Tohoku

J. exp.

Med.,

1978,

Antitumor

Activity

Delipidated

BCG

HIROSI

125, 247-252

of

Hot-Water

Extract

SATO, ATSUNOBU YOKOSAWA, HIDEO

NAGAI,

NOBUKO

KIYOSHI

KONNO

KUMANO,

MASAKICHI

from

ARAI,

HIROMI

MOTOMIYA

and

The Research Institute for Tuberculosis and Cancer, Tohoku University, Sendai 980

SATO, H., YOKOSAWA,A., ARAI, H., NAGAI, H., KUMANO, N., MOTOMIYA, M. and KONNO, K. Antitumor Activity of Hot Water Extract from. Delipidated BCG. Tohoku J. exp. Med., 1978, 125 (3), 247-252The antitumor activity of hot water extract of delipidated BCG was investigated in mice inoculated with Sarcoma-180 cells and Ehrlich carcinoma cells, respectively. The hot-water extract was found to be effective when administered after and ineffective when administered before the inoculation of tumor cells. When this extract was given with anticancer drugs, such as Mitomycin C and cyclophosphamide, a combined effect was obtained in the treatment of Sarcoma-180 and of Ehrlich carcinoma. water-soluble adjuvant; BCG

The mycobacterial preparations such as whole bacilli of BCG, cell wall skeleton (Meyer et al. 1974), methanol extraction residue (Shlomo et al. 1973), and cord factor (trehalose dimycolate) (Bekierkunst 1976), which are all adjuvant-active, have been employed in the treatment of neoplasms in recent years. Also the adjuvant activity of these preparations is known to be essential for their antitumor activity. Since 1972, several water-soluble substances from delipidated mycobacteria (Adam et al. 1973; Migliore-Samour and Jolles 1972, 1973) and cell walls (Adam et al. 1972) have been reported to possess adjuvant activity. The hot-water extract obtained from defatted Mycobacterium bovis strain BCG was found to have adjuvant activity and was designated as HSA (Hot-water Soluble Adjuvant) in our previous paper (Sato et al. 1976). In the inoculum

present

study

of Sarcoma-180

the

antitumor

and

Ehrlich

effect

of the

carcinoma

HSA

in mice

on the

intraperitoneal

was investigated.

MATERIALS AND METHODS Throughout

the

experiments,

4-week-old

ddI

mice

of both

sexes

weighing

22-24

g

were employed. Sarcoma-180 and Ehrlich carcinoma in ascitic form have been maintained in ddI mice by weekly inoculations. In each experiment the suspension of the tumor cells was diluted with saline immediately inoculated intraperitoneally. The test. Received

for publication,

before viability

December

use and the desired number of the cells were of cells was examined by the dye exclusion

7, 1977. 247

248

H. Sato et al.

The hot-water extract was prepared as previously reported taken up in 0.25 ml of saline and injected intraperitoneally.

(Sato et al. 1976) and was

Antitumor effect on Sarcoma-180 Experiment received of

3•~108

HSA as

I.

Mice

were

intraperitoneal tumor

for a

cells.

The

7 consecutive

control

(Fig.

divided

injections

The

after

3

equal

HSA

for

group

was

inoculation

number

of

the

of

mice.

was

The

days

with

tumor

survivors

20

consecutive

treated

of

the

groups 7

first

before

intraperitoneal

cells.

The

recorded

in

group

inoculation injections

third the

group

above

of

was

three

used groups

1). Experiment ‡U.

Eighty

mice

four

groups

Group

1

The

fourth

before

(control, group

and

(Group

after

3 in

inoculation

with

3•~108

saline

tumor

at

1,

received The

7

cells.

3,

5

group groups.

days

after

used

as

above

cells

Sixty

of

7

size

consecutive

of

for

control

5

4 mg

inoculation the

days

from

compared

a

the

day

for

5

of

20

of

Mitomycin

tumor

after

in

of

the

Experiment

I.

consecutive

days

the

mice

were

cells.

The

inoculation same

inoculated

C (1

of

the

as

in

manner

mg/kg)

second

in group

tumor the

cells. first

and

control.

the

manner

to

days

among

after

The in

groups

HSA

every

same

dose

third

time

were

group

terms

of day of

days

20

mice.

before HSA

received

of

the

2

and

experimental

were

other two of

saline

received

saline

The former

the after

of

mice

for

7

saline

was

Group

A

inoculation

of

consecutive

alone

compared

and

was

among

the

two

groups

tumor and

the

of

cells.

20

mice

Group

each. 1

inoculation

of

tumor

inoculation

of

the

inoculation to

groups and

the

groups

In

this

received cells.

tumor

HSA Group

3

cells.

