[CANCER RESEARCH 37, 4559-4567, December 1977] Inhibitory Effect of Abrin and Ricin on the Growth of Transplantable Murine Tumors and of Abrin on Human Cancers in Nude Mice1 Oystein Fodstad, Sjur Olsnes, and Alexander Pihl Norsk Hydro's Institute for Cancer Research, Montebello, Oslo 3, Norway SUMMARY 21). Each toxin consists of 2 polypeptide chains with differ ent functions (19, 20). The B-chain, or "haptomer," binds The toxic lectin abrin increased the survival time of mice inoculated with Ehrlich ascites cells by 43 to 93% and that of mice carrying B16 melanoma by 36%. The best results were obtained when several doses were given. The growth of Lewis lung carcinoma was retarded in abrin-treated mice, but the animals did not survive longer than did untreated animals. Ricin reduced the formation of ascites but increased survival only by 29%. HeLa cells, baby hamster kidney cells, and abrin-resistant variants obtained from these lines all formed solid tumors after injection into nude mice. When the animals were treated i.v. with abrin, tumors derived from parent cell lines sensitive to abrin in vitro were inhibited in their growth, whereas tumors derived from the abrin-resistant variants were unaffected. The data indicate (a) that when the cell lines grow as tumors in nude mice they retain their characteristic sensitivity to abrin and (b) that the inhibition of tumor growth is caused by the action of abrin on the tumor cells as such. Human cancer tissue from a fibrosarcoma humeri, an ovarian carcinoma, an ovarian sarcoma, a melanoma, and an Ewing's sarcoma was transplanted s.c. into nude mice. the toxin to certain cell surface receptors carrying terminal galactose residues. After being bound to the cell surface, the toxin or its active part, the A-chain or "effectomer," which is attached to the B-chain by a disulfide bond, somehow penetrates into the cytoplasm where it inactivates the 60 S ribosomal subunits, thus inhibiting protein synthe sis (1,30). A tumor-inhibiting effect of ricin was reported by Mosinger in 1951 (14). Lin et al. (10) found a strong protective effect of abrin and ricin against Ehrlich ascites tumor cells in mice. Others (6, 27) have found a growth-inhibiting effect of abrin and ricin on Ehrlich ascites tumor and Yoshida sarcoma, but the effect was much less than that reported by Lin ef al. A certain protective effect against experimental leukemia was also reported (26). In prelimi nary studies, the toxins have also been used in the treat ment of certain forms of human cancers (7, 32). In the few cases reported thus far, the results appear promising, and few side effects have been observed. In view of the preliminary nature of most of the studies on the cancerostatic properties of abrin and ricin and the discrepancies between the observations in different labo ratories, further studies seemed warranted. Here we started out to test the effect of abrin and ricin on the growth in mice of transplantable tumors. The toxins had a clear inhibitory effect on tumor growth without a depressive effect on the level of WBC. These findings encouraged us to explore the effect of abrin on the growth of human tumors transplanted into nude mice. When the transplanted tumors had reached an easily meas urable size, some of the animals were treated with abrin (3 to 5 injections) or with other cytostatics. In all cases abrin in doses well tolerated by the mice had a strong inhibitory effect on the tumor growth. Abrin and ricin, even when given in nearly lethal doses, did not depress the level of peripheral leukocytes. The finding that abrin and ricin inhibits growth like a number of cytostatics in common clinical use suggests that abrin and ricin may be useful, particularly in combina tion therapy and under conditions when bone marrow depression rules out further treatment with other cytostatic agents. The data also indicate that studies in nude mice may be of value in assessing the sensitivity of human tumors to cytotoxic agents. INTRODUCTION The toxic plant lectins abrin and ricin are potent cytotoxic agents that inhibit protein synthesis in eukaryotic cells (9, 1 This work was supported by the Norwegian Received March 3, 1977; accepted DECEMBER 1977 Cancer Society. August 9. 1977. MATERIALS AND METHODS Tumors. Three different mouse tumors, Ehrlich ascites tumor, Lewis lung tumor, and B16 melanoma, were used. The Ehrlich ascites tumor had been passaged in C57BL6 x DBA/2 (hereafter called B6D2F,) mice for more than 2 years at this institute. The Lewis lung and B16 tumors were ob tained from the NIH, Bethesda, Md. Five different human tumors were used. A fibrosarcoma of the huméruswas obtained from a 60-year-old woman, an ovarian sarcoma was obtained from a 70-year-old woman, and an ovarian carcinoma (serous cystadenocarcinoma) was obtained from a 60-year-old woman. A malignant melanoma was obtained from a lymph node metastasis removed from a 20-year-old man. An Ewing's sarcoma was 4559 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. 