RATIONALE
Metastatic renal cell carcinoma (RCC) responds poorly to chemo‐ or radiation therapy but responds to systemic immunotherapy, albeit with low response rate. We hypothesized that the CXCR3/CXCR3 ligand biological axis could be optimized to attenuate RCC by first priming with systemic IL‐2 followed by enhancing the intratumor CXCR3 ligand levels to establish optimal CXCR3 ligand chemotactic gradient.
METHODS
We examined the CXCR3 ligand gradient in a murine RCC (RENCA) model and studied the anti‐tumor effect of various strategies in CXCR3−/− or CXCR3+/+ mice bearing RENCA.
RESULTS
Systemic IL‐2 induced the expression of CXCR3 on circulating mononuclear cells but impaired the CXCR3 ligand chemotactic gradient from plasma to tumor. IL‐2 failed to inhibit tumor growth and angiogenesis in CXCR3−/− mice. Combined systemic IL‐2 with an intratumor CXCR3 ligand led to significantly greater reduction in tumor growth and angiogenesis, increased tumor necrosis, and increased infiltration of CXCR3+ mononuclear cells, as compared to either strategy alone. These enhanced effects were associated with increased tumor‐specific immune response.
CONCLUSIONS
These data suggest that combined systemic IL‐2 and intratumor CXCR3 ligand is more efficacious than either strategy alone for reducing tumor‐associated angiogenesis and augmenting tumor‐associated immunity‐the concept of immunoangiostasis.
FUNDED BY: NIH Grants CA87879, P50CA90388, HL66027, and P50HL67665.