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Stavrou S, Crawford D, Blouch K, Browne EP, Kohli RM, Ross SR. Different modes of retrovirus restriction by human APOBEC3A and APOBEC3G in vivo. PLoS Pathog 2014; 10:e1004145. [PMID: 24851906 PMCID: PMC4031197 DOI: 10.1371/journal.ppat.1004145] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Accepted: 04/12/2014] [Indexed: 12/22/2022] Open
Abstract
The apolipoprotein B editing complex 3 (A3) cytidine deaminases are among the most highly evolutionarily selected retroviral restriction factors, both in terms of gene copy number and sequence diversity. Primate genomes encode seven A3 genes, and while A3F and 3G are widely recognized as important in the restriction of HIV, the role of the other genes, particularly A3A, is not as clear. Indeed, since human cells can express multiple A3 genes, and because of the lack of an experimentally tractable model, it is difficult to dissect the individual contribution of each gene to virus restriction in vivo. To overcome this problem, we generated human A3A and A3G transgenic mice on a mouse A3 knockout background. Using these mice, we demonstrate that both A3A and A3G restrict infection by murine retroviruses but by different mechanisms: A3G was packaged into virions and caused extensive deamination of the retrovirus genomes while A3A was not packaged and instead restricted infection when expressed in target cells. Additionally, we show that a murine leukemia virus engineered to express HIV Vif overcame the A3G-mediated restriction, thereby creating a novel model for studying the interaction between these proteins. We have thus developed an in vivo system for understanding how human A3 proteins use different modes of restriction, as well as a means for testing therapies that disrupt HIV Vif-A3G interactions. APOBEC3 genes are part of the host's arsenal against virus infections. Humans have 7 APOBEC3 genes and determining how each specifically functions to inhibit retroviruses like HIV is complicated, because all 7 can be produced in a given cell type or tissue. This is important, because some viruses make their own factors, such as the HIV Vif protein, that block the anti-viral activity of APOBEC3 proteins. Moreover, there is interest in developing anti-viral therapeutics that enhance the action of APOBEC3 proteins. To overcome this limitation, we made transgenic mice that express two of the human proteins, APOBEC3A and APOBEC3G in mice that do not express their own APOBEC3. These mice were able to effectively block infection by several mouse retroviruses. Moreover, we found that APOBEC3A and APOBEC3G used different mechanisms to block infection in vivo. These transgenic mice have the potential to increase our understanding of how the human proteins function to restrict virus infection in vivo and should be useful for the development of therapeutics that enhance APOBEC3 proteins' antiviral function.
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Affiliation(s)
- Spyridon Stavrou
- Department of Microbiology, Institute for Immunology and Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
| | - Daniel Crawford
- Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
| | - Kristin Blouch
- Department of Microbiology, Institute for Immunology and Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
| | - Edward P. Browne
- Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, United States of America
| | - Rahul M. Kohli
- Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
| | - Susan R. Ross
- Department of Microbiology, Institute for Immunology and Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
- * E-mail:
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Ross SR. Mouse mammary tumor virus molecular biology and oncogenesis. Viruses 2010; 2:2000-2012. [PMID: 21274409 PMCID: PMC3026287 DOI: 10.3390/v2092000] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2010] [Revised: 08/25/2010] [Accepted: 09/15/2010] [Indexed: 01/15/2023] Open
Abstract
Mouse mammary tumor virus (MMTV), which was discovered as a milk-transmitted, infectious cancer-inducing agent in the 1930s, has been used since that time as an animal model for the study of human breast cancer. Like other complex retroviruses, MMTV encodes a number of accessory proteins that both facilitate infection and affect host immune response. In vivo, the virus predominantly infects lymphocytes and mammary epithelial cells. High level infection of mammary epithelial cells ensures efficient passage of virus to the next generation. It also results in mammary tumor induction, since the MMTV provirus integrates into the mammary epithelial cell genome during viral replication and activates cellular oncogene expression. Thus, mammary tumor induction is a by-product of the infection cycle. A number of important oncogenes have been discovered by carrying out MMTV integration site analysis, some of which may play a role in human breast cancer.