0. Fodstad et al. obtained from a lymph node metastasis from a 9-year-old boy who had previously been treated with X-irradiation. Animals. In the study of the transplantable mouse tu mors, different strains of mice were used. The B16 mela noma was maintained by s.c. serial transplantation in the C57BL6 mouse and transplanted into female B6D2F, mice for the chemotherapy experiments. Female B6D2F, mice, weighing 19 to 22 g, were also used in the experiments involving Ehrlich ascites tumor. Male B6D2F, mice weigh ing 22 to 26 g were used in the experiments with Lewis lung tumor. The animals were housed 3 to a cage and were maintained on a standard pellet diet with water ad libitum. Six- to 8-week-old nude athymic mice of both sexes were used for the experiments with human tumors. The animals, purchased from the Laboratory Animals Breeding and Re search Center, G1. Bomholtgaard, Ry, Denmark, were the outcome of back-cross cycles in gene transfer to either BALB/c or NMRI mice. The animals were housed 5 to 10 per cage under conventional conditions. Toxins. Abrin and ricin were extracted from seeds of Abrus precatorius and Ricinus communis and were purified to homogeneity as described earlier (19, 20). The doses of the toxins lethal to 50% of animals here used were 14 and 65 ng for abrin and ricin, respectively, after i.v. administration of a single dose to B6D2F, mice weighing 20 g (4). The dose-lethality curve was very steep, and all mice survived treatment with 11 ng abrin or 50 ng ricin. BALB/c nude and NMRI nude mice showed essentially the same sensitivity to the toxins as did the B6D2F, strain. Drugs. 5-Fluorouracil was obtained from Hoffmann La Roche, Basel, Switzerland. DTIC2 was obtained from Dome Laboratories, Stoke Poges, Buckinghamshire, England. Actinomycin D (Cosmegen Lyovac) was obtained from E. Merck AG, Darmstadt, West Germany. Inoculation of Tumors. One x 106 Ehrlich ascites cells in 0.2 ml of ascites fluid diluted with 0.9% NaCI solution were injected i.p. Small fragments (30 mg) of the solid mouse tumors were inoculated s.c. into the left axillary region of the host. HeLa cells with different sensitivities to the toxins when grown in culture were injected s.c. into nude mice. The cells in all cases grew as solid tumors. The microscopic pictures of parent and resistant cells in culture and of the corresponding tumors are shown in Fig. 1. The human tumors were serially transplanted into nude mice through 5 to 12 passages before being used in the experiments. Small pieces of solid tumor tissue (about 2 x 2x2 mm) were transplanted into the s.c. space in the flanks of the mice. Microscopic and electron-microscopic examination of the tumors showed that the original struc ture was retained after several passages. Only mice bearing a growing tumor were included in the experiments. After the tumors had been adapted to growth in nude mice, the take rate upon further transfers was 90 to 95%. The therapy was initiated when the tumor diameter was 4.5 ±1.5 mm. Administration of Toxins. In the experiments with Ehrlich ascites tumor, abrin was injected i.p. on the day of tumor transplantation, and in most cases the injection was re2 The abbreviations used are: DTIC. 5-(3,3-dimethyl-1-triazeno)imidazole4-carboxamide; BHK, baby hamster kidney. 4560 peated once or twice within the next 12 days. In general, there was a weight reduction of about 5% during the first 2 to 4 days after the injection of abrin. When the animals had regained their weight, after 2 to 3 days, the next injection was given. In the experiments with solid tumors, the toxins were injected i.v. into the tail vein. On the day of tumor transplan tation, 7 ng of abrin or 25 ng of ricin per 20 g body weight were injected into each mouse. The injections were re peated either 2 or 3 times within 14 days, depending on the weight change of the host. Therapy was discontinued after 2 weeks, in part because i.v. injections were difficult to perform after 2 or 3 previous injections and in part because the response to the toxins gradually decreased. In the tumor-bearing control animals 0.9% NaCI solution was injected instead of toxins. Evaluation of Tumor Growth. The growth of the Ehrlich ascites tumor was evaluated by weighing the animals every second day. For the solid mouse tumors, 2 perpendicular tumor di ameters were measured with vernier calipers 3 times a week. The results were expressed in sq mm as the product of the 2 diameters. The absolute size of the s.c. human tumors proved difficult to measure, because the difference in the thickness of the skin and s.c. tissue above the tumor strongly influ enced the measurement of the tumors, which