Ocular tumors such as retinoblastoma and uveal melanoma have devastating effects on vision. Patients with uveal melanoma also
have low 5-year survival rates, thus new therapeutic modalities are necessary. As both retinoblastoma and uveal melanoma are
highly vascular, we tested application of a gene transduction approach with a potent TH1 cytokine also endowed with strong
anti-angiogenic activity, Interleukin-12 (IL-12). Gene transfer into murine 99E1 uveal melanoma-like cells, while having no
effects on growth in vitro, essentially blocked subcutaneous tumor growth in vivo without evident signs of toxicity. Orthotopic
intraocular injection resulted in invasive tumors that destroyed ocular architecture by the control cells while the IL-12
transduced cells rarely formed tumors. Histological analysis revealed highly invasive and angiogenic tumor growth in the controls
and poorly vascularized tumors in the presence of IL-12. The tumor repression effect could be reproduced by a systemic anti-angiogenic
effect, where controlateral injection of IL-12 expressing cells strongly repressed growth in tumors formed by parental 99E1
cells. This was associated with significantly lowered tumor vessel densities, a trend toward lower VEGF levels in the lesion,
and significantly decreased NK cells in the parental tumors exposed to systemic IL-12. Taken together, our data suggest that
IL-12 gene transfer can provide anti-angiogenic effects without toxicity and may be particularly suited for therapy of vascularized
ocular tumors.
Keywords Anti-angiogenesis - Gene transfer - IL-12 - Ocular tumors - Uveal melanoma - Retinoblastoma - Rare diseases
A. Albini and G. Fassina contributed equally to this manuscript.