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Affiliation(s)
- Susan R Ross
- Department of Microbiology and Abramson Cancer Center, University of Pennsylvania, 421 Curie Boulevard, Philadelphia, PA 19104, USA
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3
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Induction of APOBEC3 in vivo causes increased restriction of retrovirus infection. J Virol 2009; 83:3486-95. [PMID: 19153238 DOI: 10.1128/jvi.02347-08] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
APOBEC3 proteins are important cellular factors that restrict infection by a number of viruses, including human immunodeficiency virus type 1 (HIV-1). Previously, we found that the mouse APOBEC3 (mA3) restricts infection by mouse mammary tumor virus (MMTV) in its natural host. Dendritic cells (DCs) are the first in vivo targets of MMTV infection. In this study, we demonstrate that mA3 expressed in target cells restricts MMTV infection in DCs ex vivo and in vivo. By comparing infection of DCs from mA3(+/+) and mA3(-/-) mice with one-hit viruses, we show that mA3 expression in target cells blocked MMTV infection at a postentry step and acted together with virion-packaged mA3 to inhibit infection. Similar results were obtained upon infection of mouse DCs with HIV-1 cores pseudotyped with vesicular stomatitis virus G protein. In addition, treatment of cells or mice with lipopolysaccharide (LPS) caused increased levels of mA3 expression and rendered them resistant to MMTV infection. Alpha interferon treatment had a similar effect. This LPS-induced resistance to infection was seen only in mA3(+/+) mice and not in mA3(-/-) mice, arguing that mA3 is the major anti-MMTV restriction factor that is induced upon DC maturation. Thus, increasing the levels of this intrinsic antiretroviral factor in vivo can lead to increased levels of restriction because of higher levels of both cell-intrinsic as well as virion-packaged APOBEC3.
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Ross SR. MMTV infectious cycle and the contribution of virus-encoded proteins to transformation of mammary tissue. J Mammary Gland Biol Neoplasia 2008; 13:299-307. [PMID: 18661104 PMCID: PMC2715138 DOI: 10.1007/s10911-008-9090-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2008] [Accepted: 07/04/2008] [Indexed: 02/08/2023] Open
Abstract
Mouse mammary tumor virus has served as a major model for the study of breast cancer since its discovery 1920's as a milk-transmitted agent. Much is known about in vivo infection by this virus, which initially occurs in lymphocytes that then carry virus to mammary tissue. In addition to the virion proteins, MMTV encodes a number of accessory proteins that facilitate high level in vivo infection. High level infection of lymphoid and mammary epithelial cells ensures efficient passage of virus to the next generation. Since MMTV causes mammary tumors by insertional activation of oncogenes, which is thought to be a stochastic process, mammary epithelial cell transformation is a by-product of the infectious cycle. The envelope protein may also participate in transformation. Although there have been several reports of a similar virus in human breast cancer, the existence of a human MTV has not been definitely established.
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Affiliation(s)
- Susan R Ross
- Department of Microbiology/Abramson Family Cancer Center, University of Pennsylvania, 421 Curie Blvd., Philadelphia, PA 1914, USA.
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5
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A novel block to mouse mammary tumor virus infection of lymphocytes in B10.BR mice. J Virol 2007; 82:1314-22. [PMID: 18003725 DOI: 10.1128/jvi.01848-07] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Classic studies on C57BL-derived mouse strains showed that they were resistant to mouse mammary tumor virus (MMTV) infection. Although one form of resistance mapped to the major histocompatibility complex (MHC) locus, at least one other, unknown gene was implicated in this resistance. We show here that B10.BR mice, which are derived from C57BL mice but have the same MHC locus (H-2(k)) as susceptible C3H/HeN mice, are resistant to MMTV, and show a lack of virus spread in their lymphoid compartments but not their mammary epithelial cells. Although in vivo virus superantigen (Sag)-mediated activation of T cells was similar in C3H/HeN and B10.BR mice, T cell-dependent B-cell and dendritic cell activation was diminished in the latter. Ex vivo, B10.BR T cells showed a diminished capacity to proliferate in response to the MMTV Sag. The genetic segregation of the resistance phenotype indicated that it maps to a single allele. These data highlight the role of Sag-dependent T-cell responses in MMTV infection and point to a novel mechanism for the resistance of mice to retroviral infection that could lead to a better understanding of the interplay between hosts and pathogens.
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Bhadra S, Lozano MM, Payne SM, Dudley JP. Endogenous MMTV proviruses induce susceptibility to both viral and bacterial pathogens. PLoS Pathog 2007; 2:e128. [PMID: 17140288 PMCID: PMC1665650 DOI: 10.1371/journal.ppat.0020128] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2006] [Accepted: 10/25/2006] [Indexed: 11/18/2022] Open
Abstract
Most inbred mice carry germline proviruses of the retrovirus, mouse mammary tumor virus (MMTV) (called Mtvs), which have multiple replication defects. A BALB/c congenic mouse strain lacking all endogenous Mtvs (Mtv-null) was resistant to MMTV oral and intraperitoneal infection and tumorigenesis compared to wild-type BALB/c mice. Infection of Mtv-null mice with an MMTV-related retrovirus, type B leukemogenic virus, also resulted in severely reduced viral loads and failure to induce T-cell lymphomas, indicating that resistance is not dependent on expression of a superantigen (Sag) encoded by exogenous MMTV. Resistance to MMTV in Mtv-null animals was not due to neutralizing antibodies. Further, Mtv-null mice were resistant to rapid mortality induced by intragastric inoculation of the Gram-negative bacterium, Vibrio cholerae, but susceptibility to Salmonella typhimurium was not significantly different from BALB/c mice. Susceptibility to both MMTV and V. cholerae was reconstituted by the presence of any one of three endogenous Mtvs located on different chromosomes and was associated with increased pathogen load. One of these endogenous proviruses is known to encode only Sag. Therefore, Mtv-encoded Sag appears to provide a unique genetic susceptibility to specific viruses and bacteria. Since human endogenous retroviruses also encode Sags, these studies have broad implications for pathogen-induced responses in mice and humans.
