Combination treatment of 2-chlorodeoxyadenosine and type I interferon on
hairy cell leukemia-like cells: cytotoxic effect and MHC- unrestricted
killer cell regulation
Z Reiter, S Tomson, ON Ozes and MW Taylor
Division of Morphological Sciences, Faculty of Medicine, Technion, Haifa,
Israel.
Hairy cell leukemia (HCL) is a lymphoproliferative disorder of B
lymphocytes. Interferons (IFNs), especially of the alpha (alpha) subtype,
have shown a significant antitumor effect in HCL patients. However, the
therapeutic effect of IFN-alpha is still rather limited. The purine
analogue 2-chlorodeoxy-adenosine (2-CdA) was reported recently to be an
effective agent in the treatment of HCL. In the present study, we find that
the HCL cell lines HS-1 and HS-2 as well as Eskol and its IFN-resistant
clone (IREs-4) are sensitive to the cytotoxic activity of 2-CdA.
Combination treatment of IFN-Con1 and 2- CdA results in a synergistic
effect at low doses but an additive inhibitory effect at higher
concentrations. IREs-4 cells responded only to 2-CdA treatment. All the HCL
cell lines are resistant to natural killer (NK) cell-mediated cytotoxicity
(CMC) but are relatively sensitive to IFN-Con1-primed or interleukin-2
(IL-2)-primed NK-CMC activities. No inhibition in killing ability was
measured when only the effector cells (NK) were treated with 2-CdA.
Pretreatment of the HCL target cells with 2-CdA increases their
susceptibility to NK-CMC. Pretreatment with IFN-Con1 can reduce the
susceptibility of target cells to NK-CMC in HS-1, HS-2, and Eskol cells but
not in the IFN- resistant clone IREs-4. 2-CdA abolished this IFN-induced
protection against NK-CMC. Normal fibroblasts only responded to treatment
with relatively high doses of 2-CdA, and only a moderate additive cell
growth inhibitory effect was seen in combination of 2-CdA with IFN- Con1.
Only high doses of 2-CdA increased the susceptibility of fibroblast culture
to NK-CMC. Thus, combination of IFN-Con1 and 2-CdA results in an in vitro
enhancement of the direct antiproliferative/cytotoxic activity of each
treatment alone and increases the efficacy of the NK activity against the
HCL cell lines.
Volume 81,
Issue 7,
pp. 1699-1708,
04/01/1993
Copyright © 1993 by The American Society of Hematology