Summary
Fifteen Hodgkin's disease patients (8 male, 7 female) aged 19–72 years, who had been in complete unmaintained remission for 1 year or more when the study was initiated, were given 50 mg thymostimulin (TS) IM daily for 60 consecutive days. When compared with 26–30 age- and sex-matched controls, as a group the patients' circulating ENR+, OKT +3 , and OKT +4 cells were depressed (0.001≤P≤ .06), whereas their OKT +8 cell population was not. Low (>1 SD or >2 SD below mean in controls) or borderline (mean value of two subsequent tests >1 SD below mean in controls) values of ENR+, OKT +3 , and OKT +4 cells were seen in nine (group I) of the 15 patients tested, while the remaining six patients (group II) had normal T-cell proportions. Following TS treatment, the proportions of ENR+, OKT +3 , and OKT +4 cells increased to normal in all group I patients. The T-cell levels, however, decreased to pretreatment values 60–70 days after completion of TS therapy. TS had no effect on the group II patients whose T-cell percentages had initially been normal. Spontaneous cell-mediated cytotoxicity (SCMC) was assessed in 11 patients, and irrespective of the baseline values, there was a significant enhancement (P<0.005) by day 15 of TS administration, which was maintained during treatment. SCMC, however, returned to pretreatment levels 60–70 days after TS was discontinued. The delayed skin test reactivity to DNCB was significantly depressed in all cases. Although TS restored the T-cell proportions, it failed to reverse DNCB reactivity from negative to positive in any of the patients tested. TS can thus restore defective T-cell frequencies and can enhance cytolytic functions that are potentially important in host immunosurveillance, but it apparently failed to improve the skin reactivity to neoantigen.
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References
Aisenberg AC, Weitzman S, Wilkes B (1978) Lymphocyte receptors for concanavalin A in Hodgkin disease. Blood 51:439
Aiuti F, Ammirati P, Fiorilli M, D'Amelio R, Franchi F, Businco L (1979) Immunologic and clinical investigation on a bovine thymic extract: II. Therapeutical applications in primary immunodeficiencies. Pediatr Res 13:797
Bergesi G, Falchetti R (1977) Caratterizzazione chimica ed attività biologica di un nuovo estratto timico. Folia Allergol Immunol Clin 24:204
Björkholm M, Wedelin C, Holm G, Johansson B, Mellstedt H (1981) Longitudinal studies of blood lymphocyte capacity in Hodgkin's disease. Cancer 48:2010
Brandies WE, Tan C, Wang Y, Good RA, Day NK (1980) Circulating immune complexes, complement and complement component levels in childhood Hodgkin's disease. Clin Exp Immunol 39:551
Case DC, Hansen JA, Corrales E, Young CW, Dupont B, Pinsky CM, Good RA (1977) Depressed in vitro lymphocyte responses to PHA in patients with Hodgkin's disease in continuous long remission. Blood 49:771
Costanzi JJ, Gagliano RG, Delaney F, Harris N, Thurman GB, Sakai H, Goldstein AL, Loukas D, Cohen GB, Thomson PD (1977) The effect of thymosin on patients with disseminated malignancies. Cancer 40:14
Ezdinli EZ, Simonson KL, Simonson LG, Wasser LP (1979) T and B-RFC inhibiting factor in plasma from patients with active Hodgkin's disease. Cancer 44:106
Faguet GB (1974) Membrane events that precede lymphocyte activation by PHA in normals and Hodgkin's disease. Blood 44:920
Falchetti R, Bergesi G, Eshkol A, Cafiero C, Adorini L, Caprino L (1977) Pharmacological and biological properties of a calf thymus extract (TP-1). Drugs Exp Clin Res 3:39
Fisher RI, Young RC (1978) Immunology of Hodkin's disease. In: Waters H, (ED). The handbook of cancer immunology, vol 4B, Garland STPM, New York, p 1
Fisher RI, De Vita VT, Bostick F, Vanhaelen C, Howser DM, Hubsard SM, Young RC (1980) Persistent immunologic abnormalities in long-term survivors of advanced Hodgkin's disease. Ann Intern Med 92:595
Fuks R, Strober S, King DP, Kaplan HS (1976) Reversal of cell surface abnormalities of T lymphocytes in Hodgkin's disease after in vitro incubation in fetal sera. J Immunol 117:1331
Goodwin JS, Messner RP, Bankhurst AD, Peake GT, Saiki JH, Williams RC (1977) Prostaglandin-producing suppressor cells in Hodgkin's disease. N Engl J Med 297:963
Gupta S, Good RA (1981) Subpopulations of human T lymphocytes: laboratory and clinical studies. Immunol Rev 56:89