were rela tively small by the time the treatment was initiated. Although the pieces of tumor tissue inoculated in the different mice were about the same size, the tumor diameters showed some variation from mouse to mouse when treatment was initiated. Subsequently, however, the increase in tumor diameter was quite similar in each group of mice. Because of the difficulties mentioned above, the mean diameter difference was used as a measure of increase or decrease in tumor size. Two diameters on each tumor were measured 3 times a week and the corresponding diameters measured on the day treatment was started were subtracted from these values. This proved to be a reproducible measure and has been used in the following studies. The observation time as given on the charts varies from one experiment to another, because the experiments were terminated when more than 10% of the animals had died. Animals died from the tumor only in those experiments in which tumors were derived from cultured BHK cell lines. The animals carrying tumors transplanted from patients apparently died for reasons unrelated to the implanted tumors or the abrin treatment. Thus, the death rate was the same in control animals as in tumor-bearing abrin-treated and untreated animals. Cells. HeLa cells and BHK cells and their toxin-resistant variants were maintained in shaker cultures at 37°in Grand Island Biological Co. minimum essential medium contain ing 10% calf serum (GIBCO BlO-Cult) at a concentration of 1 to 4 x 105cells/ml. Cells were harvested by centrifugation for 5 min at 100 x g and were then suspended to a concentration of about 5 x 106 cells/ml in Eagle's medium containing 10% calf serum. BHK cells and the resistant variants R7, R,a, RM, R,,¡,R17, and R^j were obtained from Dr. R. C. Hughes, National CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. VOL. 37 Effect of Abrin on Human Cancers in Nude Mice Institute for Medical Research, Mill Hill, London, England (12,13). Toxin-resistant variants of HeLa cells were isolated by selection for resistance to ricin. Ricin was used because we needed ricin-resistant cells for other purposes and material was precipitated by adding trichloroacetic acid to a final concentration of 10% (w/v), and the acid-precipitable because we had reason to expect that such cells would also be resistant to abrin. The resistant variant R"l was blood were taken from the tail of the mice and immediately diluted in 10 ml Isoton II (Coulter Electronics, Harpenden, Hertfordshire. England). Then 2 drops Zaponin (Coulter Electronics) were added to dissolve the RBC. and the number of WBC was measured in a Coulter counter. isolated by adding ricin (20 ng/ml) to a suspension culture of HeLa cells (100 ml containing 5 x 105 cells) in medium containing 5% calf serum. Every 3 days 25 ml of a fresh suspension of HeLa cells were added to provide the re quired growth factors for surviving cells. The medium contained 20-ng/ml amounts of ricin throughout the exper iment. When dividing cells were observed in the microscope, the addition of fresh cell suspensions was stopped. HeLa R"lll was obtained from R"l in the following way: 50 ml (3 x 105 cells/ml) of HeLa R"l was seeded into Falcon tissue culture flasks (25 sq cm). In this case the medium contained only 2% calf serum. Ricin (1 /¿g/ml) was added after incubation for 14 days, surviving cells were cloned and a single clone was selected. RHII was isolated after x-irradiation (450 to 500 rads) of 10 samples of 5 ml suspension each (3 x 10s cells/ml) in Carrel flasks. After x-irradiation the cells were seeded into Falcon tissue culture flasks in Grand Island Biological Co. minimum essential medium with Earle's salt and 10% calf serum. The medium was changed every 4 days. Under these conditions dead cells were removed. After 2 weeks the concentration of calf serum was reduced to 2%, and ricin (100 ng/ml) was added. Four days later the medium was changed to a medium of 10% calf serum and no ricin. The surviving cells formed colonies, and these cells were later used to select 1 clone. Isoenzyme studies of the ricin-resistant variants confirmed that they originated from HeLa cells. The isola tion and characterization of the resistant variants will be described in detail elsewhere.3 Test of Protein Synthesis Inhibition. The assay was carried out in suspension cultures or in cells grown as monolayers. To test cells in suspension, we washed the cells twice with Hanks' solution and resuspended them to a concentration of 3 x 105 cells/ml in serum-free Eagle's medium containing one-tenth the usual concentration leucine and 21 mM /V-2-hydroxyethylpiperazine-/V'-2-eth- of anesulfonic acid (pH 7.7). To test cells in monolayer, we seeded 3 x 10s cells in Eagle's medium containing 10% calf serum into each well of Linbro tissue culture plates equipped with 