Mice
  • Nitric Oxide / metabolism
  • RNA, Messenger / metabolism
  • RNA, Neoplasm / metabolism
  • Receptors, Interferon / immunology*
  • Tumor Cells, Cultured
  • Tumor Necrosis Factor-alpha
  • Xanthenes / immunology*
  • Xanthenes / therapeutic use
  • Xanthones*

Substances

  • Immunosuppressive Agents
  • Lipopolysaccharides
  • RNA, Messenger
  • RNA, Neoplasm
  • Receptors, Interferon
  • Tumor Necrosis Factor-alpha
  • Xanthenes
  • Xanthones
  • vadimezan
  • Nitric Oxide
  • Interferon-gamma
  • Cyclosporine