Gupta S, Tan C (1980) Subpopulations of human T lymphocytes: XVI. Abnormality of locomotion of T cells and of T cell subsets in peripheral blood and spleens from untreated children with Hodgkin's disease. Clin Immunol Immunopathol 15:133
Han T (1980) Role of suppressor cells in depression of T lymphocyte proliferative response in untreated and treated Hodgkin's disease. Cancer 45:2102
Hardy MA, Dattner AM, Sarkar DK, Stoffer JA, Friedmann N (1976) The effect of thymosin on human T cells from cancer patients. Cancer 37:98
Hillinger SM, Erzig GP (1978) Impaired cell-mediated immunity in Hodgkin's disease mediated by suppressor lymphocytes and monocytes. J Clin Invest 61:1620
Janossy G (1981) Membrane markers in leukemia. In: Catovsky D. (ED). The leukemic cell. Churchill Livingstone, London, p 165
King GW, Grozea PC, Eyre HJ, Lo Buglio AF (1979) Neoantigen response in patients successfully treated for lymphoma. Ann Intern Med 90:892
Levy R, Kaplan HS (1974) Impaired lymphocyte function in untreated Hodgkin's disease. N Engl J Med 290:181
Liberati M, Borden EC, McBain JA, Raubertas R (1982) Effects of levamisole on human natural killer and killer cell activity and production of interferons. Immunopharmacology 5:11
Martelli MF, Velardi A, Rambotti P, Cernetti C, Bracaglia AM, Ballatori E, Davis S (1982a) The in vitro effect of a calf thymus extract (thymostimulin) on the immunologic parameters of patients with untreated Hdogkin's disease. Cancer 49:245
Martelli MF, Velardi A, Rambotti P, Cernetti C, Bertotto A, Spinozzi F, Bracaglia AM, Falini A, Davis S (1982b) The in vivo effect of a thymic factor (thymostimulin) on immunologic parameters of patients with untreated Hodgkin's disease. Cancer 50:490
Matchett KM, Huang AT, Kremer WB (1973) Impaired lymphocyte transformation in Hodgkin's disease. Evidence for depletion of circulating T-lymphocytes. J Clin Invest 52:1908
Moretta L, Mingari MC, Moretta A (1979) Human T cell subpopulations in normal and pathologic conditions. Immunol Rev 45:163
Moroz Z, Lahat N, Binlaminor M, Ramot B (1977) Ferritin on the surface of lymphocytes in Hodgkin's disease patients. A possible blocking substance removed by levamisole. Clin Exp Immunol 29:30
Romagnani S, Maggi E, Biagiotti R, Giudizi MG, Amadori A, Ricci M (1978) Altered proportion of Tμ-Tγ-cell subpopulations in patients with Hodgkin's disease. Scand J Immunol 7:511
Sakai H, Costanzi JJ, Loukas DF, Gagliano RG, Ritzman SE, Goldstein AL (1975) Thymosin-induced increase in E-rosette-forming capacity of lymphocytes in patients with malignant neoplasms. Cancer 36:974
Schechter GP, Soehnlen F (1978) Monocyte-mediated inhibition of lymphocyte blastogenesis of Hodgkin disease. Blood 52:261
Schulof RS, Bockman RS, Garofalo JA, Cirrincione C, Cunningham-Rundles S, Fernandes G, Day NK, Pinsky CM, Incefy GS, Thaler HT, Good RA, Gupta S (1981a) Multivariate analysis of T-cell functional defects and circulating serum factors in Hodgkin's disease. Cancer 48:964
Schulof RS, Lacher MJ, Gupta S (1981b) Abnormal phytohemagglutinin-induced T-cell proliferative responses in Hodgkin's disease. Blood 57:607
Sibbit WL, Bankhurst AD, Williams RC (1978) Studies of cell subpopulations mediating mitogen hyporesponsiveness in patients with Hodgkin's disease. J Clin Invest 61:55
Siegal FP (1976) Inhibition of T-cell rosette formation by Hodgkin-disease serum. N Engl J Med 295:1314
Snedecor G, Cochran WG (1971) Two comparisons in statistical methods. The Iowa State University Press, p 327
Steele R, Han T (1978) Effects of radiochemotherapy and splenectomy on cellular immunity in long-term survivors of Hodgkin's disease and non-Hodgkin's lymphoma. Cancer 42:133
Sugden PJ, Lilleyman JS (1980) Impairment of lymphocyte transformation by plasma from patients with advanced Hodgkin's disease. Cancer 45:899
Tovo PA, Bernengo MG, Cordero di Montezemolo L, Del Piano A, Saitta M, Nicola P (1980) Thymus extract therapy in immunodepressed patients with malignancies and herpes virus infections. Thymus 2:41
Twomey JJ, Rice L (1980) Impact of Hodgkin's disease upon the immune system. Semin Oncol 7:114
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Liberati, A.M., Brugia, M., Edwards, B.S. et al. Immunorestorative properties of thymostimulin (TS) in patients with Hodgkin's disease in clinical remission. Cancer Immunol Immunother 19, 136–141 (1985). https://doi.org/10.1007/BF00199722
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DOI: https://doi.org/10.1007/BF00199722