16-mm troughs (FB-16-24-tc; Linbro Chemi cal Co., Ltd., New Haven, Conn.). After a 20-hr incubation, radioactivity was measured. Measurement of WBC Levels. Twenty-//! samples of RESULTS Effect of Abrin and Ricin on the Growth of Transplantable Mouse Tumors. The untreated mice given 1 x 106 Ehrlich ascites cells i.p. lived for 14 ±0.2 days. Table 1 shows that the abrin-treated mice all survived longer than the untreated controls. The prolongation in survival time varied from 43 to 93%. Tumor-free control animals given the same amounts of abrin remained in good condition throughout the experiment. No deaths were observed in this group. There was an initial weight loss of 1 to 1.5 g, but the initial weight was regained by Day 6. An indication of the tumor mass was obtained by weigh ing the animals. The untreated tumor-bearing animals gained weight (average, 12.6 g) from the day of inoculation until the time of death. In contrast, the weight of the abrintreated tumor-bearing mice remained fairly constant. Au topsy revealed, however, that these animals also had a small amount of ascites at the time of death. When ricin was used instead of abrin, a considerable reduction in the formation of ascites was again found, but the survival time was increased by only 29%. The effect of abrin and ricin was compared with that of some commonly used cytostatics. Although the number of mice in each group was low, the results (Table 1) indicate that the effect of 5-fluorouracil and methotrexate was ap proximately the same as that for abrin, whereas vinblastine and, in particular, cyclophosphamide caused a greater increase in survival time. Abrin also inhibited the growth of Lewis lung carcinoma in B6D2F, mice (Chart 1). However, in spite of the inhibition of tumor growth, the treated animals lived no longer than did the untreated controls. The growth of B16 melanoma transplanted s.c. into B6D2F, mice was inhibited after i.v. administration of abrin (Chart 2). In this case the survival time increased by approx imately 36% in the abrin-treated group. At the time of death of the animals, the tumor size was approximately equal in treated and untreated animals. Effect of Abrin on the Growth in Nude Mice of Tumors from HeLa Cells and from Abrin-resistant Variants. We one-tenth the usual concentration of leucine and 21 mM Ntested the effect of abrin on different toxin-sensitive and 2-hydroxyethylpiperazine-/V'-2-ethanesulfonic acid (pH 7.7) -resistant cell lines in nude mice to see whether the various was added to each well. Increasing amounts of abrin or cell lines exhibit similar differences in sensitivity when they ricin were added, and the samples were incubated at 37° grow as tumors and when they grow in culture. for 3 hr. Then 0.5 /¿Ci[14C]leucine (specific activity, 330 Ci/ The resistant variants were selected by growing the cells mole) was added to each sample, and the incubation was in the presence of ricin and isolating a clone of the surviving continued for 1 hr. The experiments were terminated by cells. Since there is evidence that abrin and ricin bind to removing the medium and adding 1 ml of 0.1 M KOH. The the same receptors on the cell surface (21, 28) and that their mechanism of action on the molecular level is identical 3 S. Olsnes, manuscript in preparation. (1, 17, 22), it was expected that the cell lines selected for when the cells were attached to the bottom of the wells, the medium was removed, the wells were rinsed twice with Hanks' solution, and 1 ml of Eagle's medium containing DECEMBER 1977 4561 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. O. Fodstad et al. Table 1 agents on the survival time of mice inoculated with Ehrlich ase/fes C6//S The mice were given i.p. injections of 1 x 106 Ehrlich ascites cells suspended in 0.2 ml Effect of various cytostatic of 0.9% NaCI solution. The cytotoxic agents were also given i.p. animalsDose/in of in jection!,"9)0.0110.0110.0110.0090.0070.05075750203000No. ofmice16141011142293333Survival time(days)14 inlife AgentNoneAbrinAbrinAbrinAbrinAbrinRicinMethotrexate5-FluorouracilVinblastineCyclophosphamideTreatmentDay jection141, span (%)6457435093295071107221 0.2°23 ± 1.122 ± .420±1 .621±1 51. 0.927 ± 51. 121. 6, 2.118 ± 61, 1.121 ± 0.724 ± 41 41, . 029± 41, 4.545 ± 4of ±3.5Increase " Mean ±S.D. A- i. A 8— ,¿.tS- 71000'S [A"î 750o> 6EE I/jfH •y- 500N" 250oE.Control AbrinAn'^Q * g- t|2 t r/°'l Ô • 4«H*<U - i' i —i i I\ ?/ t/-_a0'""~'' » HeLa/S n D-a— o-D-a-0 -A-,B-a-GB— 091**—fc 0) i" i"""il li l! 20 Time i 20C t t 10 \ i BR" CR"nt 30 (days) DRRm .' 8'SE Chart 1. Ability of abrin to inhibit the growth of Lewis lung tumor ¡n mice. Fragments (about 30 mg) of Lewis lung carcinoma were implanted s.c. into 28 mice. Eighteen mice were given i.v. injections of 7 ng of abrin per 20 g mouse body weight on Days 1 and 7. The remaining 7 mice were kept as untreated controls. Tumor size was measured on the days indicated and is expressed in sq mm. Bars, S.D. e=5 ,1 ' 1/6 4Cfl -*j^AI/*',, -¿yA; ^/ '01 , â„¢'?