Ontology highlight
ABSTRACT: Background
High-dose IL-2 (HDIL2) is approved for the treatment of metastatic melanoma and renal cell carcinoma, but its use is limited in part by toxicity related to the development of vascular leak syndrome (VLS). Therefore, an understanding of the mechanisms that underlie the initiation and progression of HDIL2-induced increases in endothelial cell (EC) permeability leading to VLS are of clinical importance.Methods
We established a novel ex vivo approach utilizing primary human pulmonary microvascular ECs to evaluate EC barrier dysfunction in response to IL-2.Results
Complementary in vitro studies using exogenous IL-2 and ex vivo studies using serum from patients treated with IL-2 demonstrate that HDIL2 induces VLS through CD144 (vascular endothelial (VE)-cadherin) redistribution.Conclusions
These findings provide new insight into how IL-2 induces VLS and identifies VE-cadherin as a potential target for preventing IL-2-related VLS.
SUBMITTER: Kim DW
PROVIDER: S-EPMC4062649 | biostudies-literature | 2014 May
REPOSITORIES: biostudies-literature
Kim Dae Won DW Zloza Andrew A Broucek Joseph J Schenkel Jason M JM Ruby Carl C Samaha Georges G Kaufman Howard L HL
Journal of translational medicine 20140506
<h4>Background</h4>High-dose IL-2 (HDIL2) is approved for the treatment of metastatic melanoma and renal cell carcinoma, but its use is limited in part by toxicity related to the development of vascular leak syndrome (VLS). Therefore, an understanding of the mechanisms that underlie the initiation and progression of HDIL2-induced increases in endothelial cell (EC) permeability leading to VLS are of clinical importance.<h4>Methods</h4>We established a novel ex vivo approach utilizing primary huma ...[more]