Synergistic Antitumor Activity of Etoposide and Human Interleukin-1 Against Human Melanoma Cells

Abstract
To investigate the possibility of increased activity of cytotoxic anticancer drugs combined with cytokines, we treated human melanoma cells with combinations of etoposide (VP-16) and human recombinant interleukin-1α (rIL-1α). We evaluated the combined cytotoxic effects of VP-16 and rIL-1α using A37S-C6 cells, which are sensitive to rIL-1α, and A375-C5 cells, a clonal variant line resistant to rIL-1α. We used the MTT (3-[4, 5-dimethylthiazol-2-yl]-2, 5-diphenyltetrazolium-bromide) assay and the inhibition of (3H]thymidine incorporation into DNA. We analyzed data using the median effects principle of Chou and Talalay (Chou's analysis). The calculated combination index values, at a dose ratio of VP-16 to rIL-la of 12: 1 in simultaneous exposure, indicated synergistic cytotoxicity toward both A375-C6 cells and A375-C5 cells. We observed more pronounced synergism with VP-16 and rIL-1α toward the A375-C5 JL-1α-resistant melanoma cells. These results suggest that rIL-1α combined with cytotoxic antitumor drugs may provide increased benefit in the treatment of malignant melanoma. [J Natl Cancer Inst 81: 1904–1909, 1989]