Metastatic
Lewis lung carcinoma (LLC-LN7) cells have previously been shown to produce
granulocyte-macrophage colony-stimulating factor (
GM-CSF) which induces the appearance of immunosuppressive granulocytic-macrophage progenitor cells (GM-suppressor cells). The present in vitro studies showed that treatment of LLC-LN7
tumor cells with
1 alpha,25-dihydroxyvitamin D3 [
1,25(OH)2D3] plus low dose
gamma-interferon (IFN-gamma) resulted in a synergistic reduction in
tumor GM-CSF secretion and a blockage in the capacity of the
tumor cells to induce GM-suppressor cells. The production of
GM-CSF by bulk cultures of enzymatically dissociated LLC-LN7
tumors that had been excised as s.c.
tumors from mice was also blocked when the dissociated
tumor was cultured with
1,25(OH)2D3 plus IFN-gamma. Our previous and present studies showed that GM-suppressor cells persist in bulk cultures of dissociated LLC-LN7
tumors after a 1-week period of culture. Addition of either
1,25(OH)2D3 or IFN-gamma did not diminish the persistence of GM-suppressor cells. However, when
tumor production of
GM-CSF was inhibited by culture with both
1,25(OH)2D3 and IFN-gamma, the ability of the dissociated
tumor culture to sustain the presence of GM-suppressor cells was blocked. This elimination of GM-suppressor cells by treatment of the dissociated
tumor with
1,25(OH)2D3 and IFN-gamma coincided with increased expansion of CD8+
tumor-infiltrating leukocytes and increased cytotoxic T-lymphocytes activity of tumor-infiltrating lymphocytes. These results suggest that blocking
tumor production of
GM-CSF can interrupt the suppressor-inducing cascade of the
tumor and enhance expansion and anti-
tumor cytolytic reactivity of
tumor-infiltrating leukocytes.