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The Role of Interferon in the Treatment of B-Cell Malignancies

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Interferons in Oncology

Part of the book series: ESO Monographs ((ESO MONOGRAPHS))

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Abstract

The most profound clinical results obtained with interferon to date have occurred in the treatment of hematologic malignancies. In hairy cell leukemia and chronic myelogenous leukemia interferon treatment has been able to produce not only improvements in peripheral blood counts and long lasting hematologic remissions, but reductions of the putative malignant clones found in the bone marrow. This chapter will review the clinical results of interferon therapy in other hematologic malignancies, particularly those of B-cell origin: Hodgkin’s and non-Hodgkin’s lymphomas, multiple myeloma, and acute and chronic lymphocytic leukemia. Perhaps it should not be surprising that alpha interferon, which is a natural product of leukocytes, should be an effective regulator of malignancies which result from abnormal hematopoiesis. Nonetheless, the breadth of interferon’s activity across cell types representing many stages of differentiation in the B-cell lineage is surprising and the possible mechanisms of action responsible for this activity remain an important subject for further investigation. This review describes the clinical results reported to date and discusses interferon’s potential role in the therapeutic management of these diseases.

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References

  1. Non-Hodgkin’s lymphoma pathologic classification project: National Cancer Institute-sponsored study of classifications of non-Hodgkin’s lymphomas. Summary and description of a working formulation for clinical use. Cancer 1982 (49):2112–2135

    Article  Google Scholar 

  2. Mergian TC, Sikora K, Bredden JH, Levy R, Rosenberg SA: Preliminary observations on the effect of human leukocyte interferon in non-Hodgkin’s lymphoma. N Engl J Med 1978 (288):1449–1453

    Article  Google Scholar 

  3. Gutterman JU, Blumenschein GR, Alexanian R et al: Leukocyte interferon induced tumour regression in human metastatic breast cancer, multiple myeloma and malignant lymphoma. Ann Int Med 1980 (93):399–406

    PubMed  CAS  Google Scholar 

  4. Wagstaff J, Loynds P, Crowther D: A Phase II study of human DNA alpha-2b interferon in patients with low grade non-Hodgkin’s lymphoma. Can Chem Pharm 1986:54–58

    Google Scholar 

  5. Welander CE, Morgan TM, Homesley MD, Trotta PP and Spiegel RJ: Combined recombinant human interferon alpha-2 and cytotoxic agents studied in a clonogenic assay. Intl J Can 1985 (35): 721–729

    Article  CAS  Google Scholar 

  6. Balkwill FR, Moodie EM: Positive interaction between human interferon and cyclophosphamide or adriamycin in a human tumor model system. Can Res 1984 (44):904–908

    CAS  Google Scholar 

  7. Balkwill FR: Antitumor effects of interferon in animals. Interferon 1985 (4):23–45

    Google Scholar 

  8. Karanes C, Ratanatharathorn V, Jones S et al: Sequential chlorambucil (CLB) and recombinant DNA alpha-2 I FN (Intron-A) in the treatment of low grade lymphomas - A SWOG Phase II study. Blood 1986: 2392

    Google Scholar 

  9. Durie BGM, Clouse L, Braich T, Grimm M and Robertone AB: Interferon alpha-2b cyclophosphamide combination studies: ln-vitro and Phase l-ll clinical results. Sem One 1986 (XIII, 3, Suppl. 2):84–88

    Google Scholar 

  10. Kadin ME, Newcom SR, Gold SB, Stites DP: Origin of Hodgkin’s cell. Lancet 1974 (2): 167

    Article  PubMed  CAS  Google Scholar 

  11. Blomgren H, Cantell K, Johansson B et al: Interferon therapy in Hodgkin’s disease. Acta Med Scand 1976 (199):537–532

    Google Scholar 

  12. Leavitt RD, Ratanatharathorn V, Ozer H et al: Alpha-2b interferon in the treatment of Hodgkin’s and non- Hodgkin’s lymphoma. Submitted

    Google Scholar 

  13. Mellstedt H, Bjorkholm N, Johansson B, Ahre A, Holm G, Strander H: Interferon therapy in myelomatosis. Lancet 1979 (1):245–248

    Article  PubMed  CAS  Google Scholar 

  14. Ahre A, Bjorkholm M, Mellsted H et al: Human leukocyte interferon and intermittent high-dose melphalan- prednisone administration in the treatment of multiple myeloma: A randomized clinical trial from the melanoma group of central Sweden. Can Treat Rep 1984 (68):1331–1338

    CAS  Google Scholar 

  15. Ohno R, Kimura K: Treatment of multiple myeloma with recombinant interferon alpha-2b. Cancer 1986 (57):1686–1688

    Google Scholar 

  16. Costanzi J, Cooper MR, Scraffe JH et al: Phase II study of recombinant alpha-2 interferon in resistant multiple myeloma. J Clin One 1985 (3):654–659