The

alone.

an given

groups

4

1.0•~10,

after

before

injections

in

into to

Group

hundred

the

divided reduced

days

inoculation

four

equal

of the

cells.

and

cells.

as in

3

mg

received

was

received

tumor

into

0.25

survival

cyclophosphamide

2

1

HSA

divided

B

mice

One

of same

in

1).

prior

group

of

mice. Three as

HSA

injection

of

as

of

tumor

conseuctive

Experiment ‡V. and

of

consisting an

from and

served

inoculum

days

HSA

fourth

HSA

were

the

Eighty

the

received

of 20

treated

cells. each

received

C

groups

were

injection

inoculation

of

mean

(Table

Experiment ‡U.

for

2)

an

mice

after

Group

The

groups

experiment

group

mice

(1.2•~107).

control.

three

first

4 equal

Fig.

tumor of

injections

inoculation a

in

effect on Ehrlich carcinoma

intraperitoneal

tumor

3•~108

group

into

2

received

Mitomycin

fourth

I.

7

2)

injections

The

Experiment received

Fig.

7 days

received

Antitumor

the

and

divided

Group

groups The

consecutive

third

second

Four

were

and

of

Experiment ‡V.

in

the

second

days

group.

into

of

two

of groups

were

2•~106 of

injected

were

treated

cells.

The

control

with with

at

cells 2

.

days

2

after

cyclophosphamide

HSA

numbers

(Table

tumor

mice

for of

7 consecutive survivors

were

2).

RESULTS

Antitumor effect on Sarcoma-180 Fig. 1 shows the results of the experiment in which HSA was injected for 7 consecutive days each before or after inoculation of Sarcoma-180 cells. The survival time of the mice received HSA before inoculation of the tumor cells was prolonged only slightly. On the other hand an increase of survival time was evident in the mice treated with HSA after inoculation of the sarcoma, hells The results summarized mice

that

of another

in Fig. 2. had

received

experiment

In this HSA

in which

experiment before

survival

inoculation

HSA

alone

was administered

time was not prolonged of

the

group which received HSA for 5 consecutive days before the tumor cells only a very slight effect was observed .

tumor and

are in the

cells . In after inoculation

the of

Antitumor

Fig.

1.

Antitumor

Group

1,

activity

injected

Fig.

inoculation

0.25

106

tumor

2.

Antitumor

Group

mg

of

Fig.

3.

for

activity

1,

received

0.3

7

from

Sarcoma-180

3•~106

0.25

tumor

BCG

249

. mg

of

cells;

consecutive

of

HSA

mg

of

inoculation

cells;

Group and

Effect

of

1,

7

given

intraperitoneal

3,

after

HSA

for

Group

days

7 consecutive

2

, injected intraperitoneal

after

days

before

intraperitoneally inoculation of

3•~

mg

tumor

cells;

Group

I

and

Group Group

2.

tumor

0.3

of

of

consecutive

3,

given

of

HSA

both

C and

3•~

days Mitomycin

cells;

after

for

106

tumor

on at

and

HSA

mg

cells,

2,

3,

5

and

given

0.25

inoculation in

before of

of 5

HSA 3•~106

consecutive respectively.

Sarcoma-180. 1,

intraperitoneal C

0.3

inoculation

HSA

Group

days

received

intraperitoneally of

C intraperitoneally tumor

consecutive

2,

intraperitoneal

Mitomycin

3•~106

7

after

7

Group

inoculation

Mitomycin of

mg

for

cells;

days

received

inoculation for

intraperitoneally

consecutive

regimen

0.02

Sarcoma-180.

3•~106

intraperitoneal

combined

intraperitoneally

on HSA

of

for

before

Group

on

with

of

HSA

intraperitoneally

days

HSA

of Extract

cells.

intraperitoneal

tumor

of

intraperitoneally

intraperitoneal with

Activity

the

same

7

days mg of

manner

after of

HSA

3•~106 as

in

250

H. Sato

The combined experiment

III

C alone. Mitomycin

effect of HSA

the survival

et al.

plus Mitomycin

time became

longer

C is demonstrated in the mice treated

In addition it was found that in the group treated C the survival time became markedly prolonged.

in Fig. 3.

In

with Mitomycin

with

both

HSA

and

TABLE 1.

Antitumor activity of HSA on Ehrlich carcinoma

Group

A:

Injected for

intraperitoneally

7

inoculation Group

B:

4.

