Pidotimod ((R)-3-[(S)-(5-oxo-2-pyrrolidinyl)carbonyl]- thiazolidine-4-
carboxylic acid, PGT/1A, CAS 121808-62-6), a new biological response m
odifier, was administered to immunodepressed (by prednisolone, cycloph
osphamide or methotrexate) mice by oval and intraperitoneal route (res
pectively up to 400 and 200 mg/kg) during several days (up to 9 days).
The stimulatory action of the drug on cell-mediated immunity is inves
tigated by measuring the rosette formation by the murine splenic lymph
ocytes ex vivo, by T- and B-lymphocytes ex vivo proliferative response
to mitogens, by dinitrochlorobenzene delayed hypersensitivity induced
on the ear, by the graft-versus-host reaction with immunodepressed mi
ce as donors. In all tests pidotimod reveals a potent action in restor
ing the depressed reactivity. The action of pidotimod on humoral immun
ity is showed in two tests where the antibody response is induced by a
thymus dependent (sheep erythrocytes) or a thymus independent (lipopo
lysaccharide) antigen. Pidotimod was active in both rests. Macrophage
functions, anion superoxide production and the non-stimulated ex vivo
chemotaxis reveal that pidotimod significantly reduces the immunodepre
ssant action of prednisolone; particularly in i.p. treated mice the ch
emotaxis is likely to be restored to the levels of the non-immunodepre
ssed controls. The colloidal china ink blood clearance in vivo in immu
nodepressed mice, after pidotimod treatment, results similar to that f
ound in the control mice.