Synergy of Nocardia rubra Cell Wall Skeleton and Interleukin 2 in the in vivo Induction of Murine Lymphokine‐activated Killer Cell Activity

Combination of an ip injection of Nocardia rubra cell wall skeleton (N‐CWS) and 3 daily sc injections of human recombinant interleukin 2 (rIL 2) into C3H/HeN mice resulted not only in a significant increase in the number of peritoneal cells (PC) but also in a potent induction of their lymphokine‐activated killer (LAK) activity, compared with results obtained with N‐CWS or rIL 2 alone. The augmented LAK activity of PC was mediated by nonadherent, nonphagocytic, Thy‐1.2(+∼−) and asialo GM(1)(+) cells. Nonadherent PC induced by an ip injection of N‐CWS bound more (125)I‐labeled rIL 2 than did normal, nonadherent PC, and generated high LAK activity when cultured overnight with rIL 2. In contrast, normal, nonadherent PC responded only weakly to the overnight stimulation with rIL 2. The phenotype of N‐CWS‐induced PC with an elevated IL 2 responsiveness was Thy‐1.2(+∼−), Lyt‐1.1(−), Lyt‐2.1(−) and asialo GM(1)(+), suggesting that the N‐CWS‐stimnlated LAK precursors were derived mainly from the NK cell lineage. However, mature T cells may also be involved in this mechanism, because N‐CWS failed to augment the IL 2 responsiveness of nonadherent PC in BALB/c nu/nu mice. Treatment of CS7BL/6N mice bearing solid Lewis lung carcinoma (3LL) tumors with an intratumoral injection of N‐CWS followed by 6 daily sc injections of rIL 2 resulted in the apparent suppression of tumor growth, while N‐CWS or rIL 2 alone produced no such suppression. These results suggest that N‐CWS augments the antitumor effect of rIL 2 by accumulating LAK precursors and elevating their responsiveness to rIL 2 at the injection site.