^ ,i 10 600?| .l M/1T OI/I 'S 200o£..ControlI1'v\I/I,/I AbrinI 1¿/I11 0 1i/Uft^--^^° ^l,° I 10 Time 20 25 (days) Chart 3. Effect of abrin on the growth of various HeLa cell variants in nude mice. Five x 10* cells were injected s.c. into groups of 8 nude mice. When the tumor diameter had reached about 4 to 5 mm, 7 ng of abrin per 20 g mouse body weight were injected i.v. into one-half of the mice at the times indicated with arrows, the remaining animals were used as controls. Tumor size was measured by calipers every other day. A, untreated mice; D, mice treated with abrin. I 20 30 (days) Chart 2. Ability of abrin to inhibit the growth of B,fi melanoma in mice. Fragments (about 30 mg) of Blt melanoma were implanted s.c. into 26 mice; then 7 ng of abrin per 20 g mouse body weight were injected i.v. into 12 mice on Days 1.11, and 15. The remaining 11 mice were used as untreated controls. Sars, S.D. resistance to ricin would also have a decreased sensitivity to abrin. When the tumors, which all had similar histology, had reached an easily measurable size, about 4 to 6 mm in diameter, one-half of the animals were treated with abrin and one-half were used as untreated controls. Chart 3 shows that the tumors from the parent HeLa cells virtually stopped growing after the abrin treatment, whereas the 4562 ; 15 Time after transplantation «0• "O/o tumors derived from variants resistant to abrin and ricin in vitro were insensitive and continued to grow at about the same rate as those in the untreated animals. Chart 4 shows that the ricin-resistant variants were also resistant to abrin in vitro. It is evident that considerably higher amounts of abrin were required to inhibit protein synthesis in the ricinresistant HeLa variants than in the parent cells. Effect of Abrin on the Growth in Nude Mice of Tumors from BHK Cells and from Abrin-resistant Variants. A series of toxin-sensitive and -resistant BHK variants isolated in the laboratory of Dr. R. C. Hughes (12, 13) were tested to see whether similar results could be obtained with other types of cells. The resistant cells, which tolerated 10 to 100 times more ricin than did the parent BHK cells (12) all proved to be abrin resistant as well (data not shown). The CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. VOL. 37 Effect of Abrin on Human Cancers in Nude Mice to grow at the same rate in the treated and untreated animals. The results obtained with the tumors from the different cell lines derived from HeLa and BHK cells indicate that the sensitivity to abrin of these tumors grown in nude mice is determined by the sensitivity of the tumor cells as such. This supports the view that the sensitivity to abrin of different tumors growing in nude mice may give relevant information on the intrinsic sensitivity of the tumor cells to the toxin. Effect of Abrin on Human Cancers in Nude Mice. Exper iments were then performed to study the effect of abrin on the growth of human tumor tissue transplanted into nude mice. The procedure used was similar to that described by Povlsen and Rygaard (24). The data in Chart 6 show that injections of abrin had a pronounced but transient inhibitory effect on the growth of 10 100 T^ 10 a human fibrosarcoma. In contrast, 5-fluorouracil had no 100 effect on tumor growth. Toxin added (ng/ml) The growth of an ovarian sarcoma (Chart 7) was inhibited Chart 4. Effect of abrin and ricin on protein synthesis in different variants to a definite, but moderate, extent by abrin. Experiments of HeLa cells. To HeLa cells and 3 different ricin-resistant variants grown as monolayers in Linbro tissue culture plates were added, in duplicate wells, increasing amounts of abrin (A) and ricin (B); after a 3-hr incubation at 37°, on the same tumor carried out by Davy ef al. (3) showed that this tumor was highly resistant to actinomycin D and 0.5 ¡id [14C]leucine (specific activity. 330 Ci/mole) was added. The incuba tion was continued for 1 hr longer, and the acid-precipitable radioactivity irradiation. It was obtained from a patient who succumbed was measured. The data are expressed as percentage of the control value rapidly despite intense treatment. (no toxin added), which varied between 6.000 and 12,000 cpm in different An ovarian carcinoma (Chart 8) and a malignant mela experiments noma (Chart 9) were both strongly inhibited by abrin. Some mice carrying the melanoma were treated with DTIC, one 1 1 —" 1 1 1 1 1"B.D 1 of the most efficient agents in the treatment of malignant BHKwild 108t421 A melanoma in humans. DTIC proved to have approximately /AXD/ayA/^-' typethe same effect as abrin. various cell lines were then grown as solid tumors in nude mice, and one-half the animals were treated with abrin. As shown in Chart 5, the growth of the parent BHK cells decreased when the animals were treated with abrin, whereas all the variants resistant to ricin in vitro continued ~r ,A ' "& ' A/Ä'A n'tfl 0ET10 l" 'i -//—I- G/7Sa£ ' FIBROSARCOMA R12rJg*i lj li ' ~ 1 i] 1 S*• c CA^Aei- S-1 iT\ ii U'D /- NUMERI 2 6 eri i Jl ]À i »/A/°I/'• ( 6^ & È 3 •5 4*0) '-P / 1 2 /"p 2E.S R?