T lymphocytes migrate across body tissues and organs, and home to site
s where infection agents and tumors harbor. Cortisol and other glucoco
rticoids modulate the migration of helper T cells (CD4+), and particul
arly of CD4+ cells that expresses the homing receptor LECAM-1. A large
proportion of these cells express the naive CD4 phenotype (CD4+CD45RA
+), which in part determines their transit through the lymphatic syste
m and the lymph nodes. We discuss implications for cocaine and alcohol
abusers, who are at high risk for HIV infection and AIDS.