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Affiliation(s)
- Sanchita Bhadra
- Section of Molecular Genetics and Microbiology and Institute for Cellular and Molecular Biology, University of Texas at Austin, Austin, Texas, United States of America
| | - Mary M Lozano
- Section of Molecular Genetics and Microbiology and Institute for Cellular and Molecular Biology, University of Texas at Austin, Austin, Texas, United States of America
| | - Shelley M Payne
- Section of Molecular Genetics and Microbiology and Institute for Cellular and Molecular Biology, University of Texas at Austin, Austin, Texas, United States of America
| | - Jaquelin P Dudley
- Section of Molecular Genetics and Microbiology and Institute for Cellular and Molecular Biology, University of Texas at Austin, Austin, Texas, United States of America
- * To whom correspondence should be addressed. E-mail:
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Abstract
Mouse mammary tumor virus (MMTV) is a nonacute transforming retrovirus that causes mammary tumors in susceptible strains of mice. Upon milk-borne transmission, B cells in the gut become infected and subsequently present a virus-encoded superantigen to cognate T cells. These T cells become activated and, in turn, stimulate neighboring lymphocytes, thereby establishing an infection-competent reservoir of lymphoid cells. During puberty and pregnancy, mammary epithelial cells actively divide, and viral transmission occurs from the lymphocytes that migrate to the mammary gland. Thus, MMTV utilizes the immune system to establish infection while simultaneously avoiding immune responses.
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Affiliation(s)
- Jennifer Czarneski
- Department of Microbiology, University of Pennsylvania, Philadelphia, PA 19104, USA
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Xu L, Shen Z, Guo L, Fodera B, Keogh A, Joplin R, O'Donnell B, Aitken J, Carman W, Neuberger J, Mason A. Does a betaretrovirus infection trigger primary biliary cirrhosis? Proc Natl Acad Sci U S A 2003; 100:8454-9. [PMID: 12832623 PMCID: PMC166250 DOI: 10.1073/pnas.1433063100] [Citation(s) in RCA: 181] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Patients with primary biliary cirrhosis develop progressive ductopenia associated with the production of antimitochondrial antibodies that react with a protein aberrantly expressed on biliary epithelial cells and peri-hepatic lymph nodes. Although no specific microbe has been identified, it is thought that an infectious agent triggers this autoimmune liver disease in genetically predisposed individuals. Previous serologic studies have provided evidence to suggest a viral association with primary biliary cirrhosis. Here we describe the identification of viral particles in biliary epithelium by electron microscopy and the cloning of exogenous retroviral nucleotide sequences from patients with primary biliary cirrhosis. The putative agent is referred to as the human betaretrovirus because it shares close homology with the murine mammary tumor virus and a human retrovirus cloned from breast cancer tissue. In vivo, we have found that the majority of patients with primary biliary cirrhosis have both RT-PCR and immunohistochemistry evidence of human betaretrovirus infection in lymph nodes. Moreover, the viral proteins colocalize to cells demonstrating aberrant autoantigen expression. In vitro, we have found that lymph node homogenates from patients with primary biliary cirrhosis can induce autoantigen expression in normal biliary epithelial cells in coculture. Normal biliary epithelial cells also develop the phenotypic manifestation of primary biliary cirrhosis when cocultivated in serial passage with supernatants containing the human betaretrovirus or the murine mammary tumor virus, providing a model to test Koch's postulates in vitro.
