Effect of isoprinosine on in vitro proliferative responses of human lymphocytes stimulated by antigen.

Isoprinosine, a synthetic purine derivative, did not significantly interfere with the thymidine uptake of triggered normal lymphocytes, nor exhibit a detectable mitogenic activity. Isoprinosine was able to significantly enhance specific proliferative responses of human lymphocytes from sensitized donors to soluble antigens. Isoprinosine did not alter the early interaction of human mononuclear cells with 125I-labelled antigen, nor the expression of their membrane receptors for immunoglobulin Fc fragments. The agent could not replace the accessory rôle of adherent cells in proliferative responses to antigens. The enhancing effect of isoprinosine on antigen specific responses of T-cells was observed upon adding the compound on any one of the seven days of culture. Isoprinosine partially restored the inhibited proliferation of lymphocytes cultured in the presence of deoxyadenosine and deoxycoformycin. Data suggest that metabolic changes involving purines may account for the effect of isoprinosine on the expression of T-cell responses.