-OIII oTJS I1 i'ERH-i i 100>S • E Rl7-D: t~-fR22-» I1 I"T I 1 i !I — I ? - 86420n ! /yi£rA^â.^,,>*-" »/•' /D i . r"T _J 20 .Aa**C • » — O — B^ 1 Time after transplantation 1 1 1 (days) Chart 5. Effect of abrin on the growth of various BHK cell variants in nude mice. Five x 10s cells were injected s.c. into groups of 8 nude mice. When the tumor diameter had reached about 4 to 5 mm, 7 ng of abrin per 20 g body weight were injected i.v. into one-half of the mice at the times indicated with arrows; the remaining animals were used as controls. Tumor size was measured by calipers every other day. A. untreated mice; D. mice treated with abrin. DECEMBER 1977 30 t t ) tttft Time after 4b t 50 transplantation 60 70 (days ) Chart 6. Effect of abrin on the growth in nude mice of a fibrosarcoma from human humérus.After establishing growth of the tumor in nude mice, as described in "Materials and Methods,' we implanted fragments (about 2 x 2 x 2 mm) of the tumor s.c. into 51 nude mice. On Day 23 after implantation, when the tumor diameter was about 4 to 5 mm, 26 mice were treated with 7 ng of abrin per 20 g body weight, and the injection was repeated on Days 29, 34, and 40 (upper row ol arrows). An additional 5 mice were treated with 5-fluorouracil [200 ¿igper 20 g body weight per day for 5 days (lower row of arrows)]; the remaining 20 mice were used as controls. Tumor growth was measured as described in "Materials and Methods." Bars, S.E. A, untreated mice; O, mice treated with 5-fluorouracil; D, mice treated with abrin 4563 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. O. Fodstad et al. and measured daily the number of WBC. A certain increase in the number of leukocytes occurred around Days 4 through 7, after which the number returned to normal. Also, in the control animals a slight increase occurred with time in the leukocyte number (Chart 11D), probably due to inflammatory reaction in the tail after repeated collection of blood samples. Similar results were obtained with higher doses, i.e., 12 ng of abrin and 50 ng of ricin. In fact, no decrease in the number of leukocytes was observed even after injection of toxin doses leading to death after 3 days. In contrast, i.v. injection of 8 mg of Cyclophosphamide per OVARIAN SARCOMA /' r-//- „à L/A 10 I Time 20 I after 30 40 I I I transplantation 50 60 (days) Chart 7. Effect of abrin on the growth of a human ovarian sarcoma in nude mice. Fragments (2x2x2 mm) were implanted s.c. into 19 mice; on Day 15 after implantation, when the tumor diameter was about 4 to 5 mm, 7 ng of abrin per 20 g mouse body weight were injected i.v. into 10 animals. This was repeated on Days 21, 27, 32. and 41 (arrows). Tumor growth was measured and is presented as in Chart 6. A. untreated mice; U, mice treated with abrin. 30 50 40 60 Time I CARCINOMA 4 transplantation SO 60 (days) Chart 9. Effect of abrin (A) and DTIC (6) on the growth of a human melanoma in nude mice. Fragments (2x2x2 mm) were implanted s.c. into 14 nude mice; on Day 3I. when the tumor diameter was about 4 to 5 mm. 7 ng of abrin per 20 g mouse body weight were injected i.v. into 5 mice. The injection was repeated on Days 38 and 47 (A). One mg of DTIC per 20 g mouse body weight was injected each day for 5 consecutive days into 4 mice (B); 5 mice were used as controls. Arrows, times of injections. A. untreated mice; D, mice treated with abrin (XI)or DTIC (B). -fr-r- OVARIAN after 30 40 ( I I I I iH £ 2 76^Ml</) SARCOMA.I/Ir/1A/i• 5+ 1E1 -Ih 40 30 50 40)m 60 Time after transplantation (days) the effect of abrin on the growth of Ewing's sarcoma was tested (Chart 10). Here also a pronounced but transient inhibition of tumor growth was observed. Treatment with actinomycin D had a somewhat weaker effect. Effect of Abrin, Ricin, and Cyclophosphamide on the Level of WBC. To study the effect of the toxins on the WBC we treated B6D2F, mice i.v. with one 7-ng dose of abrin (Chart 11/4) or two 25-ng doses of ricin (Chart 11S) 4564 /t/1 T^/l°-?/9 i"5"/ °/'x-'' X„,D=ìf-''' oEA i'! T,? 024)E 1nC2 * ,>!/! i/1Õ u•EWING's Chart 8. Effect of abrin on the growth of a human ovarian carcinoma in nude mice. Fragments of the tumor (2x2x2 mm) were implanted s.c. into 8 nude mice; on Day 32 after implantation, when the tumor diameter was about 4 to 5 mm, 7 ng abrin per 20 g mouse body weight were injected i.v. into 5 mice. The injection was repeated on Days 39, 46, and 52 (arrows). The remaining 3 mice were used as controls. A, untreated mice; D, mice treated with abrin. Finally, <T/1 \^'[ lilt J- jt O-'* '//1 r "/'TO'"'' Q'?