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MESH Headings
- Autoantigens/biosynthesis
- Autoantigens/immunology
- Autoimmune Diseases/immunology
- Autoimmune Diseases/virology
- Betaretrovirus/genetics
- Betaretrovirus/isolation & purification
- Betaretrovirus/pathogenicity
- Bile Ducts, Intrahepatic/ultrastructure
- Bile Ducts, Intrahepatic/virology
- Cloning, Molecular
- Coculture Techniques
- DNA, Viral/genetics
- DNA, Viral/isolation & purification
- Dihydrolipoyllysine-Residue Acetyltransferase
- Epithelial Cells/ultrastructure
- Epithelial Cells/virology
- Fluorescent Antibody Technique, Indirect
- Humans
- Liver Cirrhosis, Biliary/immunology
- Liver Cirrhosis, Biliary/virology
- Lymph Nodes/chemistry
- Lymph Nodes/virology
- Mammary Tumor Virus, Mouse/genetics
- Microscopy, Electron
- Molecular Sequence Data
- Phenotype
- Proviruses/genetics
- Proviruses/isolation & purification
- Pyruvate Dehydrogenase Complex/biosynthesis
- Pyruvate Dehydrogenase Complex/immunology
- Retroviridae Infections/immunology
- Retroviridae Infections/pathology
- Retroviridae Infections/virology
- Reverse Transcriptase Polymerase Chain Reaction
- Sequence Homology
- Tissue Extracts/pharmacology
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Affiliation(s)
- Lizhe Xu
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Zhiwei Shen
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Linsheng Guo
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Brent Fodera
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Adrian Keogh
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Ruth Joplin
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Barbara O'Donnell
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - James Aitken
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - William Carman
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - James Neuberger
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
| | - Andrew Mason
- Section of Gastroenterology and Hepatology,
Ochsner Clinic Foundation, New Orleans, LA 70121;
Liver Unit, Queen Elizabeth Hospital,
University of Birmingham, Birmingham B15 2TT, United Kingdom; and
Institute of Biomedical and Life Sciences,
Division of Virology, University of Glasgow, Glasgow G12 8QQ, United
Kingdom
- To whom correspondence should be sent at the present address: Division of
Gastroenterology, University of Alberta, College Plaza, Room 205, 8215 112th
Street, Edmonton, AB, Canada T6G 2C8. E-mail:
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Yamazaki K, Boyse EA, Bard J, Curran M, Kim D, Ross SR, Beauchamp GK. Presence of mouse mammary tumor virus specifically alters the body odor of mice. Proc Natl Acad Sci U S A 2002; 99:5612-5. [PMID: 11929982 PMCID: PMC122818 DOI: 10.1073/pnas.082093099] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
It has long been recognized that various genetic and metabolic human disorders alter body odor, which is not surprising because they may alter body chemistry. Thus, it has been suggested that some human diseases may be diagnosed by odor alone. In that regard, the mouse mammary tumor virus (MMTV) and its tumors of mice, which may have human counterparts, are of special interest because of the need for basic research possible only in inbred and genetically defined animals. Accordingly, we now show that the mouse MMTV, whether obtained environmentally or genetically transmitted, alters the body odor of mice in both males and females, and regardless of the presence or absence of tumors. These observations, together with the prospect of artificial human odor discrimination, may aid in the search for early human diagnostics.
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Affiliation(s)
- Kunio Yamazaki
- Monell Chemical Senses Center, 3500 Market Street, Philadelphia, PA 19104, USA
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Hadden JW. The immunology and immunotherapy of breast cancer: an update. INTERNATIONAL JOURNAL OF IMMUNOPHARMACOLOGY 1999; 21:79-101. [PMID: 10230872 DOI: 10.1016/s0192-0561(98)00077-0] [Citation(s) in RCA: 76] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Adenocarcinomas of the breast behave clinically and epidemiologically in ways that show host resistance factors are important for outcome in addition to grade and stage of malignancy. Immune reactivity to autologous tumors is indicated by the general presence of lymphoid infiltration (LI) and regional lymph node changes; however, these changes predict favorable outcome only in non-metastatic disease. LI is characterized by CD4+ and CD8+ tumor infiltrating lymphocytes reflecting latent cell-mediated immunity (CMI). CMI and humoral immune reactivity have been demonstrated to autologous tumor and a variety of tumor-associated antigens (TAA) have been implicated including CEA, HER-2/neu, MAGE-1, p53, T/Tn and MUC-1. Immune incompetence involving CMI is progressive with the stage of breast cancer and is prognostically significant. Immunotherapy of several types has been designed to address this immunodeficiency and the TAAs involved. Animal models have employed drug therapy, cytokine transfection, vaccines with autologous tumor, cytokines like interferon alpha (IFN-alpha) and interleukin-2 (IL-2), TAA tumor vaccines, and immunotoxins with evidence of tumor regression by immunologic means. Immunotherapy of human breast cancer is a rapidly growing experimental area. Positive results have been obtained with natural IFN and interleukins, particularly in combination strategies (but not with high dose recombinant IFN or IL-2), with autologous tumor vaccine (but not yet with transfected autologous tumor); with a mucin carbohydrate vaccine (Theratope) in a combination strategy (but not with mucin core antigen) and with several immunotoxins. Combination strategies involving immunorestoration, contrasuppression, adjuvant, and immunotoxins are suggested for the future.
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Affiliation(s)
- J W Hadden
- University of South Florida College of Medicine, Department of Internal Medicine, Tampa, USA
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