This report describes the response of normal human T cells to stimulat
ion in vitro in the presence of nano-micromolar concentrations of coca
ethylene. Thymidine incorporation by concanavalin A-stimulated periphe
ral blood mononuclear cells was generally blunted by cocaethylene, alb
eit to different degrees depending upon the donor tested. The formatio
n of concanavalin A-induced blast cells was decreased by increasing co
ncentrations of cocaethylene. The production of interleukin-2 was also
blunted in a dose-dependent fashion by cocaethylene, and this outcome
was more consistently observed in stimulated peripheral blood mononuc
lear cells, compared to unseparated whole blood preparations. An inver
se dose dependence was obtained in relation to the response of blast c
ells to recombinant human interleukin-2 in the presence of cocaethylen
e. These lines of evidence, taken together with our preliminary studie
s aimed at testing the effect of cocaethylene on the expression of cer
tain membrane markers of activation (i.e., interleukin-2 receptor, tra
nsferrin receptor, serine aminopeptidase IV) and the expression of the
proliferating cell nuclear antigen (cyclin PCNA), suggest that cocaet
hylene modulates relatively early events following T cell stimulation
probably related to the interleukin-2 system.