Antitumor

Group

1,

activity injected

7

intraperitoneal t oneally with of

of

HSA

on

0.3

mg

tumor

of

HSA

days

for

7

Group

before

and

after

mg

of

HSA

cells.

of

tumor

injected

HSA

for

cells;

consecutive

3,

mg

intraperitoneal

carcinoma 0.3

1.0•~105

0.25

after tumor

Ehrlieh with

of

cells;

1.2•~107

of HSA

cells.

with days

mg

intraperitonal

tumor

consecutive

intraperitoneally inoculation

1.0•~105

consecutive

of

1.2•~107

0.25

before

intraperitoneally

inoculation

Fig.

days

of

Injected for

with

consecutive

7

days

days

. injected intraperitoneal

after

before

2

intraperitoneally

intraperitoneal

consecutive

Group

inoculation

with

0

of

1

.3 mg .0•~105

intraperi inoculation of

HSA

for

tumor

5

cells

respectively.

Antitumor effect on Ehrlich carcinoma Table n

this

1

obtained which size longer ever tumor

either was

of

the

in

the

treated

with was

HSA

mice

which

was

observed

received in

had

after to

group

effect

of

inoculated received

as after treated

of in

HSA .

HSA

inoculation

1.0•~101, HSA

the

the

were

which

reduced

the

of

cells

group

effect cells.

results

1.2•~107

inoculum in

no

summarizes

experiment,

Fig

inoculatio with

on

Ehrlich

No before

the . 4

antitumor in oculation tumo r cells.

the

survival

carci

noma. I

effect or

was in

that

When time

n of the tumor cells HSA b efore inoculation

the became

.

How of

the

Antitumor

Table 2 demonstrates tion with HSA. which

received

more

markedly

the results

The survival

alone was longer,

when HSA

Activity

from

BCG

251

of the effect of cyclophosphamide

time of the mice which had received

compared

with those

in addition

prolonged

of Extract

to

than

of the control

group.

cyclophosphamide,

in the

in combina

cyclophosphamide

the

In the

survival

cyclophosphamide-alone

groups

time

was

groups.

TABLE 2.

Effect of combined regimen of cyclophosphamide and HSA on Ehrlich carcinoma

CY, cyclophosphamide.

Groups 2 and 3 received 2 mg and 4 mg, respectively, of cyclopho sphamide by intraperitoneal injection 2 days after intraperitoneal inoculation of 2 X 108 tumor cells. Groups 4 and 5 received tion to cyclophosphamide 2 and 3.

0.3 mg of HSA intraperitoneally in addi given in the same manner as in Groups

DISCUSSION It

is

well

effects.

Hiu

adjuvant

on

(1973,

known

1975),

(1974)

demonstrated

antitumor

al.

found

activity

repeated

several

effect ther

of effective was the

after made

when very

combined

cyclophosphamide

slight

inoculated

1 •~ 105

cells

when

is due

likely

immunotherapy

of

to

HSA a

cells plus

decrease

al.

the

low

of

duration

for

of the

present

not

study

by

large HSA

but

the

known

Mitomycin

cells

have a

inoculated,

as

water material

satisfactory

when

is

was exerts

There

effective

tumor

effect

yield of

such

the

mycobacterial no

It

al.

reported

adjuvant

were

drugs number

as

quantity

inoculated.

et

concerning

from

the

very

Juy

prepared

In

a

al.

macrophages

reports

less

et

only

experiment.

1974).

antitumor in

and this

carcinoma were

Mathe

experiment,

is

et

Ehrlich

was few

a large

in

of

peritoneal

water-soluble

dose

water-soluble

showed

Presumably

the

(Bast

the

this

the

established

1.2•~107 of

in

prepare

reasons be

of

antitumor

a

injection.

adjuvants

once that

to

Hiu

single

a

injections.

that

are

effect

is

similar

stating cells

only

difficult

not

only

to

of

reports

a

which

been

water-soluble

repeated it

could

reports tumor

it

For

HSA

the given

Thus

has

with

of was

injections.

treatment

number

vivo

only

adjuvants

effect

have

the of

adjuvant

there

HSA

activity

soluble

antitumor

water-soluble

Sarcoma-180.

antitumor

was

in

When

on

been

the

However

to

by

related

effect

substance

administered

vitro

closely

According

water-soluble

in

is

antitunior

cells.

when

an by

et

activity

remarkable

tumor

activity

preparations.

for

leukemic

stimulated Adam

adjuvant a

mycobacterial

antitumor

by

the

reported

L1210

slight

when

that

(1972)

the

whe C and effect

of

252

H. Sato et al.

cytostatic which

agents

had

been

or to the

recovery

depressed

by antitumor

of the

function

of reticuloendothelial

systems

drugs.

The reason why the injection of HSA prior to the inoculation of tumor cells was ineffective remains to be clarified. Experiments are now being carried out along this line. References 1)

Adam, a

A.,

Ciorbaru,

Adam, F.,

smegmatis. A.,

Parant, of

Bast,

R.C.,

Bekierkunst,

5)

A.

factor

57,

963-964.