° ''" 4080till 50 Time after 60 1 70 transplantation (days) Chart 10. Effect of abrin on the growth of an Ewing's sarcoma in nude mice Fragments (2x2x2 mm) were implanted s.c. into 14 nude mice; on Day 41, when the tumor diameter was about 4 to 5 mm, 7 ng of abrin per 20 g mouse body weight were injected i.v. into 6 mice. Injection of abrin was repeated on Days 45. 49, 54, and 60 (arrows). Actinomycin D (4 ¿ig/20g body weight was injected i.v. into 3 mice; 5 mice were used as controls. A, untreated mice; O, mice treated with actinomycin; D, mice treated with abrin. CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. VOL. 37 Effect of Abrin on Human Cancers in Nude Mice «0HO. A'T 30I TsSSß F° 20o 70 ,o— o 1*. Bh'\*\!. \¡_IMÕÔ^T,ÃŽ-Ô'|"os'1 yi i i. XO "DS 2!c -°~6o /It C 201—i10, D- //l -IO ~O0 Ã-I ooò°-°Xo/ f \ T 1.l*û 1,¿. , AT' x°"° ^ilô1 A .. 30 20 Time 10 20 ( days ) Chart 11. Effect of abrin, ricin, and cyclophosphamide on the level of WBC in mice. A, 5 mice each given i.v. injections of 7 ng of abrin; B, 4 mice each given injections of 25 ng of ricin on Days 1 and 5; C. 3 mice each given injections of 8 mg of cyclophosphamide; D. 4 mice kept as controls. On the days indicated, we collected blood samples by cutting short pieces from the tails of the animals, and we measured the number of WBC in a Coulter counter. 20 g body weight resulted in a strong but transient decrease in the number of WBC (Chart 11C) followed by a strong overshoot reaction around Day 10. Subsequently, the leu kocyte level decreased to approximately normal. Alto gether, the data indicate that abrin and ricin, in contrast to cyclophosphamide, have no depressive effect on the leu kocyte level in mice. DISCUSSION It is now well established that human tumors transplanted into nude mice maintain their morphological characteris tics. Even after numerous passages the chromosomal pat tern is definitely human (5, 25). It is therefore reasonable to assume that such tumors also retain their biochemical properties and their sensitivity to chemotherapeutic agents. The limited data available tend to support this view (16, 29). Recently, Davy ef al. (3) demonstrated a good correla tion between the sensitivity of different human tumors in nude mice and the response of these tumors to the same agents in patients. Several of the human tumors here tested in the nude mice responded as well or better to abrin than to various drugs currently used in the chemotherapy of such tumors. Unfortunately, the effect of abrin on tumor growth could only be followed for 4 to 7 weeks, due to the short life span of nude mice kept under our conventional laboratory conditions. Therefore, in most cases the data do not allow any conclusion on the duration of the inhibition of tumor growth. Giovanella ef al. (5) observed that transplanted human tumors grow better in nude mice in good health than in mice in poor condition. Since therapeutic doses of abrin and other cytostatics temporarily impair the general condi tion of the animals, it was important to see whether the growth-inhibiting effect of abrin could be a secondary effect unrelated to the action of abrin on the tumor cells as DECEMBER 1977 such. Our demonstration that the sensitivity of the cells to abrin in culture is correlated with their sensitivity when they grow as tumors in nude mice indicates that the growthinhibiting effect of abrin is due to a direct effect on the malignant cells and that the response of the cells is not demonstrably modified by the host. Previously, Lin ef al. (10) reported a dramatic effect of i.p. injection of abrin and ricin into mice bearing Ehrlich ascites tumor. Our results confirm that abrin has a definite inhibitory effect on the growth of this tumor in mice, but the effect was modest compared with that reported by Lin ef al. (10). The reason for this discrepancy is not clear. In the present experiments more highly purified preparations of abrin and ricin were used. However, in terms of the dose lethal to 50% of animals, the doses were similar to those used by Lin ef al. Possibly, the difference may be related to the fact that our tumor line was far more malignant than that used by Lin ef al. Also, these investigators used a different mouse strain. Treatment of Lewis lung carcinoma with abrin reduced the growth of the primary tumor but did not increase the life span of the animals. Similarly, Johnson ef al. (8) found that cyclophosphamide and 5-fluorouracil, which inhibited the growth of Lewis lung carcinoma, did not prolong the survival of the animals. The reason may be that Lewis lung carcinoma metastasizes early to the lungs (11) and that the métastasesmay be less susceptible to the cancerostatic agents than is the