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[Cancer Research 49, 4431-4434, August 15, 1989]
© 1989 American Association for Cancer Research

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In Vitro Evaluation of 6-Thioguanine and {alpha}-Interferon as a Therapeutic Combination in HL-60 and Natural Killer Cells1

Yu Ying Tan2, Lois B. Epstein and R. Douglas Armstrong3

La Jolla Cancer Research Foundation, La Jolla, California 92037 [R. D. A.] and Cancer Research Institute [Y. Y. T., L. B. E., R. D. A.], and Department of Pediatrics [L. B. E.], University of California, San Francisco, California 94143

The effect of 6-thioguanine (6-TG) and {alpha}-interferon (IFN-{alpha}) was evaluated in vitro to determine their effectiveness in combination on the therapeutically relevant events of: HL-60 cell cytotoxicity, HL-60 cell differentiation, and natural killer (NK)-cell mediated cytotoxicity. 6-TG was toxic to HL-60 cells (ID50 = 0.6 µM; 24-h exposure) while IFN-{alpha} (up to 1000 IU/ml) had minimal cytotoxic activity. Sequence-dependent activity was observed, inasmuch as the IFN-{alpha} pretreatment sequence was antagonistic, while the other schedules were additive or, possibly, synergistic. The combination of 0.5 µM 6-TG and 100 IU/ml IFN-{alpha} produced the same level of HL-60 cell differentiation as each agent alone, suggesting no benefit from the combination on this process. The effect of 6-TG and IFN-{alpha} on NK cell-mediated cytotoxicity was found to be sequence dependent. NK cell activity was markedly stimulated by IFN-{alpha}, whereas 6-TG alone seemed to have no direct effect. However, when the NK cells were pretreated with 100 IU/ml IFN-{alpha} followed by 10 µM 6-TG, the IFN-{alpha}-enhanced activity of NK cells was ablated. These results suggest that the immunosuppressive activity of 6-TG may be related to the acute inhibition of cytokine activation. Our results suggest that 6-TG and IFN-{alpha} have considerable interactions, which are sequence dependent. The optimal sequence for potential therapeutic application of these anticancer agents appears to be 6-TG pretreatment followed by IFN-{alpha}.

1 These studies were supported by Grant CH-329 from the American Cancer Society and NIH Grant CA 27903.

2 Dr. Yu Ying Tan was a visiting professor from the Cancer Research Institute, Harbin Medical University, The People's Republic of China.

3 To whom requests for reprints should be addressed, at the La Jolla Cancer Research Foundation, 10901 No. Torrey Pines Rd., La Jolla, CA 92037.

Received 8/22/88. Revised 11/29/88. Revised 5/ 8/89. Accepted 5/15/89.




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Copyright © 1989 by the American Association for Cancer Research.