Ribose has been used successfully in the treatment of ischemic heart d
isease and muscular enzyme deficiencies, and its administration also f
acilitates the diagnosis of coronary artery disease by influencing tha
llium-201 scintigraphy. Concerns about the safety of ribose therapy ha
ve been triggered by reports about inhibitory effects of ribose on cel
l proliferation in vitro. This study examines possible side effects of
ribose on human lymphocytes. Unstimulated and mitogen-stimulated huma
n lymphocytes were incubated with ribose concentrations associated wit
h high-dose oral administration, i.e., 3.5 mM, and with two- (7 mM) an
d tenfold (35 mM) higher concentrations. Cell cultures with matching g
lucose concentrations served as controls. Incorporation of [H-3]thymid
ine into cells was used to measure cell proliferation. No significant
inhibition of human lymphocyte proliferation in vitro was observed in
mitogen-stimulated cells. Unstimulated cultures showed significant inh
ibition only at 35 mM ribose. It is concluded that ribose plasma level
s associated with high-dose oral administration do not inhibit human l
ymphocyte proliferation in vitro. No evidence was found that short-ter
m ribose therapy is harmful to human lymphocytes.