Stimulation of reactive oxygen species production and cytotoxicity in
human neutrophils in vitro and after oral administration of a polyenzyme
preparation
Eva Zavadova, Lucia Desser and Thomas Mohr
Institute of Applied and Experimental Oncology, University
of Vienna, Austria
Cancer Biotherapy 1995: Vol.10, No. 2, pp. 147-152
10. Tagung über Infektionen in der gynäkologie und der Gebursthilfe,
München, März 1995, publ. in Eur. J. Immunol. Dis. 1996: Suppl. Vol.
1, No. 1, pp. 42 - 44
WE 56 (2-04-2)
Abstract
Polymorphonuclear neutrophils (PMN) can be primed for enhanced release
of reactive oxygen species (ROS) by exposure to cytokines and biological
response modifiers. ROS are considered to possess tumoricidal activity.
The polyenzyme preparation WobenzymR (WE) contains pancreatin,
papain, bromelain, trypsin and chymotrypsin and is used in adjuvant
tumor therapy. We investigated killing of WE-exposed PMN against tumor
cells and analyzed WE influence on ROS production in a chemiluminescence
assay in PMN in vitro and in vivo.
Depending on dose WE stimulates the cytotoxic capacity of PMN in vitro
against tumor cells (50 mg/ml: p<0.01).
Exposure of PMN to Wobenzym caused a time-dependent significant (p<0.02)
increase in release of ROS. Similarly, oral administration of Wobenzym
to healthy volunteers (n = 28) resulted in significant increases (p<0.01)
in ROS production, depending on dose (peak with 20 tablets) and time
(peak 4 hours after Wobenzym administration).
In contrast, ROS production was not elevated in the PMN of healthy volunteers
receiving placebo (n=8) or no treatment (n=16).
These findings point to an immunomodulatory capacity of WE in adjuvant
tumor therapy.