A STUDY OF THE MECHANISMS INVOLVED IN THE IMMUNOSTIMULATORY ACTION OFTHE PINEAL HORMONE IN CANCER-PATIENTS

The mechanisms responsible for the immunostimulatory role of the pinea l hormone melatonin (MLT) are still obscure. To investigate the influe nce of MLT on interleukin-2 (IL-2)-induced immune effects in cancer, w e compared the results obtained in 14 cancer patients treated with IL- 2 (6 x 10(6) IU/day s.c. for 5 days/week for 4 weeks) plus MLT (10 mg/ day orally) with those seen in 14 patients treated with IL-2 alone and with those obtained from 14 other patients treated with MLT only. All patients were affected by metastatic solid neoplasms. The increase in the mean number of lymphocytes, T lymphocytes, natural killer cells, CD25-positive cells and eosinophils was significantly higher in patien ts treated with IL-2 plus MLT than in those receiving IL-2 alone. On t he contrary, the increase in mean serum levels of the macrophage marke r neopterin was significantly higher in patients treated with IL-2 alo ne than in those treated with IL-2 plus MLT. Finally, MLT alone has no significant effect on immune cell mean number and on neopterin secret ion. These results would suggest that the immunostimulatory action of MLT requires the concomitant presence of IL-2 and that two of the main target cells for MLT activity in humans are represented by T helper l ymphocytes of type 2, which are involved in IL-2-induced eosinophilia by the release of IL-5, and macrophages, which may inhibit IL-2-depend ent immune functions.