Interleukin-2: Clinical applications
Abstract
Interleukin-2 (IL-2) is a promising immunotherapeutic agent for the treatment of metastatic melanoma, acute myelogenous leukemia, and metastatic renal cell carcinoma. While high-dose IL-2 regimens have shown clinical benefit in the treatment of melanoma and renal cell carcinoma, serious dose-limiting toxicities have limited their clinical use in a broader group of patients. Low-dose IL-2 therapy has produced disappointing clinical response rates in melanoma. While the response rates to low-dose IL-2 have been better in renal cell carcinoma, the quality of these responses relative to those seen with high-dose IL-2 therapy remains a concern. The addition of IL-2 to chemotherapeutic regimens (biochemotherapy) has been associated with overall response rates of up to 60% in patients with metastatic melanoma, but this has yet to be translated into a confirmed improvement in survival. It remains to be determined whether further modifications of IL-2-based regimens or the addition of newer agents to IL-2 will produce better tumor response and survival.
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The administration of recombinant cytokines (e.g., interleukin-1, interleukin-6, interleukin-12, interleukin-18, tumor necrosis factor, and interferon-γ) in animal models and for cancer treatment in humans induces severe toxic effects or lethality consistent with the central role of cytokines as mediators of hyperinflammation in cytokine storm.
“The administration of recombinant cytokines (e.g., interleukin-1, interleukin-6, interleukin-12, interleukin-18, tumor necrosis factor [TNF], and interferon-γ) in animal models and for cancer treatment in humans induces severe toxic effects or lethality consistent with the central role of cytokines as mediators of hyperinflammation in cytokine storm.”
From Cytokine storm (2020) · cites this paper as [29]
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- Authors
- Atkins, M. B.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Atkins, Michael B.
- ORCID
- Atkins, Michael B.
- Venue
- Seminars in Oncology
- Publisher
- Elsevier BV
- Published
- 2002-06
- Volume
- 29
- Issue
- 3
- Pages
- 12-17
- ISSN
- 0093-7754 (ISSN-L)
- OpenAlex
- W2114239197
- Cited by
- 156
- References
- 65
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 6 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 7 · 2015: 6 · 2014: 6 · 2013: 6 · 2012: 6
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Keywords
- interleukin-2, immunotherapy, metastatic melanoma, acute myeloid leukemia, metastatic renal cell carcinoma, low-dose interleukin-2, dose-limiting toxicity, biochemotherapy, combination therapy, tumor response, survival
- MeSH terms
- Antineoplastic Combined Chemotherapy Protocols, Carcinoma, Renal Cell, Clinical Trials as Topic, Humans, Immunologic Factors, Interleukin-2, Kidney Neoplasms, Melanoma, Leukemia, Myeloid, Acute, Immunotherapy, Active
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