    CAS  Google Scholar 

  17. Costanzi J: Personal Communication

    Google Scholar 

  18. Cooper MR, Fefer A, Thompson J, Case Jr DC, Kempf R, Sacher R, Neefe J, Bickers J, Scarffe JM, Spiegel RJ and Bonnern EM: Alpha-2 interferon melphalan prednisone in previously untreated patients with multiple myeloma: A Phase l/ll trial. Can Treat Rep 1986 (70):473–476

    CAS  Google Scholar 

  19. Robert KH, Einhorn S, Juliusson G, Ostlund C, Biberfeld P: Interferon induces proliferation and differentiation in primary chronic lymphocytic leukemia cells. Clin Exp Immunol 1985 (62):530–534

    PubMed  CAS  Google Scholar 

  20. Robert KN, Einhorn S, Oestlund L, Juliusson G, Biberfeld P: Interferon induces proliferation in leukemic and normal B-cell subsets. Hematol One 1984 (4):113–120

    Article  Google Scholar 

  21. Misset JL, Mythe G, Gastiaburu J et al: Treatment of leukemias and lymphomas by interferons: Phase II trial of chronic lymphoid leukemia by human interferon alpha. Biomed Pharmacother 1982 (36):112–116

    PubMed  CAS  Google Scholar 

  22. Huang A, Laszlo J, Brenckman W: Lymphoblastoid interferon (Wellferon) trial in chronic lymphocytic leukemia (abstr). Proc Amer Assoc Can Res 1982 (23):113

    CAS  Google Scholar 

  23. Foon KA, Bottino G, Abrams PG: Phase II trial of recombinant leukocyte A interferon in patients with advanced chronic lymphocytic leukemia. Amer J Med 1985 (78):216–220

    Article  PubMed  CAS  Google Scholar 

  24. O’Connell MJ, Colgan JP, Oken MM, Ritts RE, Kay NE, Itri LM: Clinical trial of recombinant leukocyte A interferon as initial therapy for favorable histology non-Hodgkin’s lymphomas and chronic lymphocytic leukemia. J Clin One 1986 (4):128–136

    Google Scholar 

  25. Schulof RS, Lloyd MI, Stallings JJ et al: Recombinant leukocyte A interferon in B-cell chronic lymphocytic leukemia: ln-vivo effects on autologous antitumor immunity. J Biol Resp Mod 1985 (4):310–323

    CAS  Google Scholar 

  26. Hill NO, Pardue A, Kahn A et al: High-dose human leukocyte interferon trials in leukemia and cancer. Med Pediatr One 1981 (9):132–149

    Google Scholar 

  27. Rohatiner AZS, Balkwill FR, Griffin DB et al: A Phase I study of human lymphoblastoid interferon administered by continuous intravenous infusion. Can Chemo Pharm 1982 (9):976–1002

    Google Scholar 

  28. Ochs J, Abramowitch M, Rudnick S, Murphy SB: Phase l-ll Study of recombinant alpha-2 interferon against advanced leukemia and lymphoma in children. J Clin One 1986 (6):883–887

    Google Scholar 

  29. Trotta PP and Spiegel RJ: Interferons: current concepts of mechanisms of action. In: Muggia FM (ed) Chemotherapy Vol 3, Boston: Martinus Nijhoff. In press

    Google Scholar 

  30. Roth MS and Foon KA: Alpha interferon in the treatment of hematologic malignancies. Amer J Med 1986 (81):871–882

    Article  PubMed  CAS  Google Scholar 

  31. Goldstein D and Laszlo J: Interferon therapy in cancer: from imagination to interferon. Can Res 1986 (46):4315–4329

    CAS  Google Scholar 

  32. Balkwill FR and Oliver RTD: Growth inhibitory effects of interferon on normal and malignant human haemopoietic cells. Int J Can 1987 (20): 500–505

    Article  Google Scholar 

  33. Borden EC, Hogan TF, Voelkel JG: Comparative antiproliferative activity in vitro of natural interferons alpha and beta for diploid and transformed human cells. Cancer Res 1982 (42):4948–4953

    PubMed  CAS  Google Scholar 

  34. Chadka KC and Srivastava BI: Comparison of the antiproliferative effects of human fibroblast and leukocyte interferons on various leukemic cell lines. J Clin Hematol One 1981 (11):55–60

    Google Scholar 

  35. Salmon SF, Durie BGM, Young L, Lui RM, Trown P, Stebbing N: Effects of cloned human leukocyte interferons in the human tumor stem cell assay. J Clin One (1):217–225

    Google Scholar 

  36. Denz H, Lechleitner M, Marth CH, Daxenbichler G, Gasti G, Braunsteuner H: Effect of human recombinant alpha- 2 and gamma interferon on the growth of human cell lines from solid tumors and hematologic malignancies. J IFN Res 1985 (5):147–157

    CAS  Google Scholar 

  37. Samuels BL, Golomb HM, Browstein BH: In vitro inductions of proteins by alpha-interferon in hairy cell leukemia. Can Res 1986 (46):4151–4155