Hiu,

I.J.

Juy,

(1972)

un

&

from

Immun.,

Bona,

C.

&

H.J.

of

New

Chedid,

L.

properties

cell

wall

of

of

My

851-854. L.,

Lamensans,

A.,

Preparation

delipidated

and

cells

of

Parant, biological

Mycobacterium

855-861.

(1974)

BCG

and

cancer

(First

of

two

1413-1420.

in

cancer

nonliving

mycobacteria

medium.

fraction

238,

J.

from

BCG

and

nat.

Cancer

with

adjuvant

Inst.,

and

241-242.

Effet

d'origine

with

aqueous

lipid-free

Biol.,

(1974)

hydrosoluble

69,

(1973)

7,

and

from

Chedid,

fractions

and

Nature

Isolation

(Wash.), E., F.M.

Rapp,

290,

Water-soluble

adjuvant

Sci.

Immunotherapy

activity.

D.,

par

T.

Med.,

(1976)

(1972) fraction

Berger,

Infect.

Borsos, J.

E.

Lederer,

(trehalose-6,6•Œ-dimycolate)

antitumor 6)

Acad.

&

opaca.

B.,

Engl.

Lederer,

J.F.,

adjuvant

Nocardia

Zbar,

nat.

J.F.

water-soluble

New

cord

&

immunoadjuvant

Petit,

Rosselet,

and

parts). 4)

R.,

M.,

smegmatis

J.F.

Proc.

Ciorbaru,

properties

3)

Petit,

water-soluble

cobacterium 2)

R.,

macromolecular,

antitumoral

de

mycobacterienne.

macrophages

C.R.

peritoneaux

Acad.

Sci.

(Paris),

278,

2859-2862. 7)

Mathe,

G.,

Kamel,

experimental

M.,

immunotherapy. 8)

Mathe, I.J.

Bourut, for

Meyer, from

11)

J.

Sato,

H.,

low

K.

&

cells

of

the

conjugates

by

Cellular

Immunol.,

500-508.

M.A.,

Lett.,

(1973)

H.,

V. by

, H., biological

bovis

response

a

25,

Lett.,

Nagai

and

strain

of with

7,

(1973) in

Kamel,

EORTC-ICIG

Cancer,

11,

Biologically regression

An cancer

of

M.,

Hiu,

experimental 801-807. active

components

strain-2

guinea

adjuvant-active simple

pig

& guinea the

mycobacterial

extraction

technique

of

the

301-304.

Hydrosoluble

FEBS

pretreatment

FDeutsch,

guinea-pigs

and

by

M .

immune

bacilli.

in

Arai,

J.

A hydrosoluble,

FEBS

Mycobacterium

hapten

munity

(1972)

P.

M.,

of

B . (1974)

. preparation

Chemical

C.

applicable

103-111.

Constanti-Sourojon, of

Wainberg,

52, P.

Bourut,

Bruley-Rosset,

Europ.

Zbar,

Suppression

weight.

A.,

&

II.

Jolles,

molecular

(1976)

B.E.,

modulation

adjuvant. I.

Peurois).

Yokosawa,

Shlomo,

generation

Inst.,

& Jolles,

(strain D.

of

Konno,

second

-peptidoglycan' cells

delipidated

14)

D.

I.,

The

Azuma,

Cancer

Migliore-Samour,

&

13)

nat.

&

immunity"

1987-1997. Florentin,

wall.

0. of

0.,

immunity E.E.,

Halle-Pannenko, adjuvants

33,

(1975)

cell

Migliore-Samour, "polysaccharide

fractions 12)

Ribi,

mycobacterial

bacterial

Res.,

systemic

T.J.,

hepatoma. 10)

C.

M.,

"systemic

Halle-Pannenko,

screening 9)

for

Cancer

G., &

Dezfulian,

screening

35,

adjuvant-active

mycobacterial

317-321.

Kurita,

K.,

Kumano,

properties BCG Weiss,

of

. Tohoku D.W.

pigs MER

to

N.,

hot J.

exp.

(1973) poorly

fraction

of

Motomiya,

water

M.

extract

Med.,

from

120,

75-81.

Potentiation

and

imnunogenic

protein

attenuated

tubercle

370-379. & Weiss

methanol

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Stimulation of BCG

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im

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34,

Cancer,

Antitumor activity of hot-water extract from delipidated BCG.

Tohoku J. exp. Med., 1978, Antitumor Activity Delipidated BCG HIROSI 125, 247-252 of Hot-Water Extract SATO, ATSUNOBU YOKOSAWA, HIDEO NA...
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