Thalidomide is effective in the treatment of some tumor necrosis factor-rel
ated diseases, but its cellular target is not known. Effects of thalidomide
were investigated an lymphocytes and monocytes, Cell migration was examine
d in a Boyden chamber. Effects on protein kinase C (PKC) were investigated
functionally by use of PKC inhibitor and in purified enzyme preparations. T
halidomide itself showed no direct chemotactic effect on lymphocytes or mon
ocytes, Preincubation with the drug significantly enhanced random migration
of both cell types. This effect was bisindolylmaleimide-reversible, sugges
ting involvement of PKC, Preincubation with thalidomide diminished the chem
otactic response of monocytes towards formyl peptide but failed to influenc
e lymphocyte chemotaxis towards RANTES or interleukin-8. In a cell-free ass
ay, inhibition of PKC activation by bisindolylmaleimide could be reversed b
y thalidomide, indicating direct interactions of thalidomide with PKC. Resu
lts suggest that effects of thalidomide in chronic inflammation may be rela
ted to actions on leukocyte functions.