Skip to main content
Log in

The effect of clotrimazole on human lymphocyte responsiveness to plant mitogens

  • Immunosuppression and Inflammation
  • Published:
Agents and Actions Aims and scope Submit manuscript

Abstract

The effect of clotrimazole, an imidazole derivative with anti-rheumatic properties, on lymphocyte stimulation by phytohaemagglutinin, concanavalin-A and pokeweed mitogen was investigated in an in vitro culture system. Evidence was obtained to show that the drug could either enhance or inhibit lymphocyte stimulation, the response depending on the concentration of the drug in the culture system and the mitogen used, as well as on individual variability. At a concentration of the drug corresponding to therapeutic serum levels, clotrimazole inhibited lymphocyte response to the three mitogens in all the normal volunteers studied.

In addition, the effect of clotrimazole on in vitro mitogenic responsiveness of lymphocytes of a group of patients with rheumatoid arthritis taking this drug was compared to that of the proprionic acid derivative, ketoprofen. Patients taking clotrimazole showed a significant reduction in lymphocyte responsiveness, when compared to pre- and post-treatment levels, whereas there was no significant difference in those patients taking ketoprofen. Although cortisol levels tended to be higher in the groups of patients taking clotrimazole there was no correlation between lymphocyte responsiveness and cortisol concentration.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. E.M. Lance andS.C. Knight,Immunologic Reactivity in Rheumatoid Arthritis, Arthritis Rheum.17, 513 (1974).

    PubMed  Google Scholar 

  2. R.J. Winchester, V. Agnello andH.G. Kunkel,Gamma Globulin Complexes in Synovial Fluids of Patients with Rheumatoid Arthritis, Clin. Exp. Immunol.6, 689–706 (1970).

    PubMed  Google Scholar 

  3. C. Steffen, H. Ludwig, W. Knapp, N. Thumb, R. Eberl, O. Frank andH. Freilinger,Collagen Antibodies and Collagen-Anticollagen Immune Complexes in Rheumatoid Arthritis, Z. Rheumatol.34, 391–399 (1975).

    PubMed  Google Scholar 

  4. E.R. Hurd andM. Ziff,Parameters of Improvement in Patients with Rheumatoid Arthritis Treated with Cyclophosphamide, Arthritis Rheum.17, 72–78 (1974).

    PubMed  Google Scholar 

  5. M.W. Whitehouse, C.M. Pearson andH.E. Paulus,Animal Models for Rheumatoid Arthritis and their Extension to Man, in:Proceedings of the International Symposium on Rheumatology (Eds. C.B. Ballabio, G. Weissman, D.A. Willoughby and M. Ziff, 1974), pp. 88–100.

  6. M.D. Lockshin, A.C. Eisenhauer, R. Kohn, M. Weksler, S. Block andS.B. Mushlin,Cell Mediated Immunity in Rheumatic Diseases, Arthritis Rheum.18, 245–250 (1975).

    PubMed  Google Scholar 

  7. K. Whaley, C.A. Glen, W.C. Dick, G. Nuki andW.W. Buchanan,Delayed Hypersensitivity in Sjogren's Syndrome and Rheumatoid Arthritis, in:Impaired Cell Mediated Hypersensitivity in Man (Eds. J.F. Jennings and D.J. Ward; 1970), pp. 25–35.

  8. E.C. Huskisson, P.A. Dieppe, J. Scott, J. Trapnell, H.W. Balme andD.A. Willoughby,Immunostimulant Therapy with Levamisole for Rheumatoid Arthritis, Lancet1, 393–395 (1976).

    PubMed  Google Scholar 

  9. S.H. Chan andM.J. Simons,Levamisole and Lymphocyte Responsiveness, Lancet1, 1246 (1975).

    Google Scholar 

  10. R. Wyburn Mason,Clotrimazole and Rheumatoid Arthritis, Lancet1, 489 (1976).

    Google Scholar 

  11. A. Boym,Isolation of Mononuclear Cells and Granulocytes from Human Blood, Scand. J. Clin. Lab. Invest.21, suppl. 97, 77–89 (1968).

