Owing to its impressive ability to kill
tumor cells, especially in combination with
interferon-gamma (IFNgamma),
tumor necrosis factor (TNF) is widely appreciated as being a potential systemic therapeutic for the treatment of
cancer. On the other hand, owing to its proinflammatory activities, administration of TNF leads to many systemic side effects and eventually to a potentially lethal
systemic inflammatory response syndrome (SIRS). However, systemic treatment of
tumor-bearing mice with TNF/IFNgamma in combination with
BB-94 (a broad-spectrum
metalloproteinase inhibitor) confers protection against TNF/IFNgamma-induced mortality, whereas preserving the antitumor activity. In this study, we investigated the effect of the adenoviral delivery of human tissue inhibitors of
matrix metalloproteinase (hTIMP)-1 and hTIMP-2 genes on the outcome of TNF/IFNgamma antitumor
therapy. The dose of adenovirus was limited to 10(8) PFU per mouse owing to the additive toxicity of combining it with TNF/IFNgamma
therapy. Nevertheless, this dose was sufficient to achieve highly efficient adenoviral transfer and expression of hTIMP-1 and hTIMP-2 in the liver, but not the
tumor. Treatment with this low dose of AdhTIMP-1 or AdhTIMP-2 was not enough to protect the host against the toxic effects of TNF/IFNgamma. However, it was sufficient to show a synergistic effect of hTIMPs with TNF/IFNgamma such that
tumors regressed significantly faster. Interestingly, only AdTIMP-2 was able to prevent relapses
after treatment.