Lymphopenic effect

Corticosteroids suppress both humoral and cellular immunity. Single doses produce a redistribution of lymphocytes with a concentration dependent decrease of CD4 and CDS positive cells. This in vivo lymphopenic effect correlates with the in vitro inhibition of stimulated T-cell proliferation. Furthermore, corticosteroids are able to inhibit the expression of genes coding for IL-1, IL-2, IL-6, interferon a, and tumor necrosis factor, TNE-a. Chronic administration decreases the size and also the cellu-larity of lymphoid tissues like lymph nodes, spleen, and thymus. Corticosteroids have more effect on the primary immune response and are less effective against previously sensitized immune responses. Their suppressive effects are more pronounced for T-cell immune responses than for the humoral immune response. 

In 46 chemotherapy-naive patients, docetaxel had an important but reversible non-specific lymphopenic effect, thought to be associated with an increased risk of non-neutropenic infections (5). 

In pantothenate-deficient intact rats subjected to forced swimming or injected with ACTH, the typical lymphocytic response was abolished (Dumm et al., 1949). If the deficient animals received a high pantothenic acid diet for 4 days, a more nearly normal response followed either swimming or the injection of ACTH. These findings were attributed to the effects of pantothenic acid deficiency on the structure and function of the adrenal cortex. Winters el al. (1952a) observed that the lymphopenic and eosinopenic responses to ACTH and epinephrine were abolished following a 5- to 6-week period of pantothenate deficiency. However, fol-... 

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