    CAS  Google Scholar 

  38. Blalock J, Georgiades JE, Langford MP, Johnson HM: Purified human immune interferon has more potent anticellular activity than fibroblast or leukocyte interferon. Cell Immunol 1980 (49):390–394

    Article  PubMed  CAS  Google Scholar 

  39. Creasey AA, Bartholomew JC and Merigan TC: Role of G0-G1 arrest in the inhibition of tumor cell growth by interferon. Proc Natl Acad Sei USA 1980 (77):1471–1475

    Article  CAS  Google Scholar 

  40. Balkwill FR, Moodie EM, Freedman V and Fantes KH: Human interferon inhibits the growth of established human breast tumors in the nude mouse. Int J Can 1982 (30):231–235

    Article  CAS  Google Scholar 

  41. Bunn PA, Foon KA, Ihde DC: Recombinant leukocyte A interferon: An active agent in advanced cutaneous T- cell lymphomas. Ann Intern Med 1984 (101):484–487

    PubMed  Google Scholar 

  42. Maluish AE, Leavitt R, Sherwin SA, Oldham RK, Herberman RB: Effects of recombinant interferon-alpha on immune function in cancer patients. J Biol Resp Mod 1983 (2):470–481

    CAS  Google Scholar 

  43. Braun W and Levy HB: Interferon preparations as modifiers of immune responses. Proc Soc Exp Biol Med 1972 (141):769–773

    PubMed  CAS  Google Scholar 

  44. Harfast B, Huddleston JR, Casali P, Merigan TC and Oldstone MBA: Interferon acts directly on human B lymphocytes to modulate immunoglobulin synthesis. J Immunol 1981 (127):2146–2150

    PubMed  CAS  Google Scholar 

  45. Rodriguez MA, Prinz WA, Sibbitt WL, Bankhurst AD and Williams RC: Alpha-interferon increases immunoglobulin production in cultured human mononuclear leukocytes. J Immunol 1983 (130):1215–1219

    PubMed  CAS  Google Scholar 

  46. Heron I, Berg K and Cantell K: Regulatory effect of interferon on T-cells in vitro. J Immunol 1976:1370–1373

    Google Scholar 

  47. Fradelizi D and Gresser I: Interferon inhibits the generation of allospecific suppressor T-lymphocytes. J Exp Med 1982 (155):1610–1622

    Article  PubMed  CAS  Google Scholar 

  48. Schnaper HW, Aune T and Pierce C: Suppressor T-cell activation by human leukocyte activation. J Immunol 1983 (131):2301–2306

    PubMed  CAS  Google Scholar 

  49. Ozer H, Gavigan M, O’Malley J et al: Immunomodulation by recombinant interferon-alpha-2 in a Phase I trial in patients with lymphoproliferative malignancies. J Biol Resp Mod 1983 (2):499–515

    CAS  Google Scholar 

  50. Djeu JY: Regulation of cell functions by interferon. In: Zoon KC, Noguchi PO and Lui TY (eds) Interferon: Research, Clinical Application and Regulatory Consideration. New York: Elsevier 1984:125–131

    Google Scholar 

  51. Fertch D and Vogel SN: Recombinant interferons increase macrophage Fc receptor capacity. J Immunol 1984 (132):2436–2439

    Google Scholar 

  52. Gresser I: The effect of interferon on the expression of surface antigens. In: Vilcek J, De Maeyer E (eds) Interferons and the Immune System. Amsterdam: Elsevier 1984

    Google Scholar 

  53. Heron I, Hokland M and Berg K: Enhanced expression of B2-microglobulin and H LA on human lymphoid cells by interferon. Proc Natl Acad Sci USA 1978 (75):6215–6219

    Article  PubMed  CAS  Google Scholar 

  54. Williams BRG: Biochemical action of interferon. In: Sikora K (ed) Interferon and cancer. New York: Pluenum Press 1983: 33–52

    Google Scholar 

  55. Paganelli KA, Evans SS, Han T, Ozer H: B-cell growth factor induced proliferation of hairy cell lymphocytes and inhibition by type I interferon in vitro. Blood 1986 (67):937–942

    PubMed  CAS  Google Scholar 

  56. Faltynek CR, Princier GL, Rusetti FW, Maluish AE, Abrams PG and Foon KA: Relationships of the clinical response and binding of recombinant interferon alpha in patients with lymphoproliferative diseases. Blood 1986 (67):1077–1082

    PubMed  CAS  Google Scholar 

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© 1987 Springer-Verlag Berlin Heidelberg

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Spiegel, R.J. (1987). The Role of Interferon in the Treatment of B-Cell Malignancies. In: Smyth, J.F. (eds) Interferons in Oncology. ESO Monographs. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72805-1_1

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  • DOI: https://doi.org/10.1007/978-3-642-72805-1_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-72807-5

  • Online ISBN: 978-3-642-72805-1

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