Both natural and recombinant interferons have shown definite antitumor activity in some patients with some malignancies. The history of the development of interferon as an antitumor agent is reviewed, with special attention to its use in mice bearing 'spontaneously' appearing tumors and in mice injected with tumorigenic viruses or transplantable tumor cells. Interferon can inhibit the growth of primary tumors as well as the development of metastases. These experimental results have provided some indications as to the probable optimal regimens of interferon administration in man. Although the mechanisms of interferon's antitumor activity are unknown, it seems likely that interferon can act directly on the tumor cells as well as on the tumor bearing host.
Key words:Interferons, antitumor effects, animal studies, review.It is now generally accepted that interferons can exert some antitumor activity in some patients with some tumors (1). The extent of the antitumor effects of interferon has been variable: some patients have had a complete or partial remission, whereas therapy was apparently ineffective in other patients. We do not know whether this difference in response of patients with a given histologic type of tumor reflects differences in the biology of these tumors or differences in the responses of different individuals to interferon. Several common cancers do not yet appear to be amenable to interferon therapy alone; pulmonary, gastric, colonic, prostatic and breast cancer. We do not know why this is so.How does interferon exert an antitumor effect? Most of our information comes from cell culture experiments or experiments in mice, and these may or may not be relevant to patients bearing autochthonous tumors. I will assume that these experimental results have some relevance and try to present the state of our current understanding of the various possible mechanisms responsible for the antitumor actions of interferon. I shall try first to trace the origin of the observation that interferon inhibits tumor growth, and then touch on the evolution of our understanding of interferon's biologic role. Lastly, I shall try to give some answers-all incomplete-to the question posed: How does interferon inhibit tumor growth?In 1965 we began a series of experiments to determine whether interferon could inhibit viral-induced leukemias in mice (2-5). It was thought at the time that the increase in the number of leukemic cells in mice was related to the continued multiplication of the leukemia-inducing viruses (Friend and Rauscher viruses). Our reasoning was simple.These leukemias resembled subacute or chronic viral infections. Interferon was an antiviral substance. If we injected enough interferon repeatedly throughout the course of the disease we might diminish viral multiplication and thus diminish the evolution of the leukemic process. There were, however, two seemingly good reasons not to do the experiment. First, it was believed that interferon would only act prophylactically, i.e. before the virus was injected...