The neuroleptics haloperidol and spiperone potentiated anti-mu induced
murine B-lymphocyte proliferation in vitro and lowered the threshold
of anti-mu antibody needed to trigger proliferation. Because haloperid
ol and spiperone are best known for actions at D-2, 5HT(2), alpha(1),
and sigma (sigma) receptors, a series of agonists and antagonists of t
hese receptors were tested. Dopamine and norepinephrine inhibited, and
serotonin (5HT) enhanced B-cell proliferation. Spiperone opposed the
suppression of proliferation by dopamine and norepinephrine. However,
antagonists of D-1, D-2, D-3, D-5, 5HT(2), 5HT(1A), and alpha(1) recep
tors did not mimic the effect of haloperidol and spiperone. Furthermor
e, a series of a agonists failed to affect B-cell proliferation. There
fore it is likely that the effects of haloperidol and spiperone are no
t due to actions at known dopamine, 5HT, alpha(1), or sigma receptors.
These findings indicate neuroleptics act not only in the CNS, but als
o directly on B-lymphocytes of the immune system. The pharmacological
site of this action is not clear at this time.