Interleukin-2 (IL-2) is a highly effective anticancer drug if it is applied locally for 5 consecutive days. In most cases this requires 5 invasive treatments, which is not usually acceptable for either the patient or the clinician. For this reason we have developed dextran-based hydrogels from which the required amount of encapsulated IL-2 (1-4 ؋ 10 6 IU of IL-2) is gradually released during 5-10 days. Initially IL-2-containing macroscopic cylinder-shaped gels (implants), and later IL-2-containing injectable microspheres, were developed. These preparations were characterized in vitro, and the therapeutic activity was tested in DBA/2 mice with SL2 lymphosarcoma. The therapy was given to mice with a large and extensively metastasized tumor load (at least 5% of the body weight). If 1-4 ؋ 10 6 IU of IL-2 was slowly released from the hydrogels over a period of 5-10 days, the therapeutic effects were very good and comparable to the effects of free IL-2 injections for 5 consecutive days. In conclusion, dextran-based hydrogels are promising systems for the controlled release of IL-2. © 2002 Wiley-Liss, Inc.
Key words: hydrogel; microspheres; interleukin-2; immunotherapy of cancerInterleukin-2 (IL-2) is a T-cell-derived cytokine with proven antitumor activity, especially after locoregional administration. 1 We have developed a protocol to treat cancer locally (intra-or peritumorally, intravesically) with low doses of human IL-2. Local IL-2 therapy is highly effective in many transplantable animal tumor models, and in veterinary and human cancer patients. [2][3][4][5][6] The standard treatment consists of local IL-2 injections for 5 consecutive days. Obviously, it would be a great step forward if patients could be treated with only a single injection of a delivery system from which IL-2 is gradually released during 5-10 days (slow delivery system).Several delivery systems for IL-2 have been used, both liposomal formulations and polymer-based release systems 7-17 (for review, see ref. 18), but control over the release rate of IL-2 has been difficult to achieve. In most cases, there was a large initial burst of IL-2, and only a small portion of the encapsulated IL-2 was released in a controlled way. Furthermore, the formulation procedure, e.g., the use of organic solvents, can destroy the biologic activity of IL-2.Interest is increasing in hydrogels as protein delivery systems (reviewed in refs. 19 -21), since organic solvents are not needed. Hydrogels are 3-dimensional networks of hydrophilic polymers that can absorb large amounts of water, yielding a good compatibility with the encapsulated protein. We recently described a biodegradable and biocompatible hydrogel system based on crosslinked dextran from which proteins, including IL-2 (MW 15,600), could be released in a controlled way. [22][23][24][25][26][27][28] These gels were obtained by radical polymerization of methacrylate groups with or without a hydrolytically sensitive spacer bound to a dextran backbone. 29,30 The crosslink density of a hydrogel is determined by ...