primary tumor. Only a modest growth inhibition of B16 melanoma was seen with abrin. This tumor is rather resistant to a number of other cytostatic agents, as well. Thus, in the study by Tarnowski ef al. (31), the most potent agents tested, namely, cyclophosphamide and busulfan, increased sur vival only about 30%, i.e., a value close to the one obtained here with abrin. Corbett ef al. (2) obtained similar results with Adriamycin and cyclophosphamide. In most cases the effect of abrin and ricin on tumor growth was only temporary. One reason for this could be selection of toxin-resistant cells in the tumor. Another possibility, which we are now investigating, is that the toxins induce the formation of neutralizing antibodies. If the formation of antibodies is indeed the reason for the decreasing effect of abrin, treatment could be continued with the immunologically unrelated ricin. The reason for the selective growth-inhibiting effect of abrin on malignant tumors is poorly understood. Thus, all eukaryotic nucleated cells appear to be sensitive to the toxic effect of abrin and ricin in vitro. One possibility is that the cells of some tumors may internalize the toxins more easily than do the normal cells. Thus, Nicolson ef al. (15) have shown that malignantly transformed 3T3 cells are more sensitive to ricin than are untransformed cells. In contrast to most anticancer agents currently used in humans, abrin and ricin do not interfere primarily with the synthesis of nucleic acids. It is therefore possible that the toxins may be useful in the treatment of slowly growing human tumors. The finding that even high doses of the toxins give no demonstrable suppressive effect on the blood level of leukocytes suggests that abrin and ricin may be of value when bone marrow depression rules out further treatment with other cytostatic agents. 4565 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. O. Fodstad et al. ACKNOWLEDGMENTS The technical assistance of Jorunn Jacobsen and Wenche Telle is grate fully acknowledged. REFERENCES 1. Benson, S., Olsnes, S., Pihl, A., Skorve, J., and Abraham, A. K. On the Mechanism of Protein Synthesis Inhibition by Abrin and Ricin. Inhibition of the GTP Hydrolysis Site on the 60S Ribosomal Subunit. European J. Biochem., 59. 573-580. 1975. 2 Corbett, T. H.. Griswold, D. P., Mayo, J. G.. Laster, W. R., and Schabel, F. M.. Jr. Cyclophosphamide-Adriamycin Combination Chemotherapy of Transplantable Murine Tumors. Cancer Res., 35. 1568-1573. 1975. 3. Davy, M., Brustad, T., and Mossige, J. Irradiation of Human Ovarian Tumors in Nude Mice. Proceedings of the Second International Work shop on Nude Mice University of Tokyo Press. Tokyo: in press 4. Fodstad, 0., Olsnes, S.. and Pihl, A. Toxicity, Distribution and Elimina tion of the Cancerostatic Lectins Abrin and Ricin after Parenteral Injection into Mice. Brit. J. Cancer, 34: 418-424, 1976. 5. Giovanella. B. 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Koide. T.. Hayashi. H.. and Nomura, T. Transplantation of Human Tumors in Nude Mice. J Nati. Cancer Inst., 56: 1251-1255. 1976. Sperti. S., Montanaro. L . Mattiolo. A., and Stirpe. F. Inhibition by Ricin and Protein Synthesis in Vitro. 60S Ribosomal Subunits as Target of the Toxins. Biochem. J., 736: 813-815. 1973. Tarnowski, G. S., Schmid, F. A., Capuccino. J. G.. and Stock. C. C. Chemotherapy Studies in an Animal Tumor Spectrum. II. Sensitivity of Tumors to Fourteen Antitumor Agents. Cancer Res.. 26: 181-207, 1966. Tung. T.-C., Hsu, C.-T., and Lin, J.-Y. Therapeutic Effect of Abrin and Ricin on Human Cancers. J Formosan Med Assoc.. 70: 569-578, 1971. Fig. 1. Microscopic examination of variants of HeLa cells grown in monolayer and as solid tumors in nude mice. HeLa cells and the abrin-resistant HeLa R"lll were seeded into culture flasks: after growing to confluence the cells were removed by trypsinization, diluted, and seeded into another culture flask. Concurrently, 5 x 106 HeLa cells or the abrin-resistant variant cells were injected s.c. into the flanks of nude mice When the tumors had reached a diameter of approximately 15 mm, they were removed, fixed in formaldehyde, and processed for histological examination. A, HeLa cells grown in monolayer culture; B. R"lll in monolayer culture; C. HeLa cells grown as solid tumor in nude mice: D. R"lll as solid tumor in nude mice. 4566 CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. VOL. 37 Effect of Abrin on Human Cancers in Nude Mice DECEMBER 1977 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1977 American Association for Cancer Research. 4567 Inhibitory Effect of Abrin and Ricin on the Growth of Transplantable Murine Tumors and of Abrin on Human Cancers in Nude Mice Øystein Fodstad, Sjur Olsnes and Alexander Pihl Cancer Res 1977;37:4559-4567. 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