    PubMed  Google Scholar 

  12. J.W. Hadden, R.G. Coffey, E.M. Hadden, E. Lopez-Corrales andG.H. Sunshine,Effects of Levamisole and Imidazole on Lymphocyte Proliferation and Cyclic Nucleotide Levels, Cell Immunol.20, 98 (1975).

    PubMed  Google Scholar 

  13. I. Otterness andJ. Biblack,Clotrimazole and Rheumatoid Arthritis, Lancet1, 148 (1976).

    Google Scholar 

  14. D. Heilman,Failure of Hydrocortisone to Inhibit Blastogenesis by Pokeweed Mitogen in Human Leukocyte Cultures, Clin. Exp. Immunol.II, 393–403 (1972).

    Google Scholar 

  15. J.E. Crout, B. Hepburn andR.E. Ritts,Suppression of Lymphocyte Transformation after Aspirin Ingestion, N. Engl. J. Med.292, 221–223 (1975).

    PubMed  Google Scholar 

  16. P.E. Lipsky andA.S. Rosenthal,Macrophage-Lymphocyte Interactions, J. Exp. Med.141, 138–154 (1975).

    PubMed  Google Scholar 

  17. M. Rosenthal, U. Trabert andW. Muller,Immunotherapy with Levamisole in the Rheumatic Diseases, Scand. J. Rheumatology5, 60–64 (1976).

    Google Scholar 

  18. M.W. Whitehouse, C.M. Pearson andH.E. Paulus,Animal Models for Rheumatoid Arthritis and their Extension to Man, in:Proceedings of the International Symposium on Rheumatology (Eds. C.B. Ballabio, G. Weissmann, D.A. Willoughby and M. Ziff; 1974), pp. 88–100.

  19. M.F. Greaves andG. Janossy,Elicitation of Selective T and B Lymphocyte Responses by Cell Surface Binding Ligands, Transplant. Rev.11, 87–130 (1972).

    PubMed  Google Scholar 

  20. M.F. Greaves, G. Janossy andM. Doenhoff,Activation of Human T and B Lymphocytes by Polyclonal Mitogens, Nature, Lond.248, 698–701 (1971).

    Google Scholar 

  21. J. Brochier, C. Samarut, J.P. Gueho andJ.P. Revillanrd,T-Dependence of Human B Lymphocyte Proliferative Response to Mitogens, Int. Archs Allergy appl. Immun.51, 101–116 (1976).

    Google Scholar 

  22. J. Clot, H. Massip andO. Mathieu,In vitro Studies on Human B and T Cell Purified Populations, Immunology29, 445–453 (1975).

    PubMed  Google Scholar 

  23. W. Bullock,Mitogens for T and B Cells, in:Progress in Immunology II, vol. 2 (Eds. L. Brent and J. Holborow; 1974).

  24. R.D. Liwa, C. Cardin andH.E. Paulus,Inhibition by Gold of Human Lymphocyte Stimulation: an in vitro Study, Ann. Rheum. Dis.36, 216–218 (1977).

    PubMed  Google Scholar 

  25. P.E. Lipsky andA.S. Rosenthal,Macrophage-Lymphocyte Interactions, J. exp. Med.141, 138 (1975).

    PubMed  Google Scholar 

  26. P.E. Lipsky andM. Ziff,Inhibitions of Antigen and Mitogen-Induced Human Lymphocyte Proliferation by Gold, J. Clin. Invest.59, 455–466 (1977).

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gow, P.J., Corrigall, V. & Panayi, G.S. The effect of clotrimazole on human lymphocyte responsiveness to plant mitogens. Agents and Actions 9, 543–548 (1979). https://doi.org/10.1007/BF01968125

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01968125

Keywords

Navigation